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经阴道宫颈环扎术联合苄羟麻黄碱静脉滴注治疗双胎妊娠宫颈机能不全效果观察 被引量:11

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摘要 目的观察经阴道宫颈环扎术联合苄羟麻黄碱治疗双胎妊娠宫颈机能不全患者的妊娠结局及安全性。方法选取双胎妊娠宫颈机能不全患者68例,以随机数字表法分为观察组和对照组各34例。两组均静脉滴注苄羟麻黄碱,观察组另予经阴道宫颈环扎术治疗。比较两组妊娠情况(分娩孕周、延长孕周)、妊娠结局(早产、活产、足月产、流产)、新生儿情况(新生儿体质量、1 min Apgar评分、住院比例)、不良反应发生率。结果观察组分娩孕周、延长孕周长于对照组(P均<0.05),活产、足月产比例高于对照组而流产比例低于对照组(P均<0.05);观察组新生儿体质量、1 min Apgar评分高于对照组(P均<0.05);两组其他指标及不良反应发生率比较,差异无统计学意义(P均>0.05)。结论经阴道宫颈环扎联合苄羟麻黄碱静脉滴注治疗双胎妊娠宫颈机能不全能进一步延长孕周,改善妊娠结局,且不增加不良反应发生风险。
出处 《山东医药》 CAS 2020年第29期49-51,共3页 Shandong Medical Journal
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  • 1莫小亮,罗殿中.2012年美国宫颈癌筛查新指南解读[J].肿瘤防治研究,2014,41(2):188-192. 被引量:28
  • 2ACOG Practice Bulletin No.142: Cerclage for the management of cervical insufficiency[J]. Obstet Gynecol, 2014,123(2 Pt 1): 372-379. DOI: 10.1097/01.AOG.0000443276.68274.cc.
  • 3Iams JD, Johnson FF, Sonek J, et al. Cervical competence as a continuum: a study of ultrasonographic cervical length and obstetric performance[J]. Am J Obstet Gynecol, 1995,172(4 Pt 1): 1097-1103; discussion 1104-1106.
  • 4Iams JD, Goldenberg RL, Meis PJ, et al. The length of the cervix and the risk of spontaneous premature delivery. National Institute of Child Health and Human Development Maternal Fetal Medicine Unit Network[J]. N Engl J Med, 1996, 334(9): 567-572. DOI: 10.1056/NEJM199602293340904.
  • 5Shellhaas CS, Iams JD. Ambulatory management of preterm labor[J]. Clin Obstet Gynecol, 1998,41(3):491-502.
  • 6Manuck TA, Lai Y, Meis P J, et al. Progesterone receptor polymorphisms and clinical response to 17-alpha- hydroxyprogesterone caproate[J]. Am J Obstet Gynecol, 2011, 205(2): 135.el-9. DOI: 10.1016/j.ajog.2011.03.048.
  • 7Owen J, Hankins G, Iams JD, et al. Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length[J]. Am J Obstet Gynecol, 2009,201(4):375.e1-8. DOI: 10.1016/j.ajog. 2009.08.015.
  • 8Berghella V, Rafael TJ, Szychowski JM, et al. Cerclage for short cervix on ultrasonography in women with singleton gestations and previous preterm birth: a meta-analysis[J]. Obstet Gynecol, 2011, 117(3):663-671.
  • 9To MS, Alfirevic Z, Heath VC, et al. Cervical cerclage for prevention of preterm delivery in women with short cervix: randomised controlled trial[J]. Lancet, 2004,363(9424):1849-1853. DOI: 10.1016/S0140-6736(04)16351-4.
  • 10Berghella V, Keeler SM, To MS, et al. Effectiveness of cerelage according to severity of cervical length shortening: a meta- analysis[J]. Ultrasound Obstet Gynecol, 2010,35(4):468-473. DOI: 10.1002/uog.7547.

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