加味寿胎丸联合穴位贴敷治疗早期妊娠宫腔积液的临床观察  

Clinical Observation of Modified Shoutai Pills Combined with Acupoint Application in the Treatment of Early Pregnancy Uterine Cavity Effusion

作　　者：吕新凤 宋平 朱海燕 刘优优 LYU Xinfeng;SONG Ping;ZHU Haiyan;LIU Youyou(Jiujiang Maternal and Child Health Hospital,Jiujiang 332001,China.)

机构地区：[1]九江市妇幼保健院,江西九江332001

出　　处：《江西中医药大学学报》2024年第4期39-41,45,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省中医药管理局科技计划项目(2022B881)。

摘　　要：目的:探究早期妊娠宫腔积液患者应用加味寿胎丸联合穴位贴敷的治疗效果。方法:按随机数字表法将九江市妇幼保健院2022年5月—2023年8月收治的早期妊娠6~12周超声检查提示宫腔积液患者100例分为2组,各50例。对照组采用加味寿胎丸治疗,观察组联合穴位贴敷治疗,2组均治疗2个疗程。对比2组临床疗效、中医证候积分、性激素水平、宫腔积液面积及不良反应。结果:观察组治疗总有效率为94.00%,高于对照组的78.00%(P<0.05)。治疗后,2组主症及次症评分、β-人绒毛膜促性腺激素(β-HCG)、孕酮水平均较治疗前升高,宫腔积液面积均较治疗前减小(P<0.05),且观察组治疗后主症及次症评分、β-HCG、孕酮水平均高于对照组,宫腔积液面积小于对照组(P<0.05)。2组治疗期间均未见明显不良反应。结论:早期妊娠宫腔积液患者应用加味寿胎丸联合穴位贴敷治疗可获得确切效果,患者各临床症状及体征均得到有效好转,性激素水平均明显改善,宫腔积液面积明显缩小,安全可靠,值得推广应用。Objective:To explore the therapeutic effect of modified Shoutai Pills combined with acupoint application on patients with early pregnancy uterine cavity effusion.Methods:According to random number table method,100 patients with 6-12 weeks of early pregnancy indicated by ultrasonography in jiujiang maternal and child health hospital from May 2022 to August 2023 were divided into two groups,50 cases in each group.The control group was treated with modified Shoutai Pills,and the observation group combined with acupoint application.Both groups were treated for 2 courses of treatment.The clinical efficacy,TCM syndrome score,sex hormone level,intrauterine effusion area and adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 94.00%,which was higher than that of the control group(78.00%)(P<0.05).After treatment,the main and secondary syndrome scores,β-HCG and progesterone levels in 2 groups were increased compared with before treatment,and the area of uterine fluid was decreased compared with before treatment(P<0.05),and the main and secondary syndrome scores,β-HCG and progesterone levels in the observation group were higher than those in the control group after treatment.The area of intrauterine effusion was smaller than that of control group(P<0.05).No obvious adverse reactions were observed in both groups during treatment.Conclusion:The application of modified Shoutai Pill scombined with acupoint application in the treatment of early pregnancy uterine cavity effusion can achieve definite results.All clinical symptoms and signs of the patients have been effectively improved,and the levels of sex hormones have been significantly improved.The uterine cavity effusion has been significantly reduced,which is safe and reliable and worthy of promotion and application.

关 键 词：早期妊娠 宫腔积液 穴位贴敷 加味寿胎丸 中医证候积分 

分 类 号：R271.9[医药卫生—中西医结合]