滋肾养胎方联合黄体酮治疗黄体功能不全型先兆流产的效果.pdf
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1、In-E1果(临床研究)论著1065.临床医学工程2023年8 月第3 0 卷第8 期滋肾养胎方联合黄体酮治疗黄体功能不全型先兆流产的效,王新平(郑州茗仁医院中医妇科,河南郑州450 0 0 8)【摘要】目的探讨滋肾养胎方联合黄体酮治疗黄体功能不全型先兆流产的效果。方法8 0 例黄体功能不全型先兆流产患者按照入组顺序分为两组,对照组采用黄体酮治疗,观察组采用黄体酮+滋肾养胎方治疗,比较两组的治疗效果、症状积分及性激素水平。结果观察组的总有效率9 2.50%,高于对照组的7 5.0 0%(P0.05)。治疗后,两组的各项中医症候积分均降低,且观察组低于对照组(P0.05)。治疗后,两组的P、E2
2、、-hCG水平均升高,且观察组均高于对照组(P0.05)。结论滋肾养胎方联合黄体酮治疗黄体功能不全型先兆流产的效果较好,可减轻患者症状,调节性激素的表达。【关键词】滋肾养胎方;黄体酮;黄体功能不全型先兆流产中图分类号:R271.41文献标识码:Adoi:10.3969/j.issn.1674-4659.2023.08.1065ffect of Zishen Yangtai Prescription Combined with Progesterone in the Treatment of Threatened Abortion of Lutealsufficiency Type/l LU H
3、ongxia,WANG Xinping(Department of TCM Gynecology,Zhengzhou Mingren Hospital,Zhengzhou 450008,China)AbstractObjective To explore the effect of Zishen Yangtai prescription combined with progesterone in the treatment of threatenedabortion of luteal insufficiency type.Methods 80 patients with threatened
4、 abortion of luteal insufficiency type were divided into two groupsaccording to the order of enrollment.The control group was treated with progesterone,and the observation group was treated with progesterone+Zishen Yangtai prescription.The therapeutic effect,symptom score and sex hormone level were
5、compared between the two groups.Results The total effective rate in the observation group was 92.50%,higher than 75.00%in the control group(P0.05).After treatment,thescores of TCM symptoms in both groups decreased,and scores in the observation group were lower than those in the control group(P0.05).
6、After treatment,the levels of P,E2 and-hCG in the two groups increased,and the indicators in the observation group were higher than thosein the control group(P0.05)。1.2治疗方法对照组采用黄体酮肌注,2 0 40 mg/次,1次/d,持续至胎儿成形。观察组在对照组基础上联合滋肾养胎方,组方:人参15g,续断、苑丝子、杜仲、白术各12 g,阿胶、狗脊、益智仁各10 g,艾叶、甘草(灸)各9 g,水煎取汁30 0mL,1剂/d,早晚各
7、服1次,连续服用4周。1.3观察指标治疗效果评价:症状消失,超声提示胚胎发育正常,中医症状积分降低9 5%及以上为痊愈;1周内阴道出血停止,症状减轻,超声提示胚胎发育与孕周相符,中医症状积分降低7 0%9 4%为显效;10 d内阴道出血停止,症状减轻,超声提示胚胎发育与孕周符合,中医症状积分降低30%6 9%(责任编辑:钟婷婷).1066.临床医学1程2 0 2 3年8 月第30 卷第8 期为有效;未达上述标准为无效。中医症候积分包括小腹坠痛、阴道出血、腰酸痛、双膝酸软,每项0 3分,分值越高则症状越重。采用电化学发光法检测孕酮(P)、雌二醇(E2)、人绒毛膜促性腺激素(-hCG)水平。1.4
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- 滋肾养胎方 联合 黄体酮 治疗 黄体 功能 不全 先兆 流产 效果