摘要
目的探讨盐酸利托君药物治疗先兆早产的疗效及护理。方法采用临床对照试验，将70例先兆早产孕妇随机分为实验组和对照组，每组35例。实验组使用盐酸利托君治疗，对照组使用硫酸镁治疗，分另4观察宫缩减轻、消失的时间及治疗总有效率。结果实验组孕妇宫缩明显减轻时间为3．03±1．50h、消失时间为6．21±2．41h，对照组孕妇宫缩明显减轻时间为4．21±1．23h、消失时间为6．33±1．75h，两组比较有显著性差异（t值分别为2．11、2．41，均P〈0．05）。实验组保胎成功33例，总有效率为94．28％，对照组保胎成功31例，总有效率为88．57％，两组间比较无显著性差异（Х^2=0．73，P〉0．05）。结论采用盐酸利托君药物治疗先兆早产优于硫酸镁，未见不良反应，同时应注意用药护理，严密观察孕妇的心率、血压、宫缩及自觉症状，及时调整用药滴数是保胎治疗成功的关键。
Objective To investigate clinical therapeutic effect and nursing care of ritodrine hydrochloride for threatened premature dehvery. Methods 70 women with threaten premature delivery were randomly assigned into ritodrine hydrochloride intravenous drop group （experiment group）or magnesium sulfate intravenous drop group （control group） （in each group： n = 35 ）. The lightened and vanished times of uterine contraction and total effective rates in the two groups were observed and compared. Results The significantly lightened and vanished times of uterine contraction in the experiment group were 3.03 ± 1.50h and 6.21 ± 2.41 h respectively, while those in the control group were 4.21 ±1.23h and 6.33 ± 1.75h respectively, there were significant differences between the two groups （Х^2 = 2.11 and 2.41 respectively, both P 〈0.05）. Term labor rate in the experiment group was 94.28% （33 cases） and that in the control group was 88.57% （31 cases）, there was no significant difference between the two groups （Х^2 = 0.73, P 〉 0.05 ）. Conclusion Ritodrine is better than magnesium sulfate for treatment of threatened premature delivery and no obvious side effects are found. Closely observing heart rate, blood pressure, uterine contraction, subjective symptoms of the pregnant woman and adjusting drop velocity in time are keys for successful tocolysis.
出处
《中国妇幼健康研究》
2010年第1期97-98,共2页
Chinese Journal of Woman and Child Health Research
关键词
盐酸利托君
先兆早产
硫酸镁
护理
ritodrine hydrochloride
threatened premature delivery
magnesium sulfate
nursing care
