先兆流产保胎治疗后妊娠分娩结局的临床分析

Clinical Analysis of the Outcome of Pregnancy and Delivery After the Treatment of Threatened Abortion

目的研究中西医结合治疗先兆流产保胎患者的临床价值。方法研究时间为2017年1月-2018年9月,研究对象是本院妇科接收的118例先兆流产患者,随机数字表法分成观察组(自拟中药)与对照组(西医疗法)各59例,比较两组观察指标、妊娠结局及保胎情况。结果治疗前两组孕酮及β-HCG指标无统计学意义,治疗后观察组发生不良妊娠有2例,占3.39%;对照组发生不良妊娠有3例,占5.08%,两组比较不良妊娠结局发生率差异无统计学意义;两组比较保胎情况也无统计学意义(P>0.05);治疗后观察组孕酮及β-HCG较对照组高(P<0.05)。结论先兆流产患者采用中西医结合保胎治疗能提高整体疗效及保胎成功率,为母婴生命安全提供可靠保障,具有安全性与可行性。

Objective To study the clinical value of integrated traditional Chinese and western medicine in the treatment of patients with threatened abortion.Methods The study period was from January 2017 to September 2018.The subjects of the study were 118 patients with threatened abortion accepted by the department of gynecology in our hospital.They were divided into an observation group(selfdesigned Chinese medicine)and a control group(Western medicine)with 59 cases each by a random number table.,compare the two groups of observation indicators,pregnancy outcome and fetal preservation.Results Before treatment,the two groups of progesterone andβ-HCG indicators were not statistically significant.After treatment,there were 2 cases of bad pregnancy in the observation group,accounting for 3.39%;the control group had 3 cases of bad pregnancy,accounting for 5.08%,and the two groups were compared with bad pregnancy.There was no statistically significant difference in the incidence of outcomes;there was no statistically significant difference in the fetal preservation between the two groups(P>0.05);the progesterone andβ-HCG in the observation group after treatment were higher than those in the control group(P<0.05).Conclusion The use of integrated traditional Chinese and western medicine for fetal protection in patients with threatened abortion can improve the overall curative effect and success rate of fetal protection,and provide a reliable guarantee for the safety of mothers and infants.It is safe and feasible.