地屈孕酮联合补肾宁心法配合心理疏导治疗先兆流产的临床观察  

Clinical Study on Dydrogesterone Combined Bushen Ningxin Mehtod and Therapy with Psychological Intervention in Treating Threatened Abortion

作　　者：朱丽莉 张建亚 

机构地区：[1]张家港市中医医院,江苏张家港215600

出　　处：《成都中医药大学学报》2017年第1期18-21,共4页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：江苏省中医药管理局课题(LZ13153)

摘　　要：目的:探讨地屈孕酮联合补肾宁心法配合心理疏导治疗先兆流产的临床疗效。方法:选取我院2015年01月至2016年06月就诊的先兆流产患者76例,随机分为对照组和治疗组,其中对照组37例,治疗组39例。对照组采用地屈孕酮配合心理疏导治疗。治疗组在对照组的基础上加用补肾宁心汤,分别观察治疗前后2组患者的症状、体征及SAS、SCL-90评分。结果:治疗组治疗后临床有效率高于对照组,中医症候评分、SAS评分、SCL-90总分、躯体化因子、抑郁因子、焦虑因子、恐怖因子、偏执因子的因子分均明显低于对照组(P<0.05)。结论:地屈孕酮联合补肾宁心法配合心理疏导能够有效缓解先兆流产患者的临床症状,改善其心理健康状况,提高疗效,值得推广。Objective： To investigate the therapeutic effect of Dydrogesterone combined Bushen Ningxin Decoction and therapy with Psychological intervention in treating threatened abortion. Methods： 76 patients with threatened abortion treated in our hospital from January 2015 to June 2016 were randomly divided into two groups. 37 patients in control group were treated with Dydrogesterone and Psychological intervention. 39 patients in observation group were treated with Bushen Ningxin Decoction in addition to the therapy of the control group. Symptoms and signs of each group were observed before and after treatment. Meanwhile the score of SAS and SCL-90 were observed before and after the treatment. Results： The score of SAS and SCL-90 of observation group was obviously lower than the control group, while the TCM symptom score, the score of SAS, SCL-90 and scores of all factors were higher than control group （P 〈 0. 05 ） . Conclusion ： Clinical study on Dydrogesterone combined Bushen Ningxin Decoction can alleviate the clinical symptoms of patients with threatened abortion, improve their psychological health and curative effect. It is worth to be popularized.

关 键 词：补肾宁心法 心理疏导 地屈孕酮 先兆流产 

分 类 号：R22[医药卫生—中医基础理论] R714.21[医药卫生—中医学]