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目的探讨胎盘早剥采用硫酸镁治疗的临床效果。方法选取2005年2月至2015年8月64例胎盘早剥孕产妇作为研究对象,对照组32例采取常规治疗,观察组32例在对照组基础上采用硫酸镁治疗;对比两组孕产妇的产后2 h出血量、产后24 h出血量、第三产程时间及平均血压,根据胎盘早剥新生儿的预后,综合评价胎盘早剥采用硫酸镁治疗的临床效果。结果观察组孕产妇产后2 h出血量、产后24 h出血量少于对照组,第三产程时间短于对照组,平均血压低于对照组,差异有统计学意义(P<0.05);观察组胎盘早剥新生儿的临床总有效率为96.88%,显著高于对照组(87.50%),差异有统计学意义(P<0.05)。结论胎盘早剥采用硫酸镁治疗的临床效果确切,可与胎盘早剥的常规治疗协同,显著改善孕产妇及胎盘早剥新生儿的预后,值得临床推广使用。
Objective To investigate the clinical effect of magnesium sulfate in the treatment of placental abruption. Methods Totally 64 pregnant women with placental abruption from February 2005 to August 2015 were selected as the study subjects. 32 patients in the control group were treated routinely and 32 patients in the observation group were treated with magnesium sulfate on the basis of the control group. The amount of bleeding at 2 h postpartum, the amount of bleeding at 24 h postpartum, the time of the third stage of labor and the average blood pressure were evaluated according to the prognosis of neonates with placental abruption. The clinical effect of magnesium sulfate treatment on placental abruption was evaluated comprehensively. Results The bleeding volume of pregnant women at 2 h after delivery was lower than that of the control group at 24 h postpartum. The duration of the third stage of labor was shorter than that of the control group. The mean blood pressure was lower than that of the control group (P <0.05) The total effective rate of neonatal placental abruption was 96.88%, which was significantly higher than that of the control group (87.50%), the difference was statistically significant (P <0.05). Conclusions The clinical effect of magnesium sulfate treatment for placental abruption is exact and can be synergized with conventional treatment of placental abruption, which can significantly improve the prognosis of pregnant women and placental abruption and worthy of clinical promotion.