臭氧治疗期间胎胎盘复体指标的动态变化:对93例急性浆液性妊娠期肾盂肾炎的前瞻性比较研究

Marina R. Gaitova, A. Fedorov, A. Kaisinova, M. A. Mkrtchyan, Mikhail A. Frank, Natalya V. Efimenko
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引用次数: 1

摘要

介绍。臭氧治疗用于急性浆液性妊娠肾盂肾炎的有益效果是众所周知的。然而,在科学文献中,没有关于医用臭氧对这种病理胎盘胎儿血流功能状态影响的信息。目的:探讨臭氧-氧气混合液对急性妊娠期浆液性肾盂肾炎患者胎胎盘复合体参数的影响。材料和方法。研究对象为93例28岁(16 ~ 39)岁、胎龄14 ~ 26周的急性浆液性妊娠期肾盂肾炎孕妇,随机分为两组:第一组/研究组(n=46)和第二组/对照组(n=47)。对照组孕妇只服用联邦临床指南规定的药物标准。在研究组中,药物治疗辅以静脉注射臭氧-氧气混合物。两组均进行胎胎盘复合体的超声动态检查,以及子宫和胎盘血流多普勒测量。包括臭氧治疗在内的恢复性治疗对急性妊娠期浆液性肾盂肾炎妇女疗效的增加是由于最初舒张期血液灌注率降低;臭氧与药物治疗的疗效总结提高了所用制剂的药势值。在急性妊娠期浆液性肾盂肾炎恢复性治疗方案中应用臭氧-氧气混合物可显著改善胎盘-子宫血流功能状态。
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Dynamics of Indicators of the Fetoplacental Complex during Ozone Therapy: a Prospective Comparative Study of 93 Women with Acute Serous Gestational Pyelonephritis
INTRODUCTION. The beneficial effect of the ozone therapy use in acute serous gestational pyelonephritis is well-known. However, in the scientific literature there is no information on the effect of medical ozone on the functional state of placental fetal blood flow with this pathology. AIM. To study the dynamics of fetoplacental complex parameters in women suffering from acute serous gestational pyelonephritis using ozone-oxygen mixture. MATERIAL AND METHODS. The studies were conducted on 93 pregnant women at the age of 28 (16-39) years old suffering from acute serous gestational pyelonephritis, gestational age was from 14 to 26 weeks, who were randomized into two groups: the first/study (n=46) group and the second/control (n=47) one. The control group of pregnant women took only the drug standard according to the Federal Clinical Guidelines. In the study group, drug therapy was supplemented by intravenous administration of an ozone-oxygen mixture. Both groups were evaluated in the dynamics of ultrasound examination of the fetoplacental complex, as well as uterine and placental blood flow Dopplerometry. DISCUSSION. The increase in the effectiveness of restorative treatment of women with acute serous gestational pyelonephritis including ozone therapy is due to an increase in the initially reduced diastolic blood perfusion rate; summation of the therapeutic effects of ozone and pharmacotherapy; enhancement of pharmacopotential value of the used medicinal preparation. CONCLUSION. Parenteral application of ozone-oxygen mixture in programs of restorative treatment of women with acute serous gestational pyelonephritis provides significant improvement of functional state of placental-uterine blood flow.
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