补中益气汤改善胎盘前置状态临床观察

Clinical Observation of Buzhong Yiqi Tang Improving Placenta Previa

目的:观察补中益气汤改善胎盘前置状态临床疗效。方法:以孕中期B超确诊为胎盘前置状态的孕妇120例为研究对象,将其随机分为2组各60例。治疗组予补中益气汤口服。对照组不予中药治疗。2组孕妇若出现阴道流血均可加西药如硫酸镁、利托君等治疗。结果:2组孕妇孕中晚期阴道流血发生率及西药治疗率方面比较,差异均无统计学意义(P>0.05),但治疗组产后出血率及剖宫产率均较对照组低,差异均有统计学意义(P<0.05)。2组胎盘位置变化情况总有效率治疗组91.7%,对照组66.7%,差异有统计学意义(P<0.05)。结论:补中益气汤能有效地减少胎盘前置的发生率。

Objective：To observe the clinical effect of Buzhong Yiqi tang improving placenta previa. Methods：Selected120 cases of women in middle-pregnancy diagnosed with placenta previa by B-ultrasound as study objects, and divided them into two groups randomly,60 cases in each group. The treatment group received Buzhong Yiqi tang orally,while the control group didn＇t received any Chinese medicine for treatment. Western medicine such as magnesium sulfate and ritodrine could be added to the treatment in the event of vaginal bleeding. Results ：Compared the incidence of vaginal bleeding of women in middle and late pregnancy and the treatment rate of western medicine in both groups,there being no significance in differences（P〈0.05）. The rate of postpartum bleeding and cesarean section rate in the treatment group were both lower than those in the control group,differences being significant（P〈0.05）. In terms of changes of the location of placenta,the total effective rate was 91.7% in the treatment group and 66.7% in the control group,the difference being significant（P〈0.05）. Conclusion：The therapy of Buzhong Yiqi tang can reduce the incidence of placenta previa.