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使用塞来昔布而非硫酸镁抑制早产。

Using celecoxib for the suppression of preterm labor instead of magnesium sulfate.

作者信息

Saadati Najmieh, Moramezi Farideh, Cheraghi Maria, Sokhray Laila

机构信息

Fertility, Infertility and Perinatology Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Pregnancy. 2014;2014:869698. doi: 10.1155/2014/869698. Epub 2014 Oct 23.

Abstract

UNLABELLED

We aimed to use celecoxib to suppress preterm labor instead magnesium sulfate (MgSO4) to prevent preterm labor.

METHODS

It was a randomized clinical trial study, which was done on 600 pregnant women. All subjects were divided into two groups by simple random sampling. One group was given 4 grams of MgSO4 intravenously and second group was given 100 mg of celecoxib orally every 12 hours for at least 2 days. The data were entered and analyzed using SPSS 11 and performed using t-test and chi-square test.

RESULTS

The finding of this study has shown that preterm labor may be prevented in 75.7% of subjects who had received celecoxib and there were no significant difference between two groups in frequency of history of preterm labor (P = 1), frequencies of nulliparity (P = 0.99), duration of drug use and arrest contraction (P = 0.29), delivery before 48 hours (P = 0.20), and mean gestational age in lack of response to treatment (P = 0.24).

CONCLUSIONS

Result has shown that celecoxib was similar to MgSO4 as a medication to prevent preterm labor; it was recommended to be prescribe to prevent preterm labor, because it was cheaper than magnesium sulfate.

摘要

未标注

我们旨在使用塞来昔布抑制早产,而非硫酸镁(MgSO4)预防早产。

方法

这是一项随机临床试验研究,对600名孕妇进行。所有受试者通过简单随机抽样分为两组。一组静脉注射4克硫酸镁,另一组每12小时口服100毫克塞来昔布,至少持续2天。数据录入并使用SPSS 11进行分析,采用t检验和卡方检验。

结果

本研究结果表明,接受塞来昔布治疗的受试者中75.7%可预防早产,两组在早产史频率(P = 1)、初产频率(P = 0.99)、用药持续时间和宫缩停止(P = 0.29)、48小时内分娩(P = 0.20)以及治疗无反应时的平均孕周(P = 0.24)方面无显著差异。

结论

结果表明,塞来昔布作为预防早产的药物与硫酸镁相似;建议开此药预防早产,因为它比硫酸镁便宜。

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