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米非司酮用于足月引产对新生儿血浆皮质醇的影响
作者:陈宏 宋文英 
单位:南京大学医学院附属鼓楼医院,妇产科,江苏,南京,210008
关键词:米非司酮 产妇 新生儿 皮质醇 
分类号:R719.31
出版年·卷·期(页码):2002·21·第三期(249-250)
摘要:

目的:研究米非司酮对足月引产新生儿血浆皮质醇的影响.方法:将60例孕妇随机分为米非司酮治疗组和对照组,每组各30例,治疗组口服米非司酮50 mg,每日1次,连服3 d,对照组用缩宫素2.5 U静脉滴注3 d.60例新生儿出生后第3天抽血双盲检测血浆皮质醇.结果:治疗组30例新生儿血浆皮质醇升高18例(60%),对照组新生儿血浆皮质醇升高10例(33%),两组比较,P<0.05,差异有显著意义.结论:产妇口服米非司酮引产可使新生儿血浆皮质醇明显升高.

Objective  To study the effects of mifepristone tablets on plasma corticosteroid in the full  term infants with induction of labor.Methods  60 cases of full term pregnancy were randomly divided into two groups.The treatment group was 30 cases taking 50?mg·d    -1   of mifepristone tablets for three days.The contrast group was 30 maternities with intravenous injection 2.5?U of oxytocin for three days.The plasma corticosteroid of 60 samples was blind randomly tested in full  term infants on the third day after delivery.Results  In treatment group plasma corticosteroid of 18 infants was increase,12 cases was normal.In contrast group plasma corticosteroid of 10 cases was increased and the others were normal.There was significant difference between two groups (  P  &lt;0.05).Conclusion  Mifepristone tablets for induction of labor in pregnant women led to significant increase of plasma corticosteroid in the full  term infants.

参考文献:

[1] 张俊慧, 周剑萍, 陆湘云. 米非司酮对人蜕膜雌、孕激素受体及血清生殖激素的影响, 1996(10)
[2] 杨藻宸. 药理学和药物治疗学, 2000
[3] 翁梨驹. 米非司酮的研究进展, 1995(9)
[4] 巫向前. 临床生物化学检验的评价, 2000   

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