用二硝酸异山梨酯和硝酸甘油贴片预防早产。

Q2 Medicine
Masoumeh Ghafarzadeh, Amir Shakarami, Fatemeh Yari
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引用次数: 0

摘要

背景:早产是妊娠期住院的最重要原因之一,可导致新生儿出现严重并发症:本研究旨在比较经皮硝酸甘油(TNG)贴剂和二硝酸异山梨酯(ISD)舌下含片在预防早产方面的效果:这项单盲临床试验共纳入了 110 名年龄在 18-35 岁之间、胎儿健康且存活、孕龄在 24-34 周之间、每小时至少有 8 次规律子宫收缩的健康孕妇。经排除后,这些妇女被随机分为 TNG 组(50 人)和 ISD 组(49 人)。在首次用药(TNG 或 ISD)后,出现低血压、头痛等并发症或同时出现这两种并发症的患者也被排除在研究之外:共有 58 名患者完成了疗程(每组 29 人)。TNG 组和 ISD 组在延迟早产和恢复时间上有明显差异:结论:两组患者的并发症和宫缩次数没有统计学差异。我们的结论是,TNG 贴片在推迟分娩方面比 ISD 更有效。两种药物的副作用发生率可能相似。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevention of Preterm Labor by Isosorbide Dinitrate and Nitroglycerin Patch.

Background: Preterm labor is one of the most important causes of hospitalization during pregnancy and can lead to serious complications in neonates.

Objective: This study aims to compare the effect of transdermal nitroglycerin (TNG) patches and sublingual tablets of Isosorbide dinitrate (ISD) for the prevention of preterm delivery.

Methods: A total of 110 healthy pregnant women aged 18-35 years with a healthy and alive fetus and gestational age between 24-34 weeks who had at least 8 regular uterine contractions per hour were included in this single-blinded clinical trial. After exclusion, the women were randomly divided into TNG (n = 50) and ISD (n = 49) groups. After the first dose of medication (TNG or ISD), patients who developed complications such as hypotension, headache, or both, were also excluded from the study.

Results: A total of 58 patients completed the treatment course (29 patients in each group). A significant difference in delayed preterm labor and recovery time was reported between the TNG and ISD groups.

Conclusion: Complications and the number of contractions were not statistically different in the two groups. We concluded that the TNG patch is more effective than ISD in delaying labor. Both drugs are likely to have a similar incidence of side effects.

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来源期刊
Cardiovascular and Hematological Disorders - Drug Targets
Cardiovascular and Hematological Disorders - Drug Targets Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.90
自引率
0.00%
发文量
36
期刊介绍: Cardiovascular & Hematological Disorders - Drug Targets aims to cover all the latest and outstanding developments on the medicinal chemistry, pharmacology, molecular biology, genomics and biochemistry of contemporary molecular targets involved in cardiovascular and hematological disorders e.g. disease specific proteins, receptors, enzymes, genes. Each issue of the journal contains a series of timely in-depth reviews written by leaders in the field covering a range of current topics on drug targets involved in cardiovascular and hematological disorders. As the discovery, identification, characterization and validation of novel human drug targets for cardiovascular and hematological drug discovery continues to grow.
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