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肝素钠联合地屈孕酮治疗先兆流产的临床效果

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目的 分析肝素钠联合地屈孕酮治疗先兆流产的临床效果.方法 回顾性选取2021年4月—2022年11月枣庄市妇幼保健院妇产科接诊的94例先兆流产妊娠期妇女的病历资料,按照用药方案分为两组,每组47例.参照组口服地屈孕酮片,研究组联用低分子肝素钠注射液,比较用药后子宫流血、腰腹疼痛消失时间、孕酮恢复时间、血样指标、不良反应发生率、保胎率等.结果 研究组保胎率(95.74%)比参照组(80.85%)高,差异有统计学意义(χ2=5.045,P=0.025);研究组用药后子宫流血、腰腹疼痛消失时间和孕酮恢复时间均短于参照组,差异有统计学意义(P均<0.05);研究组的不良反应发生率(4.25%)与参照组(8.51%)相比,差异无统计学意义(P>0.05);研究组治疗后纤维蛋白原、D-二聚体、超敏C-反应蛋白等指标改善优于参照组,差异有统计学意义(P均<0.05).结论 对先兆流产患者联合使用低分子肝素钠与地屈孕酮诊治其疗效显著,具有较大的临床借鉴价值.
Clinical Effect of Heparin Sodium Combined with Dydrogesterone in the Treatment of Threatened Abortion
Objective To analyze the clinical effect of heparin sodium combined with dydrogesterone in the treatment of threatened abortion.Methods The medical records of 94 cases of women with preeclampsia in pregnancy seen by the Department of Obstetrics and Gynecology of Zaozhuang Maternal and Child Health Hospital from April 2021 to November 2022 were retrospectively selected and were divided into two groups according to the medication regimen,with 47 cases in each group.The reference group was given dedrogesterone tablets orally,and the study group was given low molecular weight heparin sodium injection.Uterine bleeding,absence time of lumbar and abdominal pain recovery time of progesterone,blood index,incidence of adverse reactions,fetal preservation rate,were compared.Results The survival rate of the study group(95.74%)was higher than that of the reference group(80.85%),and the difference was statistically significant(χ2=5.045,P=0.025).The disappearance time of uterine bleeding,lumbar and abdominal pain and the recovery time of progesterone in the study group were shorter than those in the reference group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the study group(4.25%)compared to the reference group(8.51%),the difference was not statistically significant(P>0.05).The improvement of fibrinogen,D-dimer and high sensitivity C-reactive protein in the study group after treatment was better than that in the reference group,the differences were statistically significant(all P<0.05).Conclusion The com-bined use of low molecular weight heparin sodium and dydrogesterone in the diagnosis and treatment of patients with threatened abortion is effective and has great clinical relevance.

Threatened abortionLow molecular weight heparin sodiumDydrogestoneClinical effectDrug combinationTerm pregnancy

吴海荣、李婕

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山东省枣庄市妇幼保健院产科,山东枣庄 277100

先兆流产 低分子肝素钠 地屈孕酮 临床效果 联合用药 足月妊娠

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(4)
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