首页|硫酸镁联合孕激素治疗对先兆早产患者性激素及妊娠结局的影响

硫酸镁联合孕激素治疗对先兆早产患者性激素及妊娠结局的影响

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目的:探究硫酸镁联合孕激素治疗对先兆早产患者性激素及妊娠结局的影响.方法:选取 2021年 3 月至 2023年 3 月我院收治的78 例先兆早产患者作为研究对象,按照抽签法将研究对象随机分为对照组和研究组,各 39 例.对照组采用硫酸镁稀释于葡萄糖注射液中治疗,研究组采用硫酸镁联合孕激素进行治疗.分析比较两组的性激素水平,妊娠结局以及不良反应发生情况.结果:治疗后,研究组孕酮激素(Progesterone,P)、雌二醇激素(Blood Serum Estradiol,E2)以及人绒毛膜促性腺激素(Human Chorionic Gonadotrophin,HCG)水平均明显高于对照组(P<0.05).研究组足月分娩率明显高于对照组(P<0.05),新生儿窒息率明显小于对照组(P<0.05).对照组和研究组的不良反应总发生率无明显差异(P>0.05).结论:硫酸镁联合孕激素治疗可以有效改善先兆早产患者性激素水平与不良妊娠结局;还可以有效的改善新生儿窒息情况,提高足月分娩率;其效果显著,且无明显副作用,具有良好的安全性.
Effect of magnesium sulfate combined with progesterone therapy on sex hormones and pregnancy outcomes in patients with threatened preterm labor
Objective:To explore the effect of magnesium sulfate combined with progesterone therapy on sex hormones and pregnancy outcomes in patients with threatened preterm labor.Methods:A total of 78 patients with threatened preterm labor admitted to our hospital from March 2021 to March 2023 were selected as the research objects.According to the lottery selection,the research objects were randomly divided into control group and study group,with 39 cases in each group.The control group was treated with magnesium sulfate diluted in glucose injection,and the study group was treated with magnesium sulfate combined with progesterone.The sex hormone levels,pregnancy outcomes and adverse reactions of the two groups were analyzed and compared.Results:After treatment,the levels of Progesterone(P),Blood Serum Estradiol(E2)and Human Chorionic Gonadotrophin(HCG)in the study group were significantly higher than those in the control group(P<0.05).The full-term delivery rate of the study group was significantly higher than that of the control group(P<0.05),and the birth asphyxia rate of the study group was significantly lower than that of the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the control group and the study group(P>0.05).Conclusion:Magnesium sulfate combined with progesterone therapy can effectively improve the sex hormone levels and adverse pregnancy outcomes in patients with threatened preterm labor.In addition,it can effectively improve birth asphyxia and increase the full-term delivery rate,which effect is remarkable with no obvious side effects and well safety.

Magnesium sulfateProgesteroneThreatened preterm laborSex hormonesPregnancy outcomes

余梦晓、钱秋丽、李亚芳

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新密市妇幼保健院产科,河南 郑州 452370

硫酸镁 孕激素 先兆早产 性激素 妊娠结局

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(6)