盐酸利托君与硫酸镁治疗前置胎盘患者的效果比较  

Comparison of effects of Ritodrine hydrochloride and Magnesium sulfate in treatment of patients with placenta previa

作　　者：朱涛 ZHU Tao(Department of Obstetrics of Kaifeng City Maternity and Child Health Hospital,Kaifeng 475002 Henan,China)

机构地区：[1]开封市妇幼保健院产二科,河南开封475002

出　　处：《中国民康医学》2024年第19期152-154,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较盐酸利托君与硫酸镁治疗前置胎盘患者的效果。方法:回顾性分析2022年1月至2023年10月该院收治的88例前置胎盘患者的临床资料,按照治疗方法不同将其分为观察组和对照组各44例。两组均予以基础治疗,在此基础上,对照组予以硫酸镁治疗,观察组予以盐酸利托君治疗。比较两组阴道出血停止时间、孕周延长时间、保胎成功率、足月妊娠率、新生儿指标(1 min Apgar评分、5 min Apgar评分、出生体质量)水平和不良反应发生率。结果:观察组阴道出血停止时间短于对照组,孕周延长时间长于对照组,保胎成功率高于对照组,差异均有统计学意义(P<0.05);观察组新生儿1 min Apgar评分、5 min Apgar评分和出生体质量均高于对照组,差异有统计学意义(P<0.05);两组足月妊娠率、不良反应发生率比较,差异均无统计学意义(P>0.05)。结论:盐酸利托君治疗前置胎盘患者可缩短阴道出血停止时间,增加孕周延长时间,提高保胎成功率,改善新生儿指标水平,效果优于硫酸镁治疗。Objective:To compare effects of Ritodrine hydrochloride and Magnesium sulfate in treatment of patients with placenta previa.Methods:The clinical data of 88 patients with placenta previa admitted to this hospital from January 2022 to October 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,44 cases in each group.Both groups were given basic treatment.On this basis,the control group was treated with Magnesium sulfate,while the observation group was treated with Ritodrine hydrochloride.The vaginal bleeding stop time,the gestational age extension time,the tocolysis success rate,the full-term pregnancy rate,the neonatal index(1 min Apgar score,5 min Apgar score,birth weight)levels,and the incidence of adverse reactions were compared between the two groups.Results:The vaginal bleeding stop time in the observation group was shorter than that in the control group,the gestational age time was longer than that in the control group,the tocolysis success rate was higher than that in the control group,and the differences were statistically significant(P<0.05).The neonatal 1 min Apgar score,5 min Apgar score and birth weight in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).However,there were no significant differences in the full-term pregnancy rate and the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Ritodrine hydrochloride in the treatment of the patients with placenta previa can shorten the vaginal bleeding stop time,increase the gestational age extension time,improve the tocolysis success rate,and improve the neonatal index levels.Moreover,it is superior to Magnesium sulfate treatment.

关 键 词：前置胎盘 盐酸利托君 硫酸镁 阴道出血 保胎成功 新生儿 不良反应 

分 类 号：R714.2[医药卫生—妇产科学]