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低分子肝素钠联合阿司匹林治疗复发性流产的安全性评价

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目的 研究低分子肝素钠联合阿司匹林治疗复发性流产的安全性.方法 方便选取2020年6月—2023年6月汶上县人民医院收治的68例复发性流产患者为研究对象,通过治疗方法的不同分为对照组(34例)、研究组(34例).对照组采用阿司匹林治疗,研究组联合低分子肝素钠治疗.对比两组症状消失时间、凝血功能、不良反应发生率及活产率.结果 研究组腹部疼痛、出血、腰酸坠胀消失时间均短于对照组,差异均有统计学意义(P均<0.05).治疗后,研究组血小板计数、凝血酶原时间、纤维蛋白原、活化部分凝血活酶时间均优于对照组,差异均有统计学意义(P均<0.05).研究组不良反应总发生率低于对照组,差异有统计学意义(P<0.05).研究组活产率为97.06%(33/34),高于对照组的76.47%(26/34),差异有统计学意义(χ2=4.610,P<0.05).结论 低分子肝素钠联合阿司匹林治疗复发性流产在缩短症状消失时间、改善凝血功能、减少不良反应、提高活产率方面具备优势,安全性较高.
Safety Evaluation of Low Molecular Heparin Sodium Combined with Aspi-rin in the Treatment of Recurrent Miscarriage
Objective To study the safety of low molecular heparin sodium combined with aspirin in the treatment of recurrent miscarriage.Methods A total of 68 patients with recurrent abortion admitted to Wenshang County People's Hospital from June 2020 to June 2023 were conveniently selected as the research objects.They were divided into con-trol group(34 cases)and study group(34 cases)by different treatment methods.The control group was treated with as-pirin,and the study group was treated with low molecular weight heparin sodium.The disappearance time of symp-toms,coagulation function,the incidence of adverse reactions and live birth rate were compared between the two groups.Results The disappearance time of abdominal pain,bleeding and lumbar acid bulge in the study group was shorter than that in the control group,and the differences were statistically significant(all P<0.05).After treatment,the platelet count,prothrombin time,fibrinogen and activated partial thromboplastin time in the study group were bet-ter than those in the control group,and the differences were statistically significant(all P<0.05).The total incidence of adverse reactions in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).The live birth rate of the study group was 97.06%(33/34),which was higher than 76.47%(26/34)of the con-trol group,and the difference was statistically significant(χ2=4.610,P<0.05).Conclusion Treatment of recurrent mis-carriage with low molecular heparin sodium combined with aspirin has advantages in shortening the time of symptom disappearance,improving coagulation function,reducing adverse effects,and increasing the rate of live birth and higher security.

Recurrent miscarriageLow molecular heparin sodiumAspirinSafety

郭秀荣

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汶上县人民医院妇科,山东 济宁 272500

复发性流产 低分子肝素钠 阿司匹林 安全性

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(33)