Nghiên cứu đặc điểm cận lâm sàng và kết quả điều trị dọa sẩy thai tại Khoa Phụ sản Bệnh viện Trường Đại học Y

Nghiên cứu đặc điểm cận lâm sàng và kết quả điều trị dọa sẩy thai tại Khoa Phụ sản Bệnh viện Trường Đại học Y - Dược Huế

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Tác giả: Thị Kim Anh Nguyễn, Thị Linh Giang Trương

Ngôn ngữ: vie

Ký hiệu phân loại: 581.2 Specific topics in natural history of plants

Thông tin xuất bản: Tạp chí Phụ sản, 2023

Mô tả vật lý: 43-49

Bộ sưu tập: Metadata

ID: 502276

Thêm vào giỏ

Describing the clinical, laboratory characteristics and therapeutic results of threatened miscarriage at the Department of Obstetrics and Gynecology, Hospital of Hue University of Medicine and Pharmacy. Materials and Methods: This was a cross-sectional study. Total of 82 pregnant women were diagnosed with threatened miscarriage at the Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from June 2022 to February 2023. Results: Threatened miscarriage was most common in the group with gestational ages from 25-29 years old, accounting for 39.0%. Clinical included vaginal bleeding accounted for 33.0%, 20.7% had abdominal pain and 43.9% had both. The mean value of βhCG gradually increased and peaked at 7 weeks - <
13 weeks, then gradually decreased in the following gestational weeks. 81.7% had fetal heart can be seen in ultrasound, with subchorionic hematoma acounted of 47.6%. Treatment outcomes: 89.0% with succeed, 11.0% failed. Pregnancies ≥ 35 years of age had a 4.4 times higher risk of treatment failure than those who <
35 years old. Progesterone is associated with an increase in βhCG level, which has diagnostic value and a good prognosis for pregnancy outcomes. Positive fetal echocardiography, successful treatment accounted for 98.5%. In which, if the fetal heart rate is ≥ 110 beats/min, the treatment success rate is 100.0%, if the fetal heart rate is <
110 beats/min, the success rate is only 50.0%, less than 2 times. Conclusions: Progesterone associated with an average increase in βhCG has diagnostic value and has good predictive value for pregnancy outcome.Nghiên cứu đặc điểm cận lâm sàng và kết quả điều trị các trường hợp dọa sẩy thai tại Khoa Phụ sản, Bệnh viện Trường Đại học Y - Dược Huế. Đối tượng và phương pháp nghiên cứu: 82 thai phụ được chẩn đoán là dọa sẩy thai được nằm điều trị tại Khoa Phụ sản, Bệnh viện Trường Đại học Y - Dược Huế từ tháng 06/2022 đến tháng 02/2023, thực hiện theo phương pháp mô tả cắt ngang. Kết quả: Dọa sẩy thai gặp nhiều nhất ở nhóm tuổi mẹ từ 25 - 29 tuổi chiếm tỷ lệ 39,0%. Giá trị trung bình βhCG tăng dần và cao nhất ở tuần thai 7 tuần - <
13 tuần, sau đó giảm dần ở các tuần thai tiếp theo. Kết quả điều trị: Thành công 89,0%, thất bại 11,0%. Thai phụ ≥ 35 tuổi có nguy cơ điều trị thất bại gấp 4,4 lần so với thai phụ <
35 tuổi. Progesterone kết hợp với mức tăng trung bình βhCG, có giá trị chẩn đoán và có giá trị tiên đoán tốt kết quả thai kỳ. Siêu âm tim thai dương tính điều trị thành công chiếm tỷ lệ 98,5%. Trong đó, nếu tim thai ≥ 110 lần/ phút tỷ lệ điều trị thành công là 100,0%, nếu tim thai <
110 lần/ phút thì tỷ lệ điều trị thành công chỉ có 50,0%, ít hơn 2 lần. Kết luận: Progesterone kết hợp với mức tăng trung bình βhCG, có giá trị chẩn đoán và có giá trị tiên đoán tốt kết quả thai kỳ.

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