先兆早产的不规范治疗OA

Non-standard treatment for threatened preterm labor

中文摘要英文摘要

先兆早产在产科急诊和病房中占据极高比例,但诊断标准泛化及缺乏客观评估手段给临床处理带来一定的困惑,也造成目前存在不少过度和不规范诊疗现象.这不仅加重患者的经济负担,而且更带来医源性母儿损伤.文章旨在结合最新指南和专家经验,系统梳理目前临床在5个核心维度上的不规范管理误区:(1)诊断的不规范.(2)宫缩抑制剂应用的不规范.(3)辅助治疗的误用与滥用.(4)非药物干预的误区.(5)医患沟通的短板.未来先兆早产的管理必须摒弃陈旧教条,建立客观筛查、强化多学科协作的规范化方案.

Threatened preterm labor constitutes a large pro-portion of obstetric emergency and inpatient admissions.However,clinical practice is plagued by widespread exces-sive and non-standardized diagnosis and treatment due to loose diagnostic criteria and a lack of objective assessment tools.This not only imposes heavy economic burdens on the patients but also leads to iatrogenic maternal-fetal inju-ries.Integrating the latest guidelines and expert experienc-es,this review systematically sorts out the clinical miscon-ceptions of non-standard management across five key di-mensions:(1)non-standard diagnosis;(2)non-standard use of tocolytics;(3)misuse or abuse of adjuvant thera-pies;(4)misconception in nonpharmacological interven-tions;(5)deficiencies in doctor-patient communication.In the future,the management of threatened preterm labor must abandon obsolete dogmas,and establish standard-ized regimens of objective screening and enhanced multi-disciplinary collaboration.

丁文静;王子莲

中山大学附属第一医院产科,广东 广州 510080中山大学附属第一医院产科,广东 广州 510080

医药卫生

先兆早产宫缩规范治疗宫缩抑制剂宫颈长度过度医疗循证医学

threatened preterm laboruterine contractionstandard treatmenttocolyticscervical lengthovertreatmentevidence-based medicine

《中国实用妇科与产科杂志》 2026 (8)

784-787,4

四大慢病重大专项(2024ZD0532100)国家自然科学基金面上项目(82471721) Major Special Project on the Four Major Chronic Diseases(2024ZD0532100)National Natural Science Foundation of China-General Program(82471721)

10.19538/j.fk2026080104

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