加减寿胎丸联合艾灸治疗脾肾两虚型先兆流产合并宫腔积液的临床效果  

Clinical Effect of Modified Shoutai Pill Combined with Moxibustion in the Treatment of Threatened Miscarriage with Uterine Cavity Effusion of Spleen and Kidney Deficiency Type

作　　者：闫怀超 赵娜 陈婷[1] 任莹莹 YAN Huaichao;ZHAO Na;CHEN Ting;REN Yingying(Department of Obstetrics and Gynecology,Suining County People’s Hospital,Xuzhou,Jiangsu 221200,China)

机构地区：[1]江苏省睢宁县人民医院妇产科,江苏徐州221200

出　　处：《中国医药指南》2025年第8期5-8,共4页Guide of China Medicine

基　　金：徐州市重点研发计划(社会发展)项目(KC22266)。

摘　　要：目的评估在先兆流产(脾肾两虚型)合并宫腔积液患者的治疗上选择加减寿胎丸+艾灸的治疗效果。方法选取2022年8月至2024年8月就诊于江苏省睢宁县人民医院的100例先兆流产(脾肾两虚型)合并宫腔积液患者,运用随机数字表法分组,对照组(50例)予以黄体酮针治疗,观察组(50例)在对照组基础上结合加减寿胎丸+艾灸治疗,通过两组临床整体治疗效果、血清学指标、宫腔积液面积以及中医证候积分。结果观察组比对照组的治疗总有效率高(P<0.05)。治疗后,两组孕酮、β-HGG均较治疗前升高,且观察组较对照组高(P<0.05);两组孕酮、β-HGG均较治疗前升高,且观察组较对照组高(P<0.05);两组各中医证候积分均较治疗前降低,且相比对照组,观察组阴道出血量、阴道出血时间、腹痛、腰酸痛、膝酸软、夜尿频多、面色晦暗的中医证候积分均更低(P<0.05)。结论加减寿胎丸结合艾灸疗法提升了先兆流产(脾肾两虚型)并伴有宫腔积液患者的整体临床成效。Objective To evaluate the therapeutic effect of modified Shoutai Pill and moxibustion in the treatment of patients with threatened miscarriage(spleen kidney deficiency type)complicated with uterine cavity effusion.Methods A total of 100 patients with threatened miscarriage(spleen kidney deficiency type)complicated with uterine cavity effusion were selected to participate in this study.They were all treated at Suining County People’s Hospital in Jiangsu Province from August 2022 to August 2024.Random number table method was used.The control group(50 cases)was treated with progesterone injection,and the observation group(50 cases)was treated with modified longevity pills and moxibustion on the basis of the control group.The overall clinical efficacy,serological indicators,uterine cavity effusion area,and traditional Chinese medicine syndrome score of the two groups were evaluated.Results The observation group had a higher total effective rate of treatment compared to the control group(P<0.05).After treatment,the levels of progesterone andβ-HCG in both groups were higher than before treatment,and the observation group had higher levels than the control group(P<0.05).The TCM syndrome scores in both groups were lower than before treatment,and compared to the control group,the observation group had lower TCM syndrome scores for vaginal bleeding volume,vaginal bleeding duration,abdominal pain,lumbar soreness,knee weakness,frequent nocturia,and dull complexion(P<0.05).Conclusions The combination of modified longevity pills and moxibustion therapy has improved the overall clinical efficacy of patients with threatened miscarriage(especially spleen kidney deficiency type)accompanied by uterine cavity effusion.

关 键 词：先兆流产 脾肾两虚型 宫腔积液 加减寿胎丸 艾灸 

分 类 号：R714.21[医药卫生—妇产科学]