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硫酸镁和间苯三酚治疗先兆早产的临床研究

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目的 对硫酸镁与间苯三酚治疗先兆早产的应用效果进行分析。方法 选择 2020 年 6 月至 2023 年 9 月洛阳石化医院收治的的 62 例先兆早产患者一般资料进行回顾性分析。根据治疗方式的不同分参照组和研究组,各 31 例,分别以硫酸镁、间苯三酚治疗,对两组患者的治疗有效率,足月分娩率,临床相关指标(妊娠延长时间、宫缩消失时间),新生儿结局(新生儿窒息率、低出生体质量率、Apgar评分),炎症因子水平[白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]、不良反应发生率进行对比。结果 研究组治疗有效率(93。55%)高于参照组(70。97%),足月分娩率(83。87%)高于参照组(61。29%),差异具有统计学意义(P<0。05);两组患者的临床相关指标与新生儿结局相比,差异具有统计学意义(P<0。05),研究组宫缩消失时间短于参照组,妊娠延长时间较参照组长,并且新生儿窒息率(6。45%)、低出生体质量率(9。68%)均低于参照组(25。81%、32。26%),Apgar评分高于参照组,差异具有统计学意义(P<0。05);两组治疗前IL-6、CRP、TNF-α相比,差异无统计学意义(P>0。05),治疗后7 d、治疗结束后对比,研究组上述指标低于参照组,差异具有统计学意义(P<0。05);患者不良反应发生率对比,研究组低于参照组,差异具有统计学意义(P<0。05)。结论 与硫酸镁比较,间苯三酚更利于提高足月分娩率,降低炎症因子水平,缩短宫缩消失时间,延迟妊娠时间,改善患儿临床结局。
Clinical Study on the Treatment of Threatened Preterm Labor with Magnesium Sulfate and Phenol
Objective To analyze the application effect of magnesium sulfate and phloroglucinol in the treatment of threatened preterm labor.Methods The general data of 62 patients with threatened preterm labor treated in Luoyang Petrochemical Hospital from June 2020 to September 2023 were retrospectively analyzed.According to different treatment methods,they were divided into a reference group and a research group,each with 31 cases,treated with magnesium sulfate and phenol respectively.The treatment effectiveness,full-term delivery rate,clinical related indicators(pregnancy prolongation time,contraction disappearance time),neonatal outcomes(neonatal asphyxia rate,low birth weight rate,Apgar score),inflammatory factor levels[interleukin-6(IL-6),C-reactive protein(CRP),tumor necrosis factor-alpha(TNF-α)],and adverse reaction incidence rate of the two groups of patients were compared.Results The treatment efficacy in the study group(93.55%)was higher than that in the reference group(70.97%),and the full-term delivery rate(83.87%)was higher than that in the reference group(61.29%),with statistically significant differences(P<0.05).The clinical related indicators and neonatal outcomes of the two groups showed statistically significant differences(P<0.05).The disappearance time of contractions in the study group was shorter than that in the reference group,the prolongation of pregnancy was longer than that in the reference group,and the neonatal asphyxia rate(6.45%)and low birth weight rate(9.68%)were lower than those in the reference group(25.81%,32.26%),with higher Apgar scores,all showing statistically significant differences(P<0.05).There were no statistically significant differences in IL-6,CRP,and TNF-α levels between the two groups before treatment(P>0.05).However,7 days after treatment and at the end of treatment,the levels of these indicators in the study group were lower than those in the reference group,with statistically significant differences(P<0.05).The incidence of adverse reactions in the study group was lower than that in the reference group,with statistically significant differences(P<0.05).Conclusion Compared with magnesium sulfate,phenol is more conducive to improving the full-term delivery rate,reducing the level of inflammatory factors,shortening the contraction disappearance time,delaying pregnancy time,and improving the clinical outcome of the child.

threatened preterm labormagnesium sulfatephenoladverse reaction

梁红娜、刘兰英、许晓盼

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洛阳石化医院 妇产科,河南 洛阳 471000

先兆早产 硫酸镁 间苯三酚 不良反应

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)