中医补肾安胎法治疗胎动不安(先兆流产)疗效观察

Observation on the Curative Effect of TCM Bushen Antai Method in Treating Fetal Restlessness(Precursor Abortion)

目的深入探究中医补肾安胎法在治疗胎动不安(先兆流产)中的临床疗效。方法择取过去二年(2016.1-2018.1)于我院妇产科接受住院治疗的100名胎动不安女性进行回顾分析,按照动态随机划分法及对每位孕妇所实施治疗方案的不同将上述人员分为单纯使用黄体酮肌注治疗的参照组和中医补肾安胎法联合黄体酮肌注治疗的实验组。对比不同治疗方案对胎动不安女性的疗效差异。结果实施中医补肾安胎法的实验组临床总有效率达96.0%,远远高于参照组的76.0%,(P<0.05)。同时,在治疗后实验组胎动不安孕妇血清绒毛促性腺激素(HCG)水平及临床症状消失时间等指标均明显优于参照组,(P<0.05),统计学意义显著。结论中医补肾安胎法在治疗胎动不安(先兆流产)中临床效果显著,值得推广。

Objective To explore the clinical effcacy of TCM tonifying kidney and fetus in the treatment of fetal dysphoria （precursor abortion）. Methods A retrospective analysis of 144 fetuses who were hospitalized in the obstetrics and gynaecology department of our hospital in the past year （2017.7-2018.6） was conducted. The above-mentioned personnel were selected according to the dynamic randomization method and the treatment plan for each pregnant woman. The experimental group was divided into a reference group using only progesterone capsules and a Chinese medicine Bushen Antai Decoction combined with progesterone capsules. Compare the differences in the effcacy of different treatment regimens for women with fetal movement. Results The total effective rate of the experimental group with TCM tonifying kidney and fetus was 91.67%, which was much higher than 72.22% of the reference group, P〈0.05. At the same time, the serum levels of gonadotropin （HCG） and the disappearance time of clinical symptoms in the experimental group were signifcantly better than those in the reference group, P〈0.05, statistically signifcant. Conclusion The traditional Chinese medicine kidney-reinforcing method has a signifcant clinical effect in the treatment of fetal dysphoria （aura of abortion） and is worthy of promotion.