胎盘早剥治疗中使用硫酸镁治疗可行性分析

Feasibility analysis of magnesium sulfate in the treatment of placental abruption

目的探讨胎盘早剥治疗中使用硫酸镁治疗的可行性。方法选择2016年4月至2018年2月收治胎盘早剥患者88例,依据治疗方案分2组各44例,对照组和观察组均终止妊娠治疗,观察组增加硫酸镁治疗,评价2组治疗效果及产后恢复情况。结果观察组收缩压和舒张压均低于对照组(P<0.05);观察组胎儿健康状态均显著优于对照组(P<0.05);观察组子宫切除、胎儿窘迫、子宫胎盘卒中、急性肾衰竭等并发症率0、2%、2%、0,显著低于对照组9%、14%、14%、9%,差异有统计学意义(P<0.05)。2组产后出血、弥散性血管内凝血比较差异无统计学意义(P>0.05)。结论在胎盘早剥治疗中采用硫酸镁对提高新生儿存活数效果明显,不会对分娩时间及出血量产生影响,不会增加并发症,治疗价值较高。

Objective To explore the feasibility of magnesium sulfate in the treatment of placental abruption.Methods Eighty eight cases of placental abruption from April 2016 to February 2018 were selected as research subjects.According to the treatment plan,88 cases were divided into two groups,44 cases in each group.Both the control group and the study group received termination of pregnancy treatment,while the study group added magnesium sulfate treatment.The therapeutic effect and postpartum recovery of the two groups were evaluated.Results The systolic and diastolic blood pressure of the study group were lower than that of the control group(P<0.05);the fetal health status of the study group was significantly better than that of the control group(P<0.05);the moderate complication rate of hysterectomy,fetal distress and uteroplacental apoplexy in the study group was 0,2%,2%,0,which was significantly lower than that of the control group(9%,14%,14%,9%,P<0.05).There was no significant difference between the two groups in postpartum hemorrhage and DIC(P>0.05).Conclusions Magnesium sulfate in the treatment of placental abruption has obvious effect on improving the survival of newborns,but does not affect the delivery time and the amount of bleeding,and does not increase complications,and has high therapeutic value.