两种中医治则治疗先兆流产401例回顾分析

Retrospective Analysis of 401 Threatened Abortion Cases Treated by Two TCM Methods

目的:评价两种中医治则治疗早期先兆流产的临床疗效,以提高中药安胎的成功率。方法:回顾性分析2005年1月—2011年1月本院以中药安胎为主的先兆流产病例401例,按不同治疗原则分组,对两组的疗效及辅助检查结果(血β-HCG、P)进行比较。结果:补肾法安胎的病例181例,成功例数123例,成功率68.0%;活血补肾法安胎的例数220例,成功例数187例,成功率85.0%。两种治则的成功率差异有统计学意义(P<0.05)。补肾法和活血补肾法治疗成功的病例血β-HCG浓度上升情况及血孕酮的平均值经分析差异都无统计学意义(P>0.05)。

Objective：To improve the success rate of herb treatment in threatened abortion by evaluating the clinical curative effect of two TCM methods. Methods ：The author studied 401 cases that were mainly treated by Chinese herbs from January 2005 to January 2011 and divided them into different groups by using different TCM treatment methods. The curative effect and the test re- sults of blood 13 - HCG and P were collected and analyzed. Results：lSl cases were treated by using nourish kidney only and 123 of them successfully continued conceiving （ the treatment rate was 68.0% ）. 220 cases were treated by using both nourishing kid- ney and invigorating blood, 187 of them being successfully treated, accounting for 85.0%. There was statistical significance in the curative rate of the two methods（P 〈 0. 05 ）. However,there was no statistical significance of the two methods in the rate of 13 - HCG rising and the average of P （P 〉 0. 05 ）.