寿胎丸配合常规西药治疗孕早期绒毛膜下血肿先兆流产临床观察

Clinical Observation on Shoutai Pill Combined With Routine Western Medicine in the Treatment of Threatened Abortion of Subchorionic Hematoma in Early Pregnancy

目的观察寿胎丸配合常规西药治疗早期绒毛膜下血肿先兆流产患者的临床效果。方法回顾观察2019年1月—2020年1月治疗的早期绒毛膜下血肿先兆流产患者65例,根据治疗方法的差异将其分为试验组(寿胎丸+常规西药,41例)和对照组(常规西药,24例)。观察2组患者治疗前后的绒毛膜下血肿面积以及血清(β-HCG和E2)的水平,观察2组患者的住院时间、妊娠结局以及阴道的出血时间,观察2组患者的临床疗效。结果试验组患者治疗后血肿面积以及血清(β-HCG和E2)的水平改善以及住院时间,妊娠结局以及阴道的出血时间和治疗的有效率方面全部较对照组更优,差异全部具有统计学意义(P<0.05)。结论寿胎丸配合常规西药治疗孕早期绒毛膜下血肿先兆流产能够有效提高治愈率,减轻患者的病痛,改善病症以及患者的妊娠结局,改善患者的血清指标水平,缩小患者的血肿面积,减轻腹痛等都效果明显,对于早期绒毛膜下血肿先兆流产患者具有积极的使用价值。

Objective To observe the clinical effect of Shoutai pill combined with routine western Medicine on threatened abortion of subchorionic hematoma in early pregnancy.Methods From January 2019 to January 2020,65 patients with threatened abortion of early subchorionic hematoma treated were retrospectively observed in our hospital.According to the difference of treatment methods,the patients were divided into two groups:the experimental group(Shoutai pill and routine western medicine,n=41),and the control group(routine western medicine,n=24).The area of subchorionic hematoma and the serum(β-HCG and E2)levels were observed before and after treatment.The duration of hospitalization,pregnancy outcome and vaginal bleeding and the clinical effect were observed.Results In the experimental group who was treated with Shoutai pill,the hematoma area and serum(β-HCG and E2)levels,the time of hospitalization,the outcome of pregnancy,the bleeding time of vagina and the effective rate of treatment were better than those in the control group.There was statistical significance in all the differences(P<0.05).Conclusion For the treatment of threatened abortion of subchorionic hematoma in early pregnancy,Shoutai pill combined with routine western medicine can effectively improve the cure rate,alleviate the pain of the patients,improve the symptoms and pregnancy outcome of the patients,and improve the serum index level of the patients.The effect of reducing hematoma area and abdominalgia is significant for the patients with early subchorionic hematoma threatened abortion.It has positive value for the patients with threatened abortion of early subchorionic hematoma.