A prospective, randomized trial of nifedipine vs. ritodrine in threatened preterm labor

A prospective, randomized trial of nifedipine vs. ritodrine in threatened preterm labor
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DOI:
10.1016/s0020-7292(98)00053-8
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发表时间:
1998-06-01
影响因子:
3.8
通讯作者:
González, AG
González, AG
中科院分区:
医学4区
文献类型:
--
作者:
García-Velasco, JA;González, AG

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目的:比较硝苯地平与利托君治疗先兆早产的保胎效果及母体耐受性。方法:对52例孕26 ~ 34周早产的单胎妊娠进行前瞻性随机研究。延迟分娩48小时,7天,直到第36周或直到胎儿体重达到2500克的能力是评估的结果变量。多普勒超声研究进行了胎儿脐动脉作为对照。结果如下:硝苯地平组在延迟分娩方面无显著差异,但母体副作用明显减少。两组的多普勒超声结果相似。结论:硝苯地平是一种有效的和耐受性良好的宫缩抑制药物的替代品,显然不会显着改变胎儿血管血流。(C)1998年国际妇产科联合会。
Objectives: To compare the tocolytic efficacy and maternal tolerance of nifedipine with ritodrine in the management of threatened preterm labor. Methods: Prospective randomized study of 52 singleton pregnancies with preterm labor between 26 and 34 week's gestation. The capacity to delay delivery 48 h, 7 days, until week 36 or until fetal weight reached 2500 g were the outcome variables assessed. Doppler ultrasound studies were performed on the fetal umbilical artery as control. Results: No significant differences were found in the delay of delivery, but significantly fewer maternal side-effects were found in the nifedipine group. Doppler ultrasound results were similar in both groups. Conclusions: Nifedipine is a valid and well-tolerated alternative among the tocolytic drugs, and apparently does not significantly alter fetal vascular blood flow. (C) 1998 International Federation of Gynecology and Obstetrics.