宫颈环扎术联合硫酸镁治疗早产临产效果及对新生儿死亡率和窒息率影响观察
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摘要
目的观察宫颈环扎术联合硫酸镁治疗早产临产效果及对新生儿死亡率和窒息率的影响。方法在本院2016年6月至2017年10月期间收治早产临产孕妇中选择60例作为此次研究的观察对象。根据治疗方案的不同将其分为两组,将采用常规药物即硫酸镁治疗的孕妇视为对照组(30例),将采用宫颈环扎术联合硫酸镁治疗的孕妇视为观察组(30例)。比较两组孕妇的死亡率、窒息率及其分析两组孕妇的生产情况。结果两组孕妇接受治疗后,对照组的死亡率及窒息率均高于观察组,且对照组孕妇生产情况次于对照组,组间差异具有统计意义(P<0.05)。结论对早产临产孕妇采用宫颈环扎术联合硫酸镁治疗更能降低新生儿的死亡率及其窒息率,具有临床推广的意义。
Objective To observe the effect of cervix ligation combined with magnesium sulfate on premature labor and neonatal mortality and asphyxia. Methods 60 cases of preterm pregnant women admitted and treated in our hospital from June 2016 to October 2017 were selected as the objects of this study. It was divided into two groups according to different treatment schemes. Pregnant women treated with conventional drugs,namely magnesium sulfate, were regarded as the control group(30 cases), and pregnant women treated with cervical ligation combined with magnesium sulfate as the observation group(30 cases). The mortality rate and asphyxia rate of pregnant women in two groups were compared and the delivery of pregnant women in two groups were analyzed. Results Two groups of pregnant women after treatment, the death rate and asphyxia rate in the control group were higher than those in the observation group, and the pregnant women in the control group were lower than those in the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Cervical ring ligation combined with magnesium sulfate can reduce the neonatal mortality and asphyxia rate, and has clinical significance.
Objective To observe the effect of cervix ligation combined with magnesium sulfate on premature labor and neonatal mortality and asphyxia. Methods 60 cases of preterm pregnant women admitted and treated in our hospital from June 2016 to October 2017 were selected as the objects of this study. It was divided into two groups according to different treatment schemes. Pregnant women treated with conventional drugs,namely magnesium sulfate, were regarded as the control group(30 cases), and pregnant women treated with cervical ligation combined with magnesium sulfate as the observation group(30 cases). The mortality rate and asphyxia rate of pregnant women in two groups were compared and the delivery of pregnant women in two groups were analyzed. Results Two groups of pregnant women after treatment, the death rate and asphyxia rate in the control group were higher than those in the observation group, and the pregnant women in the control group were lower than those in the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Cervical ring ligation combined with magnesium sulfate can reduce the neonatal mortality and asphyxia rate, and has clinical significance.
引文
[1]中华医学会妇产科学分会产科学组.早产的临床诊断与治疗推荐指南(草案)[J].中华妇产科杂志,2017,42(7):498-500.
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[8] Patrick R, Aurelia C,Philippe D, et al. Prevention of preterm delivery after successful tocolysis in preterm labor by 17 alpha-hydroxyprogesterone caproate:a randomized controlledtrial[J]. American Journal of Obstetrics&Gynecology, 2017,206(1):S2-S3.
[9]阮惟群.宫颈环扎术联合硫酸镁治疗早产临产效果观察[J].社区医学杂志,2016,13(5):45-47.
[10]何文静.紧急宫颈环扎术在治疗早产临产中的效果[J].四川医学,2017,31(8):1078-1080.
[2] Debby A, Sadan O, Glezerman M, et al. Favorable outcome following emergency second trimester cerclage[J].International Journal of Gynecology&Obstetrics,2017,96(1):16-19.
[3]石凌懿,杨孜,郭艳军,等.重度子癇前期早产与自发性早产临床对比分析[J].实用妇产科杂志,2016,21(11):663-667.
[4]于松.宫颈环扎术防治早产的疗效[J].中国实用妇科与产科杂志,2017,24(5):334-336.
[5]李力,易萍.早产的产科处理[J].中国实用妇科与产科杂志,2016,19(2):77-78.
[6]易春燕,李向芝.1例宫颈环扎术后妊娠期患者便秘的护理[J].现代临床护理,2016,4(6):69-70.
[7]朱燕飞,童宝琴,屠群.宫颈环扎术围术期常见护理问题与对策[J].中华中西医杂志,2016,12(12):19-20.
[8] Patrick R, Aurelia C,Philippe D, et al. Prevention of preterm delivery after successful tocolysis in preterm labor by 17 alpha-hydroxyprogesterone caproate:a randomized controlledtrial[J]. American Journal of Obstetrics&Gynecology, 2017,206(1):S2-S3.
[9]阮惟群.宫颈环扎术联合硫酸镁治疗早产临产效果观察[J].社区医学杂志,2016,13(5):45-47.
[10]何文静.紧急宫颈环扎术在治疗早产临产中的效果[J].四川医学,2017,31(8):1078-1080.