摘要
目的观察养血化瘀方治疗血瘀型先兆流产的临床疗效。方法将63例病例随机分为两组,治疗组33例给予养血化瘀方口服,对照组30例采用传统益气养血补肾中药。两组均以7~10天为1个疗程,共治疗1~3个疗程;观察血清绒毛膜促性腺激素(HCG)、孕酮(P)含量的变化情况,超声观察胎心、孕囊等变化情况,并综合评价临床疗效。结果①治疗组、对照组总有效率分别为90.9%、70.0%;组间临床疗效比较,差异有统计学意义(P<0.05)。②组内比较,两组孕6周、7周、8周、9周血HCG水平较孕5周及本组前1周差异均有统计学意义(P<0.05,P<0.01),各孕周血P含量较孕5周及本组前1周差异均无统计学意义(P>0.05);两组间同期比较,孕7周、8周、9周血HCG水平差异有统计学意义(P<0.05,P<0.01),各孕周血P水平差异均无统计学意义(P>0.05)。结论养血化瘀方治疗血瘀型先兆流产疗效良好。
Objective To observe the clinical effect of "Yangxue Huayu Decoction" in the treatment of threatened abortion of blood stasis.Methods Sixty-three subjects were randomly divided into two groups: treatment group in which 33 cases were treated with "Yangxue Huayu Decoction" and control group in which 30 cases were treated with herbal prescription effective to supplement qi-blood and nourish kidney.The effect was evaluated by observing the levels of blood HCG and progesterone(P),type B ultrasonic image,fetal heart rate and gestational sac.Results The effective rate was 90.9% in the treatment group,and 70.0% in the control group,with a significant difference between them(P0.05).After treatment,blood HCG levels of 6-9 gestational weeks were increased gradually and higher than that of 5 gestational weeks(P0.05,P0.01);blood P levels showed less correlation with time in early pregnancy in both groups(P0.05).And during 7-9 gestational weeks,the blood HCG levels increased more significantly in treatment group than those in control group(P0.05,P0.01),and there was no difference in blood P levels between the two groups(P0.05).Conclusion "Yangxue Huayu Decoction" is quite effective for threatened abortion of blood stasis.
出处
《上海中医药杂志》
2012年第12期46-48,共3页
Shanghai Journal of Traditional Chinese Medicine
基金
上海市中医临床优势专科建设项目(2008YSZB009)
关键词
先兆流产
血瘀证
中医药疗法
养血化瘀
threatened abortion
blood stasis pattern
Chinese medicine
invigorating blood and resolving stasis