中医食疗联合心理干预可改善妊娠结局

Dietary Therapy of Traditional Chinese Medicine Combined with Psychological Intervention Could Improve Pregnancy Outcome

本研究选择柳州市人民医院及广西科技大学第二附属医院2015年1月至2016年3月期间治疗的反复流产病例90例。采用随机分组方法,分为对照Ⅰ组、对照Ⅱ组、治疗组。对照Ⅰ组实施淋巴细胞主动免疫治疗,对照Ⅱ组在对照Ⅰ组的基础上实施心理干预,治疗组在对照Ⅰ组的基础上实施中医食疗联合心理干预。对各组患者妊娠结局及不良情绪改善情况进行评估。结果表明三组有效率差异显著(83.3%(25/30)vs 90.0%(27/30)vs 100.0%(30/30),χ~2=5.210,p<0.05);治疗后,各组患者BA抗体阳性率差异显著(63.3%(19/30)vs 73.3%(22/30)vs 86.7%(26/30),χ~2=4.320,p<0.05),正常分娩例数差异显著(17 vs 20 vs25,χ~2=5.081,p<0.05),对照I组SAS评分、SDS评分显著低于对照Ⅱ组(p<0.05)和治疗组(p<0.05),治疗组SAS评分、SDS评分显著低于对照Ⅱ组(p<0.05)。本研究认为中医食疗联合心理干预可显著缓解反复流产患者不良情绪,改善妊娠结局,具有较高的临床应用价值。

90 patients with unexplained recurrent spontaneous abortion （URSA） treated in Liuzhou People＇s Hospital and the Second Accessory Hospital of Guangxi University of Science and Technology from January 2015 to March 2016 were selected as the study object. They were randomly divided into control group Ⅰ, control group Ⅱ and treatment group. Control group Ⅰ received lymphocyte immune therapy, control group Ⅱ received psychological intervention based on control group Ⅰ , and the treatment group received dietary therapy of traditional Chinese medicine combined with psychological intervention based on control group Ⅰ . Pregnancy outcome and improvement of adverse mood in three groups were evaluated. The results showed that the differences of effective rate among three groups were significant （83.3% （25/30） vs 90.0% （27/30） vs 100.0% （30/30）, x^2=5.210, p 〈0.05）. After treatment, the difference of positive rate of BA antibody among three groups was significant （63.3% （19/30） vs73.3% （22/30） vs 86.7% （26/30）, x^2=4.320, p 〈0.05）, and the difference of normal delivery rate amongthree groups was significant （17 vs 20 vs 25, x^2=5.081, p〈0.05）. After treatment, the SAS score in the control group I was significantly lower than that in the control group Ⅱ （p 〈0.05） and treatment group （p〈0.05）, and the SAS score and SDS score in treatment group were significantly lower than that in the control groupⅡ （p〈0.05）. The results of this study suggested that dietary therapy of traditional chinese medicine combined with psychological intervention could significantly relieve the adverse mood of recurrent abortion patients, improve pregnancy outcome, and had high clinical value.