补肾调冲方治疗不明原因肾虚血瘀证胎停育临床研究  

Clinical Study on Bushen Tiaochong Prescription for Unexplained Early Embryonic Death with Kidney Deficiency and Blood Stasis Syndrome

作　　者：眭婕 SUI Jie

机构地区：[1]安吉县中医医院,浙江安吉313300

出　　处：《新中医》2020年第5期101-103,共3页New Chinese Medicine

摘　　要：目的:观察不明原因胎停育(肾虚血瘀证)应用中药补肾调冲方治疗的临床效果。方法:将不明原因导致胎停育并接受治疗的100例患者作为研究对象,按照随机数字表法分为试验组和对照组,每组各50例,试验组孕前给予干预治疗,对患者应用中药补肾调冲方剂治疗3个月,试孕2个月,试孕期间减少中药补肾调冲方剂剂量,孕后进行保胎干预治疗,应用滋肾育胎丸联合黄体酮胶丸进行保胎;对照组不接受孕前的干预治疗,试孕2个月后进行孕后的保胎治疗,保胎治疗的方法与试验组相同,应用滋肾育胎丸联合黄体酮胶丸进行保胎,对比2组接受不同的治疗后患者的中医证候积分情况以及保胎率。结果:2组试孕前1个月的证候积分均较试孕前3个月下降(P<0.05)。试验组与对照组受孕前1个月证候积分比较,差异有统计学意义(P<0.05)。试验组治疗后保胎情况优于对照组,2组比较,差异有统计学意义(P<0.05)。试验组治疗后妊娠结局情况优于对照组,2组比较,差异有统计学意义(P<0.05)。结论:中药补肾调冲方对于治疗不明原因胎停育有显著的临床效果,提高了保胎率;孕前、孕后序贯治疗的效果要比孕后保胎治疗的临床效果更加突出。Objective:To observe the clinical effect of the application of Chinese medicine of Bushen Tiaochong prescription for unexplained early embryonic death(kidney deficiency and blood stasis syndrome).Methods:Selected 100 cases of patients with unexplained early embryonic death who received treatment as study subjects,and divided them into the experiment group and the control group according to the random number table method,50 cases in each group.The experiment group was given intervening treatment before pregnancy and applied Bushen Tiaochong prescription for three months.The pregnancy test lasted for two months.During the pregnancy test,reduced the dose of Bushen Tiaochong prescription.After pregnancy,performed tocolysis,and applied Zishen Yutai pills combined with progesterone soft capsules to protect the fetus;the control group received no intervening treatment before pregnancy.After two months of the pregnancy test,performed tocolysis treatment after pregnancy.The method of tocolysis treatment is the same as that of the experiment group with the application of Zishen Yutai pills combined with progesterone soft capsules.Compared Chinese medicine syndrome scores and the tocolysis rate of patients who received different treatments in both groups.Results:One month before the pregnancy test,the symptom scores in both groups were lower than those three months before pregnancy test(P<0.05);comparing the symptom scores between the experiment group and the control group,there was significant difference being found(P<0.05).After treatment,the status of tocolysis in the experiment group was better than that in the control group,difference being significant(P<0.05).After treatment,the pregnancy outcome in the experiment group was better than that in the control group,difference being significant(P<0.05).Conclusion:Chinese medicine Bushen Tiaochong prescription has significant clinical effect in treating unexplained early embryonic death,which increases the tocolysis rate.The sequential therapy before and after pregnancy has

关 键 词：胎停育 不明原因 肾虚血瘀证 补肾调冲方 中医证候积分 

分 类 号：R714.21[医药卫生—妇产科学]