氨茶碱联合罂粟碱在羊水栓塞治疗中的应用价值
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(南阳市宛城区妇幼保健院,河南 南阳 473000)

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徐红晓,女,主治医师,主要研究方向是妇产科疾病的相关诊治。

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R 714.46+ 8

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Application Value of Aminophylline Combined with Papaverine in the treatment of Amniotic Fluid Embolization
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(Wancheng District Maternal and Child Health Hospital of Nanyang, Henan Nanyang 473000)

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    摘要:

    〔摘 要〕 目的:探析氨茶碱联合罂粟碱在羊水栓塞治疗中的应用效果及价值。方法:选取南阳市宛城区妇幼保健院在 2014 年 8 月至 2019 年 8 月期间收治的 62 例羊水栓塞患者,依据入院顺序单双号将其分为两组,观察组(32 例)予以氨茶 碱联合罂粟碱治疗方案,对照组(32 例)仅予以罂粟碱治疗,比较两组患者的治疗总有效率、症状积分以及不良反应发生 率。结果:观察组患者的治疗总有效率为 96.88 %,高于对照组的 81.25 %,差异具有统计学意义(P < 0.05)。治疗前两 组患者的症状总积分比较,差异无统计学意义(P > 0.05);治疗 4 周后、8 周后以及疗程结束时,观察组患者的症状积分 均低于对照组,差异具有统计学意义(P < 0.05)。观察组患者不良反应发生率为 15.63 %,与对照组的 18.75 % 比较,差 异无统计学意义(P > 0.05)。结论:应用氨茶碱联合罂粟碱治疗羊水栓塞可获得理想效果,且无严重不良反应、安全性高。

    Abstract:

    〔Abstract〕 Objective To explore the effect and value of aminophylline combined with papaverine in amniotic fluid embolization. Methods 62 patients with amniotic fluid embolism treated in Wancheng maternal and Child Health Hospital of Nanyang city from August 2014 to August 2019 were divided into two groups according to the order of admission. The observation group (32 cases) was treated with aminophylline combined with papaverine, and the control group (32 cases) was only treated with papaverine. The total effective rates symptom score and incidence of adverse reactions of the two groups were compared. Results The total effective rate of the observation group was 96.88%, which was higher than 81.25% of the control group (P < 0.05); There was no significant difference in the total score of symptoms between the two groups before treatment (P > 0.05). After 4 weeks, 8 weeks and at the end of the course of treatment, the symptom scores of the observation group were lower than those of the control group (P < 0.05); The incidence of adverse reactions in the observation group was 15.63%, compared with 18.75% in the control group, the difference was not statistically significant (P > 0.05). Conclusion Aminophylline combined with papaverine can achieve ideal effect in the treatment of amniotic fluid embolism, with no serious adverse reactions and high safety

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  • 收稿日期:2021-06-23
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  • 在线发布日期: 2021-12-06
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