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1、盐酸利托君治疗前置胎盘的临床疗效观(四川省阆中市人民医院产科四川阆中637400)【摘要】目的:讨论对前置胎盘患者采用盐酸利托君治疗并观察临床疗效。方法:随机抽选120例前置胎盘患者,按随机数表法分为两组治疗组、对照组,均60例,治疗组给予盐酸利托君治疗,对照组给予硫酸镁治疗,对比两组患者产后出血量、延长孕周数、阿氏评分(新生儿Apgar评分)、保胎成功率、药物不良事件发生率。结果:两组产后出血、新生儿Apgar评分无统计学意义P>0.05,治疗组延长孕周数优于对照组,差异具有统计学意义(P<0
2、.05)。治疗组患者保胎成功率优于对照组患者,两组分别为96%、83.3%。治疗组不良事件发生率1.7%;对照组不良事件发生率11.7%,治疗组不良事件发生率低于对照组,P<0.05。结论:对前置胎盘患者使用盐酸利托君治疗,更安全、有效、保胎成功率高、不良事件发生率低,值得临床推广。【关键词】盐酸利托君;治疗;前置胎盘;疗效【中图分类号】R714【文献标识码】A【文章编号】2095-1752(2016)01-0013-02Hydrochloricacid,juntreatmenttheclini
3、caleffectofthetreatmentofplacentapreviaMaXiuying.SichuanLangzhongPeople’sHospitalofObstetrics,637400,China[Abstract]ObjectiveTodiscusstheplacentapreviaweretreatedbyhydrochloricacid,andobservetheclinicalcurativeeffect.MethodsRandomlyselected120patient
4、swithplacentaprevia,accordingtothestochasticindicatormethodisdividedintotwogroupstreatmentgroupandcontrolgroup,60cases,thetreatmentgroupwasgiven,hydrochloricacidtreatment,thecontrolgroupgivenmagnesiumsulfatetreatment,comparedtwogroupsofpatientswithpo
5、stpartumhaemorrhageamount,extendgestationalage,Apgarscoring(neonatalApgarscore),spuesuccessrate,incidenceofadversedrugevents.ResultsTwogroupsofpostpartumhemorrhageandneonatalApgarscorenostatisticallysignificant(P>0.05,andthetreatmentgrouptoextendg
6、estationalageisbetterthanthatofcontrolgroup,differencehasstatisticalsignificance(P<0.05).Patientsintreatmentgroupspuesuccessrateisbetterthanthecontrolgrouppatients,twogroupsare96%and96%respectively.Thetreatmentgroup1.7%incidenceofadverseevents;The
7、controlgroup11.7%incidenceofadverseevents,lowerincidenceofadverseeventsthanthecontrolgroup,treatmentgroup(P<0.05).ConclusionUsinghydrochloricacid,juntreatmentinpatientswithplacentaprevia,saferandmoreeffective,spuehighsuccessrateandlowincidenceofad
8、verseevents,worthclinicalpromotion.【Keywords】Highqualitynursingcare;Clinicalpractice;Strengthenthesupervision前置胎盘指妊娠≥28周,B超检查显示胎盘附于子宫下端或覆盖整个宫颈内U,多数患者表现为无痛性阴道出血,多次反复性出血,可引起患者贫血,胎儿发生缺氧,甚至胎死宫内[1】。前置胎盘是妊娠晚期严重并发症,临床常采取减少孕前出血、抑制宫缩、延长孕龄等治疗[2】。本文研究对前置胎盘孕妇