3种方法治疗母儿ABO血型不合的临床观察  

Clinical Experience with 3 Different Ways in Treating Fetomaternal ABO Blood Group Incompatibility

作　　者：罗玉芳[1] 陈江鸿[1] 文红萍[1] 

机构地区：[1]广西医科大学第四附属医院妇产科,柳州545005

出　　处：《中国医药导刊》2009年第9期1476-1477,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨3种不同方法治疗母儿ABO血型不合的临床意义。方法:将159例孕妇血清IgG抗A或抗B抗体效价≥1:64者列为治疗对象。根据治疗方法分3组:中药组54例单纯给予口服中药茵陈蒿汤:中西药组67例予茵陈蒿汤及西药联合治疗:西药组38例只绘予西药治疗。结果:中药组治疗总有效率85.2%,中西药组92.5%,西药组为28.9%。中药组与中西药组治疗总有效率无显著性差异(P>0.05),但均明显高于西药组,有显著性差异(P<0.01)。结论:中药及中西医结合防治母儿ABO血型不合效果满意,未见不良反应。对于无法依从较长时间服中药的患者,中西医结合治疗是其理想的选择。Objetive：To evaluate the efficacy of 3 different ways in treating fetomaternal ABO blood group incompatibility .Methods： A total of 159 pregnant women with anti-A/B IgG titers ≥1：64 were recruited, they were divided into 3 groups according to treating ways： Traditional Chinese medicine （TCM） group （54 cases taken Yinchenhao decoction orally）,integration of TCM combined western medicine group （67 cases were treated by combined use of Yinchenhao decoction and western medicine）, and western medicine group （38 cases only received western medicine treating）. Results： Total effective of TCM group was 85.2%, TCM combined western medicine group was 92.5%, western medicine group was 28.9%. there were no difference bctween TCM group and TCM ＆ western medicine group （P〉0.05）, but both two group total effective of were higher than western medicine group （P 〈 0.01）. Conclusion：The efficacy of both TCM and TCM combined western medicine for prevention and treatment in fetomatemal ABO blood group incompatibility were satisfaeial and without adverse reaction. It is maybe a perfect choice for those who can not receive TCM treatment for a long time.

关 键 词：血型不合 中药 中西医结合疗法 

分 类 号：R714.2[医药卫生—妇产科学]