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目的:探究和分析采用地屈孕酮治疗先兆流产的临床疗效。方法:选取我院2012年4月到2014年4月收治的118例先兆流产孕妇作为研究对象,随机分为观察组和对照组,其中观察组59例患者,给予地屈孕酮治疗;对照组59例患者给予黄体酮治疗,对比两组患者的治疗效果。结果:观察组孕妇保胎成功率为93.2%,对照组孕妇保胎成功率为79.7%,两组孕妇保胎成功率差异显著,有统计学意义(P<0.05)。观察组孕妇在止血时间、腹痛缓解时间、腰痛缓解时间以及治疗后的孕酮值方面均明显优于对照组,差异显著,有统计学意义(P<0.05)。两组患者在不良反应方面差异不显著,无统计学意义(P>0.05)。结论:采用地屈孕酮治疗先兆流产可以显著改善产妇的临床症状,快速止血,提高保胎成功率,且不良反应较少,具有临床推广意义。
Objective: To explore and analyze the clinical efficacy of dydrogesterone in the treatment of threatened abortion. Methods: A total of 118 pregnant women with threatened abortion were selected from April 2012 to April 2014 in our hospital. Patients in the observation group were randomly divided into observation group (59 cases) and control group Fifty-nine patients received progesterone treatment, compared with the treatment effect of two groups of patients. Results: The success rate of pregnancy miscarriage in observation group was 93.2%, and the success rate of miscarriage in pregnant women in control group was 79.7%. There was significant difference in the success rate of miscarriage between pregnant women in the two groups (P <0.05). The observation group of pregnant women in the bleeding time, abdominal pain relief time, pain relief time and progesterone value after treatment were significantly better than the control group, the difference was statistically significant (P <0.05). There was no significant difference in adverse reactions between the two groups (P> 0.05). Conclusion: The use of dydrogesterone in the treatment of threatened abortion can significantly improve the clinical symptoms of maternal, hemostasis quickly, improve the success rate of miscarriage, and less adverse reactions, with clinical significance.