首页|低分子肝素钠联合小剂量黄体酮治疗先兆流产临床效果及对妊娠结局的影响

低分子肝素钠联合小剂量黄体酮治疗先兆流产临床效果及对妊娠结局的影响

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目的 探究低分子肝素钠联合小剂量黄体酮治疗先兆流产的临床效果及对妊娠结局的影响。方法 选取90例先兆流产产妇,根据治疗方法不同分为研究组(50例)与对照组(40例)。对照组采用小剂量黄体酮治疗,研究组在对照组基础上联合低分子肝素钠治疗。比较两组临床疗效、血栓前状态标志物水平及妊娠结局。结果 研究组治疗总有效率(94。00%)高于对照组(80。00%)(P<0。05)。研究组足月妊娠率高于对照组,流产率低于对照组(P<0。05),两组早产率比较差异无统计学意义(P>0。05)。研究组治疗后纤维蛋白溶酶原(PLG)水平高于对照组,蛋白C(PC)水平低于对照组(P<0。05)。结论 低分子肝素钠联合小剂量黄体酮治疗先兆流产产妇,可以调节血栓前状态标志物水平,提高临床疗效,改善妊娠结局,值得临床推广。
Clinical efficacy of low-molecular-weight heparin sodium combined with low-dose progesterone in the treatment of threatened miscarriage and its impact on pregnancy outcomes
Objective To exploring the clinical efficacy of low-molecular-weight heparin sodium combined with low-dose progesterone in the treatment of threatened miscarriage and its impact on pregnancy outcomes.Methods 90 pregnant women with threatened miscarriage were selected and divided into a study group(50 cases)and a control group(40 cases)based on different treatment methods.The control group received low-dose progesterone treatment,while the study group received a combination of low-molecular-weight heparin sodium treatment on the basis of the control group.Compare the clinical efficacy,levels of pre thrombotic state markers,and pregnancy outcomes between two groups.Results The total effective rate of the study group(94.00%)was higher than that of the control group(80.00%)(P<0.05).The full-term pregnancy rate of the study group was higher than that of the control group,and the abortion rate was lower than that of the control group(P<0.05).There was no significant difference in the preterm birth rate between the two groups(P>0.05).After treatment,the level of plasminogen(PLG)in the study group was higher than that in the control group,and the level of protein C(PC)was lower than that in the control group(P<0.05).Conclusion The combination of low-molecular-weight heparin sodium and low-dose progesterone in the treatment of threatened miscarriage women can regulate the levels of pre thrombotic state markers,improve clinical efficacy,and improve pregnancy outcomes,which is worthy of clinical promotion.

Low molecular weight heparin sodiumThreatened miscarriagePregnancy outcomeProgesterone

傅旭峰、曹晔

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无锡市妇幼保健院 急诊科,江苏 无锡 214002

新吴区妇幼保健计划生育服务中心 儿保科,江苏无锡 214002

低分子肝素钠 先兆流产 妊娠结局 黄体酮

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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