益肾健脾法治疗早期先兆流产合并亚临床甲状腺功能减退  

Treatment of early threatened abortion with subclinical hypothyroidism by tonifying kidney and spleen method

作　　者：赵薇[1] 陆源源[1] 詹群[1] 李苗苗[1] 任庆龄 陈盛君[2] 季露[2] 

机构地区：[1]南京市中医院,南京210001 [2]南京中医药大学,南京210029

出　　处：《吉林中医药》2016年第9期897-900,共4页Jilin Journal of Chinese Medicine

基　　金：南京市医学科技发展项目(YKK13098)

摘　　要：目的在以往研究的基础上,通过规范化的临床研究,进一步观察早期先兆流产合并亚临床甲状腺功能减退的治疗效果。方法患者60例,随机分为治疗组(护胎饮)31例和对照组(优甲乐)29例。分别观察2组治疗前后临床症状改善情况、血清TSH的变化情况,观察妊娠结局。结果 2组临床症状均有显著改善,治疗组阴道出血、出血时间、出血色质、小腹疼痛、腰骶疼痛、头晕耳鸣症状的改善比较显著,优于对照组;治疗后2组患者血清TSH均下降,2组治疗前后相比有统计学意义。结论益肾健脾法治疗早期先兆流产合并亚临床甲状腺功能减退可以改善患者甲状腺功能,从而防治先兆流产的发生。Objective Lay the basis of previous studies,through standardized clinical research,further observe clinical curative effect of threatened abortion with subclinical hypothyroidism. Methods The 60 patients with threatened abortion with subclinical hypothyroidism were divided into two groups averagely that 31 cases in Chinese medicine（ Hutai decoction） treatment group and 29 cases in Western medicine（ Euthyrox） control group. The changes were observed in the two groups before and after treatment symptoms,serum TSH,and pregnancy outcome. Results The traditional Chinese medicine group and control group on clinical symptoms improved significantly. The treatment group was better than control group in vaginal bleeding,bleeding time,color of blood,lower abdomen pain,waist sacral pain,dizziness tinnitus symptoms improved significantly. After treatment,the serum TSH level of the two groups was decreased. The treatment group had statistics significance compared with the control group before and after therapy.Conclusion Tonifying kidney and spleen method in treating early threatened abortion with subclinical hypothyroidism,in order to prevent and control the occurrence of threatened abortion.

关 键 词：先兆流产 亚临床甲状腺功能减退 益肾健脾法 护胎饮 优甲乐 

分 类 号：R714[医药卫生—妇产科学]