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医学临床研究  2023, Vol. 40 Issue (10): 1456-1458    DOI: 10.3969/j.issn.1671-7171.2023.10.005
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盐酸利托君片联合地屈孕酮治疗反复性流产患者的临床疗效
赵子英1, 罗婧1, 俞梦春2*
1.陕西省榆林市横山区人民医院妇产科,陕西 榆林 719199;
2.延安大学附属医院产科一病区, 陕西 延安 716000
The Clinical Efficacy of Ritodrine Hydrochloride Tablets Combined with Dydrogesterone in the Treatment of Recurrent Miscarriage Patients
ZHAO Ziying, LUO Jing, YU Mengchun
Department of Obstetrics and Gynecology, Hengshan District People's Hospital, Yulin Shaanxi 719199
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摘要 【目的】探讨盐酸利托君片联合地屈孕酮治疗反复性流产患者的临床疗效。【方法】选择2019年1月至2022年12月延安大学附属医院收治的88例反复性流产患者,按照随机数字表法分为对照组和观察组,每组44例。对照组采用盐酸利托君片治疗,观察组在对照组的基础上采用地屈孕酮治疗,两组均保胎治疗至孕第70天。比较两组临床疗效、治疗期间不良反应发生率及治疗前后心率、血压、孕酮(P)、雌二醇(E2)、可溶性白细胞抗原G(sHLA-G)水平。【结果】观察组总有效率为93.18%,显著高于对照组的72.73%(P<0.05)。治疗后,两组患者血压和心率均降低(P<0.05),且观察组心率和收缩压均低于对照组(P<0.05)。治疗后,两组患者血清E2、P、sHLA-G水平均降低(P<0.05),且观察组血清E2、P、sHLA-G水平均低于对照组(P<0.05)。观察组治疗期间不良反应总发生率低于对照组(P<0.05)。【结论】盐酸利托君片联合地屈孕酮治疗反复性流产患者,效果显著,可降低患者E2、P水平,减少不良反应发生率,值得临床推广应用。
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赵子英
罗婧
俞梦春
关键词 流产习惯性/药物疗法利托君/药理学地屈孕酮/药理学    
Abstract:【Objective】 To explore the clinical efficacy of combination of ritodrine hydrochloride tablets and dexamethasone in the treatment of recurrent miscarriage patients.【Methods】A total of 88 patients with recurrent miscarriage admitted to Yan'an University Affiliated Hospital from January 2019 to December 2022 were randomly divided into a control group and an observation group, with 44 cases in each group. The control group was treated with ritodrine hydrochloride tablets, while the observation group was treated with dydrogesterone on the basis of the control group. Both groups received fetal protection treatment until the 70th day of pregnancy. We compared the clinical efficacy, incidence of adverse reactions during treatment, heart rate, blood pressure, progesterone (P), estradiol (E2), and soluble leukocyte antigen G (sHLA-G) levels before and after treatment between two groups.【Results】The total effective rate of the observation group was 93.18%, significantly higher than the control group's 72.73% (P<0.05). After treatment, the blood pressure and heart rate of both groups of patients decreased (P<0.05), and the heart rate and blood pressure of the observation group were lower than those of the control group (P<0.05). After treatment, the serum E2, P, and sHLA-G levels in both groups of patients decreased (P<0.05), and the serum E2, P, and sHLA-G levels in the observation group were on average lower than those in the control group (P<0.05). The total incidence of adverse reactions during treatment in the observation group was lower than that in the control group (P<0.05). 【Conclusion】 The combination of ritodrine hydrochloride tablets and dydrogesterone has a significant effect on the treatment of recurrent miscarriage patients, which can reduce E2 and P levels, reduce the incidence of adverse reactions, and is worthy of clinical promotion and application.
Key wordsAbortion, Habitual/DT    Ritodrine/PD    Dydrogesterone/PD
收稿日期: 2023-06-29     
中图分类号:  R714.2  
通讯作者: *E-mail:yumengchun166@163.com   
引用本文:   
赵子英, 罗婧, 俞梦春. 盐酸利托君片联合地屈孕酮治疗反复性流产患者的临床疗效[J]. 医学临床研究, 2023, 40(10): 1456-1458.
ZHAO Ziying, LUO Jing, YU Mengchun. The Clinical Efficacy of Ritodrine Hydrochloride Tablets Combined with Dydrogesterone in the Treatment of Recurrent Miscarriage Patients. JOURNAL OF CLINICAL RESEARCH, 2023, 40(10): 1456-1458.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.10.005     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I10/1456
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