心理干预联合盐酸利托君与硫酸镁治疗孕20周后先兆流产的效果观察
To observe the effect of threatened abortion after 20 weeks of treatment of pregnancy psychological intervention combined with ritodrine hydrochloride and Magnesium Sulfate
江芰荷 1张乐燕1
作者信息
- 1. 浙江省杭州市红十字会医院 妇产科,浙江 杭州 310000
- 折叠
摘要
目的 研究分析心理干预联合盐酸利托君与硫酸镁治疗孕20周后先兆流产的效果观察.方法 选取浙江省杭州市红十字会医院2015年2月~2016年10月收治的100例孕20周后先兆流产孕妇为研究对象,随机分为对照组和实验组,每组患者各为50例.对照组患者给予硫酸镁治疗;实验组患者给予盐酸利托君治疗,给予心理干预,关注患者心理健康,加强与患者交流与沟通.结果 经过相应的治疗后,实验组SAS评分为(40.1±6.2)分,SDS评分为(38.4±7.9)分.对照组患者SAS和SDS评分分别为(49.6±7.2)分、(48.2±8.5)分.治疗后,实验组患者中5例出现不良反应,不良反应发生率为10.0%.对照组患者中13例出现不良反应,对照组不良反应发生率(26.0%)显著高于实验组患者(10.0%),差异具有统计学意义(P<0.05).实验组患者新生儿体质量、妊娠延长时间以及药物起效时间均优于对照组,差异具有统计学意义(P<0.05).结论 心理干预联合盐酸利托君与硫酸镁治疗孕20周后先兆流产的临床效果较好,能够显著改善患者的抑郁以及焦虑情绪,具有临床进一步推广和应用的意义.
Abstract
Objective To study the psychological intervention combined with ritodrine hydrochloride and observe the effect of Magnesium Sulfate threatened abortion after 20 weeks of treatment. Methods 100 pregnant women with threatened abortion in our hospital from February 2015 to October 2016 were selected and randomly divided into control group and experimental group. Each group had 50 cases. the control group was treated with Magnesium Sulfate treatment, experimental group was treated with ritodrine hydrochloride treatment, psychological intervention, pay attention to mental health, strengthen the communication with patients. Results After the corresponding treatment, the SAS score of the experimental group was (40.1±6.2) points, and the SDS score was (38.4±7.9) points. The scores of SAS and SDS in the control group were (49.6±7.2) points, (48.2±8.5) points. After treatment, 5 patients in the experimental group had adverse reactions, and the incidence of adverse reactions was 10%. Adverse reactions occurred in 13 patients in the control group. The adverse reaction rate in the control group (26.0%) was significantly higher than that in the experimental group (10.0%), with statistical difference (P<0.05). The weight of the newborn, the duration of pregnancy and the onset time of the drug in the experimental group were better than those in the control group (P<0.05). Conclusion Psychological intervention combined with ritodrine hydrochloride and Magnesium Sulfate have good clinical effect on the treatment of threatened abortion after 20 weeks of gestation, can visibly improve patients' depression and anxiety, with further clinical promotion and application significance.
关键词
心理干预/盐酸利托君/硫酸镁/孕20周后/先兆流产Key words
psychological intervention/ritodrine hydrochloride/magnesium sulfate/after 20 weeks of gestation/threatened abortion引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据