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孕中期妊娠终止采用羊膜腔内单独注射16-苯氧基-ω-四降前列环素E2甲磺酰胺(SHB 286)以及联合缩宫素和葡萄糖酸钙。

Termination of second trimester pregnancy with intraamniotic administration of 16-phenoxy-omega-tetranor-PgE2-methylsulfonamide (SHB 286) alone and combined with oxytocin and calcium gluconate.

作者信息

van den Bergh A S, Haspels A A

出版信息

Contraception. 1978 Dec;18(6):635-9. doi: 10.1016/0010-7824(78)90047-1.

Abstract

Midtrimester abortion was succesfully induced within 30 hours in 62 out of 90 patients by intraamniotic administration of 16-phenoxy-omega-17,18,19, 20-tetranor-prostaglandine-E2-methylsulfonamide. The Pg-analogue was tested in 5 groups of patients which received 1,2 or 3 mg. In group IV, 2 mg of the analogue was combined with oxytocin. In group V, 3 mg of the analogue was combined with 2.75 grams of calcium gluconate. The success rate was significantly influenced by the amount of the drug administered. Side effects were minimal. Multiparous women respond better to the therapy than nulliparous patients. The combination with oxytocin was more effective than the Pg-analogue alone and the combination of sulprostone with calcium gluconate was 87% succesful within 30 hours and 100% succesful within 36 hours.

摘要

通过羊膜腔内注射16-苯氧基-ω-17,18,19,20-四去甲前列腺素-E2-甲磺酰胺,90例患者中有62例在30小时内成功引产。该前列腺素类似物在5组患者中进行了测试,这些患者分别接受1毫克、2毫克或3毫克药物。在第四组中,2毫克该类似物与催产素联合使用。在第五组中,3毫克该类似物与2.75克葡萄糖酸钙联合使用。给药量对成功率有显著影响。副作用极小。经产妇对该治疗的反应比初产妇更好。与催产素联合使用比单独使用前列腺素类似物更有效,而舒前列素与葡萄糖酸钙联合使用在30小时内成功率为87%,在36小时内成功率为100%。

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