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目的:评价黄体酮与地塞米松联用对胎膜早破孕妇分娩时间的影响。方法:选取妇产科收治的胎膜早破孕妇83例,将其分为联合组(42例)和对照组(41例);对照组孕妇均给予地塞米松治疗,联合组孕妇在对照组治疗的基础上均给予黄体酮治疗,比较两组孕妇的胎儿娩出时间、新生儿体质量及Apgar评分值。结果:联合组孕妇的分娩时间明显长于对照组(P<0.05);两组孕妇的新生儿体质量及Apgar评分值经比较其差异无统计学意义(P>0.05)。结论:黄体酮与地塞米松联用治疗胎膜早破孕妇可适当延长孕妇的分娩时间,从而改善围生儿结局。
Objective: To evaluate the effect of progesterone combined with dexamethasone on pregnant women with premature rupture of membranes during delivery. Methods: 83 pregnant women with premature rupture of membranes treated by obstetrics and gynecology were divided into two groups: the combined group (42 cases) and the control group (41 cases). The pregnant women in the control group were treated with dexamethasone. Progesterone treatment was given on the basis of treatment. The fetus delivery time, neonatal weight and Apgar score were compared between the two groups. Results: The delivery time of pregnant women in the combined group was significantly longer than that of the control group (P <0.05). There was no significant difference in neonatal weight and Apgar score between the two groups (P> 0.05). Conclusion: Combination of progesterone and dexamethasone for pregnant women with premature rupture of membranes may be appropriate to extend the delivery time of pregnant women, so as to improve perinatal outcome.