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安徽省中西医结合医院妇科
纸质出版日期:2021,
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汪翠萍, 余欣慧, 杜冰心, 等. 补肾安胎汤治疗肾虚型早期先兆流产的疗效及对患者血清激素水平、妊娠结局的影响[J]. 中国医院用药评价与分析, 2021,21(12):1434-1437.
WANG Cuiping, YU Xinhui, DU Bingxin, et al. Efficacy of Bushen Antai Decoction for Early Threatened Abortion Patients with Kidney Deficiency and Its Effects on Serum Hormone Level and Pregnancy Outcome[J]. 2021,21(12):1434-1437.
汪翠萍, 余欣慧, 杜冰心, 等. 补肾安胎汤治疗肾虚型早期先兆流产的疗效及对患者血清激素水平、妊娠结局的影响[J]. 中国医院用药评价与分析, 2021,21(12):1434-1437. DOI: 10.14009/j.issn.1672-2124.2021.12.003.
WANG Cuiping, YU Xinhui, DU Bingxin, et al. Efficacy of Bushen Antai Decoction for Early Threatened Abortion Patients with Kidney Deficiency and Its Effects on Serum Hormone Level and Pregnancy Outcome[J]. 2021,21(12):1434-1437. DOI: 10.14009/j.issn.1672-2124.2021.12.003.
目的:探讨补肾安胎汤对肾虚型早期先兆流产的疗效及对患者血清激素水平、妊娠结局的影响。方法:选取2019—2020年安徽省中西医结合医院收治的早期先兆流产患者114例为研究对象
按照双盲均等分配模式分组
57例患者为研究组
57例患者为对照组。对照组患者给予常规西药治疗
研究组患者在对照组的基础上给予补肾安胎汤治疗
两组患者均连续治疗21 d。治疗前后测定两组患者人绒毛膜促性腺激素(HCG)、孕酮(P)、雌二醇(E
2
)和D-二聚体(D-D)水平;将患者中医临床症状进行分级量化评分
比较两组患者的临床疗效
记录妊娠结局并计算妊娠成功率。结果:治疗后
研究组患者的E
2
、P和HCG水平明显高于对照组
D-D水平明显低于对照组
差异均有统计学意义(P
<
0.05);研究组患者阴道存在少量出血、小腹疼痛或坠胀感、腰骶部酸痛、头晕耳鸣、夜尿频繁和神疲肢倦等中医临床症状评分明显低于对照组
差异均有统计学意义(P
<
0.05)。研究组患者的总有效率、妊娠成功率分别为92.98%(53/57)、96.49%(55/57)
明显高于对照组的80.70%(46/57)、82.46%(47/57)
差异均有统计学意义(P
<
0.05)。结论:补肾安胎汤可改善肾虚型早期先兆流产患者的妊娠激素水平
改善凝血与抗凝相关因子和血栓前状态标志物水平
改善中医临床症状
有利于胚胎发育
可提高临床疗效和妊娠成功率。
OBJECTIVE: To probe into the efficacy of Bushen Antai decoction for early threatened abortion patients with kidney deficiency and its effects on serum hormone level and pregnancy outcome. METHODS: A total of 114 patients with early threatened abortion admitted into Anhui Hospital of Integrated Traditional Chinese and Western Medicine from 2019 to 2020 were extracted to be divided into two groups according to the double-blind equal allocation model
57 patients were selected as the study group and 57 patients were selected as the control group. The control group was treated with conventional western medicine
while the study group received Bushen Antai decoction on the basis of the control group
both groups were treated continuously for 21 d. The levels of human chorionic gonadotropin( HCG)
progesterone(P)
estrogen( E
2
) and D-dimer( D-D) were detected before and after treatment in two groups. The clinical symptoms of traditional Chinese medicine of patients with early threatened abortion of kidney deficiency type were graded and quantitatively scored. The clinical efficacy of two groups were compared
the pregnancy outcome was recorded and the success rate of pregnancy was calculated. RESULTS: After treatment
the levels of E
2
P
and HCG in the study group were significantly higher than those in the control group
and the levels of D-D were significantly lower than those in the control group
the differences were statistically significant( P
<
0. 05). After treatment
a small amount of vaginal bleeding
lower abdomen pain or swelling
lumbosacral soreness
dizziness
tinnitus
frequent nocturia and fatigue scores in the study group were lower than those in the control group
the differences were statistically significant( P
<
0. 05). The total effective rate and pregnancy success rate of the study group were respectively 92. 98%( 53/57) and 96. 49%( 55/57)
significantly higher than those of the control group 80. 70%( 46/57) and 82. 46%( 47/57)
the differences were statistically significant( P
<
0. 05). CONCLUSIONS:Bushen Antai decoction can improve the serum hormone level in early threatened abortion patients with kidney deficiency
improve the blood coagulation and anticoagulation related factors and markers before thrombosis
improve the clinical symptoms of traditional Chinese medicine
facilitate the embryo development
promote the clinical efficacy and pregnancy success rate.
补肾安胎汤肾虚型早期先兆流产血清激素妊娠结局
Bushen Antai decoctionEarly threatened abortion of kidney deficiency typeSerum hormonePregnancy outcome
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