盐酸利托君和硫酸镁治疗前置胎盘合并先兆早产的疗效及护理(1)
【摘要】 目的：探讨盐酸利托君和硫酸镁治疗前置胎盘的先兆早产的疗效，总结护理体会。方法：将本院妇产科收治的前置胎盘合并先兆流产孕妇54例孕妇按照入院先后顺序分为观察组与对照组，每组各27例。对照组孕妇采用硫酸镁静脉滴注治疗，观察组采用盐酸利托君滴注治疗，比较滴注治疗后的疗效及不良反应情况。结果：观察组孕妇药物起效时间(2.19±0.67)h、阴道流血量(215.8±6.7)mL、出血时间(3.28±0.27)d均显著优于对照组的(6.89±1.08)h、(274.5±6.9)mL、(4.96±0.24)d，两组比较差异均有统计学意义(P<0.001)；观察组延长妊娠时间(25.79±11.08)d显著长于对照组(16.72±8.62)d，两组比较差异有统计学意义(P<0.001)。结论：盐酸利托君治疗前置胎盘的先兆早产疗效可靠，但存在严重的不良反应，护理人员应密切监测患者的生命体征状况，加强护理干预。
【关键词】 盐酸利托君； 硫酸镁； 前置胎盘； 先兆早产； 疗效； 护理
, http://www.100md.com
The Efficacy and Care of Ritodrine Hydrochloride and Magnesium Treated for Placenta Previa with Threatened Preterm/ZHENG Hui-rong，CHENG Jin-huan，LIU Juan-juan，et al.//Medical Innovation of China，2015，12(20)：110-113
【Abstract】 Objective：To explore the efficacy of Ritodrine Hydrochloride and Magnesium treated for placenta previa with threatened preterm，and summary nursing.Method：54 patients with placenta previa combined threatened preterm in our hospital were selected and randomly divided into the observation group and the control group，27 cases in each group.The control group was used intravenous infusion of Magnesium Sulfate for treatment，the observation group was treated with Ritodrine Hydrochloride infusion，the efficacy and adverse reactions infusion were compared.Result：In the observation group，the onset time of the drug was (2.19±0.67)h，the vaginal bleeding was(215.8±6.7)mL，the bleeding time was (3.28±0.27)d，which were significantly better than (6.89±1.08)h，(274.5±6.9)mL，(4.96±0.24)d of the control group，the differences were statistically significant(P<0.001).The prolonged pregnancy time in the observation group was (25.79±11.08)d，which was significantly longer than (16.72±8.62)d in the control group， the difference was statistically significant(P<0.001).Conclusion：The efficacy of Ritodrine Hydrochloride for preterm placenta previa is reliable，but there are serious adverse reactions，nurses should closely monitor the vital signs of the patient，strengthen nursing intervention.
, 百拇医药
【Key words】 Ritodrine Hydrochloride； Magnesium Sulfate； Placenta previa； Threatened premature； Efficacy； Nursing
First-author’s address：The People’s Hospital of Qingyuan City，Qingyuan 511500，China
doi：10.3969/j.issn.1674-4985.2015.20.037
临床报道显示，伴随着人工流产及剖宫产率的增加，前置胎盘的发生率逐年上升[1]。前置胎盘将引发生理性子宫收缩导致子宫下段向上伸展，与附着的胎盘发生错位分离导致出血，前置胎盘大量出血时为确保孕妇的安全，必须终止妊娠，引发早产发生率显著增高[2]。因而有效抑制宫缩、减少出血是预防前置胎盘合并先兆早产的关键。目前临床上应用最为广泛的预防先兆早产药物有硫酸镁及盐酸利托君。报道显示盐酸利托君应用后效果可靠，但存在着副反应较多的问题[3-4]。硫酸镁用药后起效时间相对缓慢，并发症相对较少，但可能引发镁中毒的发生[2]。硫酸镁或盐酸利托君静脉滴注治疗前置胎盘合并先兆早产是妇科护理的常见工作，本文前瞻性分析了本院对前置胎盘合并先兆早产孕妇分别采用硫酸镁及盐酸利托君治疗的效果，总结了盐酸利托君的护理经验，现报道如下。, http://www.100md.com(郑惠容等)
【关键词】 盐酸利托君； 硫酸镁； 前置胎盘； 先兆早产； 疗效； 护理
, http://www.100md.com
The Efficacy and Care of Ritodrine Hydrochloride and Magnesium Treated for Placenta Previa with Threatened Preterm/ZHENG Hui-rong，CHENG Jin-huan，LIU Juan-juan，et al.//Medical Innovation of China，2015，12(20)：110-113
【Abstract】 Objective：To explore the efficacy of Ritodrine Hydrochloride and Magnesium treated for placenta previa with threatened preterm，and summary nursing.Method：54 patients with placenta previa combined threatened preterm in our hospital were selected and randomly divided into the observation group and the control group，27 cases in each group.The control group was used intravenous infusion of Magnesium Sulfate for treatment，the observation group was treated with Ritodrine Hydrochloride infusion，the efficacy and adverse reactions infusion were compared.Result：In the observation group，the onset time of the drug was (2.19±0.67)h，the vaginal bleeding was(215.8±6.7)mL，the bleeding time was (3.28±0.27)d，which were significantly better than (6.89±1.08)h，(274.5±6.9)mL，(4.96±0.24)d of the control group，the differences were statistically significant(P<0.001).The prolonged pregnancy time in the observation group was (25.79±11.08)d，which was significantly longer than (16.72±8.62)d in the control group， the difference was statistically significant(P<0.001).Conclusion：The efficacy of Ritodrine Hydrochloride for preterm placenta previa is reliable，but there are serious adverse reactions，nurses should closely monitor the vital signs of the patient，strengthen nursing intervention.
, 百拇医药
【Key words】 Ritodrine Hydrochloride； Magnesium Sulfate； Placenta previa； Threatened premature； Efficacy； Nursing
First-author’s address：The People’s Hospital of Qingyuan City，Qingyuan 511500，China
doi：10.3969/j.issn.1674-4985.2015.20.037
临床报道显示，伴随着人工流产及剖宫产率的增加，前置胎盘的发生率逐年上升[1]。前置胎盘将引发生理性子宫收缩导致子宫下段向上伸展，与附着的胎盘发生错位分离导致出血，前置胎盘大量出血时为确保孕妇的安全，必须终止妊娠，引发早产发生率显著增高[2]。因而有效抑制宫缩、减少出血是预防前置胎盘合并先兆早产的关键。目前临床上应用最为广泛的预防先兆早产药物有硫酸镁及盐酸利托君。报道显示盐酸利托君应用后效果可靠，但存在着副反应较多的问题[3-4]。硫酸镁用药后起效时间相对缓慢，并发症相对较少，但可能引发镁中毒的发生[2]。硫酸镁或盐酸利托君静脉滴注治疗前置胎盘合并先兆早产是妇科护理的常见工作，本文前瞻性分析了本院对前置胎盘合并先兆早产孕妇分别采用硫酸镁及盐酸利托君治疗的效果，总结了盐酸利托君的护理经验，现报道如下。, http://www.100md.com(郑惠容等)