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目的探析先兆流产治疗中利用地屈孕酮与黄体酮胶丸的疗效。方法从我院2015年8月至2016年8月收治的先兆流产患者中,随机抽取62例展开分组研究,即甲组31例,乙组31例。甲组应用黄体酮胶丸进行治疗,乙组应用地屈孕酮进行治疗,比较两组的疗效。结果治疗后两组患者的孕酮水平较治疗前均显著改善,差异有统计学意义,P<0.05,但两组组间对比无统计学意义,P>0.05;乙组保胎率是96.77%,不良反应的发生率为6.45%,明显优于甲组的8387%、19.35%,两组对比差异显著,P<0.05,比较具备统计学意义。结论虽然黄体酮胶丸和地屈孕酮治疗先兆流产均能显现改善患者孕酮水平,但是后者保胎率与安全性更高,在临床中的应用价值更高,可积极推广使用。
Objective To analyze the curative effect of dydrogesterone and progesterone capsules in the treatment of threatened abortion. Methods From June 2015 to August 2016 in our hospital, a total of 62 cases of threatened abortion were randomly selected from 31 patients in group A and 31 in group B. Group A was treated with progesterone capsules, Group B was treated with dydrogesterone, and the efficacy of the two groups was compared. Results After treatment, the levels of progesterone in both groups were significantly improved compared with those before treatment, the difference was statistically significant (P <0.05), but there was no significant difference between the two groups (P> 0.05). The pregnancy rate of group B was 96.77% , The incidence of adverse reactions was 6.45%, which was significantly better than that of group A (8387%, 19.35%). There was significant difference between the two groups (P <0.05), which was statistically significant. Conclusion Although progesterone capsules and dydrogesterone progesterone can improve progesterone in patients with progesterone, but the latter has higher miscarriage rate and safety, which is more valuable in clinic and can be actively promoted.