Hubinont C, Debieve F
Department of Obstetrics, Saint-Luc University Hospital, 10 Avenue Hippocrate, 1200 Bruxelles, Belgium.
J Pregnancy. 2011;2011:941057. doi: 10.1155/2011/941057. Epub 2011 Nov 15.
The aim of this paper is to review available data about drugs for preventing preterm labour. Tocolytic therapy includes β adrenergic receptor agonists, NO donors, magnesium sulphate, prostaglandin-synthase inhibitors, oxytocin receptor antagonists, calcium-channel blockers, progesterone, 17-α-hydroxyprogesterone caproate, and antibiotics. Their specific effects on myometrial contractility, their safety, their efficiency, and side effects profile for the mother and the fetus are presented. The main question of why and for what reasons tocolysis should be administrated is discussed.
本文旨在综述有关预防早产药物的现有数据。宫缩抑制剂治疗包括β肾上腺素能受体激动剂、一氧化氮供体、硫酸镁、前列腺素合成酶抑制剂、催产素受体拮抗剂、钙通道阻滞剂、孕酮、己酸17-α-羟孕酮和抗生素。文中介绍了它们对子宫肌层收缩力的具体作用、安全性、有效性以及对母亲和胎儿的副作用情况。还讨论了宫缩抑制剂应用的主要问题,即为何以及出于何种原因应使用宫缩抑制剂。