首页|烯丙雌醇与黄体酮联合治疗对先兆流产患者症状缓解时间及保胎结局的影响

烯丙雌醇与黄体酮联合治疗对先兆流产患者症状缓解时间及保胎结局的影响

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目的 探究烯丙雌醇与黄体酮联合治疗对先兆流产患者症状缓解时间及保胎结局的影响.方法 选择我院2021 年4 月—2023年9 月收治的 78 例先兆流产患者为研究对象,按随机数字表法将其分为对照组与观察组,各 39例.两组患者均给予适当休息、减少活动量、保持营养充分、安抚情绪等一般治疗.对照组在一般治疗基础上给予患者烯丙雌醇片治疗,观察组在对照组基础上给予患者黄体酮注射液治疗.对比两组患者的症状缓解时间、保胎结局、性激素指标和不良反应发生情况.结果 观察组止血时间及腰酸、腹痛缓解时间均短于对照组,组间差异有统计学意义(P<0.05).观察组妊娠延长时间长于对照组,保胎率高于对照组,组间差异有统计学意义(P<0.05).治疗7d后,观察组雌二醇、孕酮和人绒毛膜促性腺激素水平分别为(1120.45±110.39)pg/mL、(89.64±7.13)nmol/L、(8 861.20±886.48)U/mL,均高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 烯丙雌醇联合黄体酮治疗先兆流产患者有助于临床症状的缓解,改善性激素指标,改善保胎结局,且安全性较高,值得推广.
Effect of the Combination Therapy of Allyl Estradiol and Progesterone on the Time of Symptom Relief and the Outcome of Fetal Preservation in Patients with Threatened Miscarriage
Objective To explore the effect of the combination therapy of allyl estradiol and progesterone on the time of symptom relief and the outcome of fetal preservation in patients with threatened miscarriage.Methods 78 patients with threatened abortion admitted to our hospital from April 2021 to September 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.Both groups of patients were given appropriate rest,reduce the amount of activity,maintain adequate nutrition,calm mood and other general treatment.The control group was treated with allyl estradiol tablets on the basis of general treatment,and the observation group was treated with progesterone injection on the basis of control group.Symptom remission time,outcome of fetal preservation,sex hormone indexes and adverse reactions were compared between the two groups.Results The time of hemostasis and relief of lumbar acid and abdominal pain in the observation group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The pregnancy to extend the time of the observation group was longer than that of the control group,and the fetal preservation rate was higher than that of the control group,with statistical significance(P<0.05).After 7 days of treatment,the levels of estradiol,progesterone and human chorionic gonadotropin in the observation group were(1 120.45±110.39)pg/mL,(89.64±7.13)nmol/L and(8 861.20±886.48)U/mL,respectively,which were higher than those in the control group,with statistical significance(P<0.05).There was no significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion The combination of allyl estradiol and progesterone in the treatment of threatened miscarriage patients is helpful in alleviating clinical symptoms,improving sex hormone indicators,enhancing immune function,and improving outcome of fetal preservation.It is also safe and worthy of promotion.

Threatened miscarriageAllyl estradiolProgesteroneClinical symptomsOutcome of fetal preservation

尹国英、王燕辉

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枣庄市峄城区人民医院妇产科,山东枣庄 277000

先兆流产 烯丙雌醇 黄体酮 临床症状 保胎结局

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(7)