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利托君治疗胎膜早破型先兆早产的临床有效性分析

Clinical efficacy of Ritodrine in the treatment of premature rupture of membranes and threatened preterm labor

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目的 分析利托君治疗胎膜早破型先兆早产的临床有效性.方法 选取本院2020年5月~2021年12月收治的76例胎膜早破型先兆早产患者,以随机的方式将这些患者分为研究组和对照组,各38例.研究组使用利托君治疗,而参照组使用硫酸镁治疗,治疗结束后对两组临床治疗有效性进行分析.结果 研究组宫缩消失时间短于对照组,孕期延长时间长于对照组,新生儿出生体质量大于对照组,差异有统计学意义(P < 0.05).在研究组有5例(13.16%)延长时间大于2周,有7例(18.42%)延长时间大于1周,有19例(50.00%)延长时间大于48 h,保胎成功31例,保胎成功率为81.58%;对照组有2例(5.26%)延长时间大于2周,有5例(13.16%)延长时间大于1周,有13例(34.21%)延长时间大于48 h,保胎成功20例,保胎成功率为52.63%.相较之下,研究组患者保胎情况更加理想,成功率更高,差异有统计学意义(P < 0.05).研究组出现心动过速和胸闷的患者例数均为0,但是出现头疼和低血钾症的患者各1例,该组患者不良反应发生率为5.26%;对照组出现心动过速和低血钾症的患者各2例,出现胸闷和头疼的患者分别有3例和1例,该组患者不良反应发生率为21.05%.研究组患者不良反应发生率更低,差异有统计学意义(P < 0.05).结论 对于胎膜早破型先兆早产患者使用利托君进行治疗,可以产生更理想的临床治疗效果,且不良反应少,对缩短患者宫缩时间以及患者保胎成功率等都有积极影响.
Objective To analyze the clinical effectiveness of ritodrine in the treatment of threatened preterm labor with premature rupture of membranes. Methods A total of 76 patients with premature rupture of membranes admitted to our hospital from May 2020 to December 2021 were selected and randomly divided into study group and control group, with 38 cases in each group. The study group was treated with ritodrine, while the control group was treated with magnesium sulfate. After the treatment, the clinical efficacy of the two groups was analyzed. Results The disappearance time of contractions in the study group was shorter than that in the control group, the prolongation time of pregnancy was longer, and the birth weight of newborns was greater than that in the control group, the difference was statistically significant (P<0.05). In the study group, 5 cases (13.16%) extended the time more than 2 weeks, 7 cases (18.42%) extended the time more than 1 week, 19 cases (50.00%) extended the time more than 48 h, 31 cases successfully, the success rate is 81.58%; In the control group, there were 2 cases (5.26%) whose extended time was more than 2 weeks, 5 cases (13.16%) whose extended time was more than 1 week, 13 cases (34.21%) whose extended time was more than 48 h, and 20 cases were successfully protected, with a success rate of 52.63%. Compared with the study group, the fetal protection situation was more ideal and the success rate was higher, the difference was statistically significant (P<0.05). The number of patients with tachycardia and chest tightness in the study group was 0, but there was one patient with headache and one patient with hypokalemia, and the incidence of adverse reactions in this group was 5.26%. In the control group, there were 2 patients with tachycardia and hypokalemia, 3 patients with chest tightness and 1 patient with headache, respectively. The incidence of adverse reactions in this group was 21.05%. The incidence of adverse reactions was lower in the study group, and the difference was statistically significant (P<0.05). Conclusion The use of ritodrine in the treatment of patients with premature rupture of membranes can produce more ideal clinical therapeutic effect, and less adverse reactions, and has a positive impact on shortening the time of contraction of patients and the success rate of fetal protection.

Ritojunpremature rupture of membranes threatened preterm deliveryclinical effectiveness

陈桥英

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重庆市忠县人民医院,重庆 404300

利托君 胎膜早破型先兆早产 临床有效性

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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