首页|孕20周以上先兆流产患者保胎治疗中应用间苯三酚联合盐酸利托君的效果

孕20周以上先兆流产患者保胎治疗中应用间苯三酚联合盐酸利托君的效果

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目的 探讨间苯三酚联合盐酸利托君在孕20周以上先兆流产患者保胎治疗中的效果.方法 随机选取2021年11月—2023年12月山东省莘县人民医院收治的120例先兆流产患者为研究对象,按照不同治疗方法分为单一组和联合组,各60例.单一组采用间苯三酚治疗,联合组则加用盐酸利托君治疗,持续治疗7 d后对比两组患者的症状消失时间、性激素指标[孕酮(Progesterone,P)、雌二醇(Estradiol,E2)]水平、炎症因子指标[白细胞介素-10(Interleukin 10,IL-10)、白细胞介素-6(Interleukin 6,IL-6)、白细胞介素-17(Inter-leukin-17,IL-17)水平以及药物不良反应.结果 联合组宫缩消失时间(2.27±0.79)h、阴道出血停止时间(11.36±1.43)h均短于单一组,差异有统计学意义(t=39.131、24.175,P均<0.05).治疗7 d后,两组患者的P、E2、β-HCG均较治疗前升高,且联合组P(73.88±21.36)mmol/L、E2(632.76±83.97)pg/mL、β-HCG(5 985.35±154.87)U/L均高于单一组,差异有统计学意义(P均<0.05).治疗 7 d后,两组患者的IL-10 水平升高,IL-6、IL-17水平均下降,且联合组IL-10水平(153.43±12.35)pg/mL、IL-6水平(12.36±1.32)pg/mL、IL-17水平(12.32±4.13)pg/mL均优于单一组,差异有统计学意义(P均<0.05).两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05).结论 在孕20周以上先兆流产患者保胎治疗中应用间苯三酚联合盐酸利托君可以提高保胎效果,提高性激素,改善机体炎症指标,且安全性良好.
Effect of Phloroglucinol Combined with Ritodrine Hydrochloride in the Treatment of Threatened Abortion Patients with Pregnancy More Than 20 Weeks
Objective To investigate the effect of phloroglucinol combined with ritodrine hydrochloride on fetal preser-vation in patients with threatened abortion over 20 weeks of pregnancy.Methods A total of 120 patients with threat-ened abortion admitted to Xinxian People's Hospital of Shandong Province from November 2021 to December 2023 were randomly selected as the study subjects.According to different treatment methods,they were divided into single group and combined group,with 60 cases in each group.The single group was treated with phloroglucinol,while the combined group was treated with ritodrine hydrochloride.After 7 days of continuous treatment,symptom resolution time,the levels of sex hormone indexes[progesterone(P),estradiol(E2)]and the levels of inflammatory factor indexes[interleukin-10(IL-10),interleukin-6(IL-6),interleukin-17(IL-17)]and adverse drug reactions were compared be-tween patients in two groups.Results The contraction disappearance time(2.27±0.79)h and the stop time of vaginal bleeding(11.36±1.43)h in the combined group were shorter than those in the single group,and the differences were statistically significant(t=39.131,24.175,both P<0.05).After 7 days of treatment,P,E2 and β-HCG in patients in two groups were higher than before treatment,P(73.88±21.36)mmol/L,E2(632.76±83.97)pg/mL and β-HCG[(5 985.35±154.87)U/L]in combination group were higher than those in single group and the differences were statisti-cally significant(all P<0.05).After 7 days of treatment,the levels of IL-10 was increased in patients in both groups,while the levels of IL-6 and IL-17 were decreased,the levels of IL-10(153.43±12.35)pg/mL,IL-6(12.36±1.32)pg/mL and IL-17(12.32±4.13)pg/mL in the combined group were superior to those in the single group and the differences were statistically significant(all P<0.05).There was no significant difference in the total rate of adverse reactions be-tween patients in two groups(P>0.05).Conclusion The application of phloroglucinol combined with ritodrine hydro-chloride in the treatment of fetal preservation in patients with threatened abortion at more than 20 weeks of pregnancy can improve the effect of fetal preservation,increase sex hormones,and improve the inflammation index of the body,with good safety.

Threatened abortionPhloroglucinolRitodrine hydrochloride

岳俊珂

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山东省莘县人民医院产科,山东 聊城 252400

先兆流产 间苯三酚 盐酸利托君

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(20)