中西医结合治疗先兆流产临床研究

Clinical Research of Combined Treatment of Traditional Chinese and Western Medicine for Threatened Abortion

目的:观察中西医结合治疗先兆流产的临床疗效。方法:将120例先兆流产患者按随机数字表法分为观察组60例和对照组60例。对照组口服黄体酮胶囊,观察组在对照组的基础上辨证论治。①脾肾两虚证,方用寿胎丸加减:菟丝子、川续断、杜仲、桑寄生、巴戟天、鹿角胶、当归、熟地黄、枸杞子、阿胶、党参、白术各10 g,砂仁、甘草各6 g;②气血虚弱证,方用泰山磐石散加减:党参、黄芪、当归、川续断、黄芩、白芍、熟地黄、白术各10 g,炙甘草、砂仁、川芎各6 g;③血热胎动证,方用保阴煎加减:生地黄、熟地黄、麦冬、白芍、黄芩、黄柏、川续断各10 g,香附、炙甘草各6 g;④跌扑伤胎证,方用圣愈汤加减:党参15 g,黄芪15g,熟地黄12 g,当归12 g,川芎6 g,生地黄12 g,白芍12 g,阿胶12 g,桑寄生12 g,甘草6 g。结果:观察组有效率为93.3%,对照组有效率为71.7%,两组有效率比较,差异有统计学意义(P<0.05);两组患者治疗后β-HCG、FSH、E2、P水平比较,均有统计学意义(P<0.01)。结论:中西医结合法治疗先兆流产效果理想。

Objective：To observe the clinical curative effect of combined treatment of traditional Chinese and western medicine for threatened abortion.Methods：120 cases of threatened abortion patients were divided into observation group and control group according to random digits table,60 cases of each group.The control group was given oral progesterone capsule and the observation group was given syndrome differentiation-treatment based on the control group.①The asthenia of both the spleen and kidney using shoutaiwan flavored：tusizi 10 g,chuanxuduan 10 g,duzhong 10 g,sangjisheng 10 g,bajitian 10 g,lujiaojiao 10 g,danggui 10 g,shudihuang 10 g,gouqizi 10 g,ejiao 10 g,dangshen 10 g,baizhu 10 g,sharen 6 g,gancao 6 g.②Qi and blood asthenia type using taishanpanshisan flavored：dangshen 10 g,huangqi 10 g,danggui 10 g,chuanduanxu 10 g,huangqin 10 g,baishao 10 g,shudihuang 10 g,baizhu 10 g,zhigancao 6 g,sharen 6 g,chuanqiong 6 g.③Blood-heat fetal movement using baoyinjian flavored：shengdihuang 10 g,shudihuang 10 g,maidong 10 g,baishao 10 g,huangqin 10 g,huangbo 10 g,chuanxuduan 10 g,xiangfu 6 g,zhigancao 6 g.④Fell injury damaging fetus type using shengyutang flavored：dangshen 15 g,huangqi 15 g,shudihuang 12 g,danggui 12 g,chuanqiong 6 g,shengdihuang 12 g,baishao12 g,colla 12 g,ejiao 12 g,sangjisheng 6 g.Results：The effective rate was 93.3% in the observation group and 71.7% in the control group,the difference was statistically significant（P0.05）.Compared β-HCG,FSH,E2 and P level after treatment,all had statistical significance（P0.01）.Conclusion：The effect of combined treatment of traditional Chinese and western medicine for threatened abortion is ideal.