目的探讨脂肪乳联合硫酸镁治疗胎儿宫内生长受限(FGR)孕妇的临床效果。方法选取2014年2月至2019年1月本院收治的FGR孕妇160例为研究对象,采用随机数字法分成观察组与对照组,每组80例。对照组孕妇给予脂肪乳治疗,观察组孕妇给予脂肪乳联合硫酸镁治疗,两组孕妇均连续治疗4周。检测比较两组孕妇治疗前后B超脐带血流状况、孕妇宫高、胎儿双顶径及股骨长度,比较两组孕妇的临床疗效以及治疗期间不良反应的发生情况。结果治疗前,两组孕妇的脐带血流比值、孕妇宫高、胎儿双顶径及股骨长度比较,差异无统计学意义(P>0.05);治疗4周后,两组孕妇脐带血流比值显著降低,孕妇宫高、胎儿双顶径及股骨长度均显著增高,观察组孕妇及其胎儿的水平均显著优于对照组,差异有统计学意义(P<0.05)。观察组孕妇的治疗总有效率(96.3%)明显高于对照组(85.0%),差异有统计学意义(P<0.05)。治疗期间,两组孕妇的不良反应发生率比较差异无统计学意义(P>0.05)。结论脂肪乳联合硫酸镁治疗FGR孕妇,对母婴健康的改善效果显著,治疗安全性高,值得推广应用。
ObjectiveTo investigate clinical effect of fat emulsion combined with magnesium sulfate in pregnant women with fetal growth restriction (FGR). MethodsA total of 160 pregnant women with FGR admitted to our hospital from February 2014 to January 2019 were selected as the research subjects and divided into observation group and control group according to the random number method, with 80 cases in each group. The control group was administered fat emulsion, whereas the observation group with fat emulsion combined with magnesium sulfate, with four-week continuous treatment for both groups. The pre- and post-treatment B-ultrasound umbilical blood flow status, uterine height of pregnant women, biparietal diameter and femur length of fetus were compared between the two groups. The efficacy and the occurrence of adverse reactions during treatment were compared between the two groups. ResultsBefore treatment, there were no statistically significant differences in umbilical blood flow ratio, uterine height, biparietal diameter and femur length of fetus between the two groups (P>0.05). After 4 weeks of treatment, umbilical blood flow ratio, uterine height, biparietal diameter and femur length of fetus significantly increased. The levels of pregnant women and their fetuses in the observation group were significantly higher than those in the control group, with statistically significant differences (P<0.05). The total effective rate of treatment in the observation group (96.3%) was significantly higher than that in the control group (85.0%), with statistically significant difference (P<0.05). During treatment, there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). ConclusionFat emulsion combined with magnesium sulfate in the treatment of pregnant women with FGR is more effective to improve maternal and child health, and the treatment is highly safe, which is worthy of promotion and application.