寿胎丸加味治疗胎儿生长受限临床研究  

Clinical Study on Modified Shoutai Pill in Treating Fetal Growth Restriction

作　　者：周凤姣 欧阳超标 雷磊 ZHOU Fengjiao;OUYANG Chaobiao;LEI Lei(Graduate School,Hunan University of Chinese Medicine,Hunan Province,Changsha 410208,China;Department of Obstetrics and Gynecology,Linwu County Hospital of Traditional Chinese Medicine,Hunan Province,Linwu 424300,China;Department of Gynecology,The First Affiliated Hospital of Hunan University of Chinese Medicine,Hunan Province,Changsha 410007,China)

机构地区：[1]湖南中医药大学研究生院,湖南长沙410208 [2]湖南省临武县中医医院妇产科,湖南临武424300 [3]湖南中医药大学第一附属医院妇科,湖南长沙410007

出　　处：《中国中医药现代远程教育》2023年第12期75-77,共3页Chinese Medicine Modern Distance Education of China

基　　金：湖南省教育厅科学研究项目【No.19A364】。

摘　　要：目的观察寿胎丸加味治疗胎儿生长受限的临床效果。方法将确诊为胎儿生长受限(FGR)的孕妇随机分为试验组与对照组,每组35例,在常规疗法基础上,试验组给予寿胎丸加味治疗,对照组给予西医营养支持+低分子肝素钙注射液抗凝治疗,各12 d,治疗后及分娩后,对2组胎儿B超下宫内生长情况、脐血流脐动脉收缩末期峰值(S)与脐动脉舒张末期峰值(D)的比值(脐动脉血流S/D值)、新生儿体质量与胎盘重量进行比较。结果试验组促进宫高增长、双顶径增长、腹围增长优于对照组,2组差异有统计学意义(P<0.05);试验组与对照组治疗后脐动脉血流S/D值较治疗前改善;试验组孕妇所产新生儿体质量、胎盘重量高于对照组,2组差异有统计学意义(P<0.05)。结论寿胎丸加味治疗胎儿生长受限效果显著,可加快胎儿的生长发育速度,改善脐血流,提高新生儿出生质量,值得临床推广。Objective To observe the clinical effect of modified Shoutai pill in the treatment of fetal growth restriction.Methods The pregnant women who were diagnosed with fetal growth restriction were randomly divided into experimental group and control group,with 35 cases in each group.On the basis of oxygen inhalation and conventional therapy in left side position,the experimental group was given Shoutai pill for 12 days.The control group was given Western medical nutrition support and low molecular weight heparin sodium anticoagulation for 12 days.After treatment and after delivery,The intrauterine growth of the fetus under B ultrasound,the ratio of umbilical artery systolic end peak(S)to umbilical artery diastolic end peak(D)of umbilical blood flow(umbilical artery blood flow S/D value),newborn body weight and placenta weight were compared between the two groups.Results The increase of uterine height,double parietal diameter and abdominal circumference in experimental groups was better than that in control group,and the difference between the two groups was statistically significant(P<0.05).After treatment,the blood flow S/D of umbilical artery in experimental group and control group was improved compared with that before treatment.The newborn body weight and placental weight of pregnant women in experimental group were higher than those in control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Modified Shoutai pill has a significant effect on the treatment of fetal growth restriction,which can speed up the growth and development of the fetus,improve the umbilical blood flow,and improve the birth quality of the newborn.It is worthy of further promotion.

关 键 词：胎萎不长 胎儿生长受限 寿胎丸 中医药疗法 

分 类 号：R271.4[医药卫生—中医妇科学]