中西医结合治疗与护理干预早期先兆流产临床研究

Clinical Study of Chinese and Western Medicine Treatment and Nursing Intervention for Early Threatened Abortion

目的:观察中西医结合治疗与护理干预早期先兆流产肾气亏虚证患者的临床效果。方法:将107例早期先兆流产肾气亏虚证患者根据不同的护理措施分为对照组48例和观察组59例。2组均给予地屈孕酮片、黄体酮注射液、寿胎丸加味连续治疗14天,并予常规护理措施,观察组联合生活起居、饮食护理、情志护理及中药贴敷神阙穴等中医护理措施。每天记录阴道流血情况,记录阴道出血停止时间、腹痛缓解时间和腰痛缓解时间,治疗前后评定阴道出血时间、出血量、小腹疼痛或坠痛、腰酸胀痛评分,检测血清人绒毛膜促性腺激素(β-HCG)、孕酮(P)、雌二醇(E2)水平,B超检查胚胎发育情况和子宫大小,比较2组的疗效。结果:观察组临床疗效优于对照组(P <0.05)。观察组阴道出血停止时间、腹痛缓解时间和腰痛缓解时间均较对照组缩短(P <0.05)。观察组阴道出血时间、出血量、小腹疼痛或坠痛、腰酸胀痛评分均低于对照组(P <0.01)。结论:在常规西药联合寿胎丸加味治疗早期先兆流产患者的基础上加予常规护理联合中医护理措施,可起到缩短病程、改善症状、提高保胎成功率的效果。

Objective: To observe the clinical effect of Chinese and western medicine treatment and nursing intervention for early threatened abortion in patients with kidney qi deficiency syndrome. Methods: Divided 107 cases of patients with kidney qi deficiency syndrome into the control group(48 cases) and the observation group(59 cases) according to different nursing measures. Both groups were treated with dydrogesterone tablets, progesterone injection, and modified Shoutai pills continuously for 14 days and given routine nursing measures. The observation group was given such combined Chinese medicine nursing measures as daily life,diet nursing, emotional nursing and acupoint application of Chinese herbs at Shenque acupoint. Recorded vaginal bleeding every day, stopping time of vaginal bleeding and relief time of abdominal pain and low back pain,evaluated the scores of vaginal bleeding time, bleeding volume, lower abdominal pain or bearing-down pain and soreness and distention pain of low back before and after treatment, and detected the levels of serum human chorionic gonadotropin(β-HCG),progesterone(P) and estradiol(E2). Applied B-ultrasound to check embryonic development and uterine size, and compared the curative effect in the two groups. Results: The clinical effect in the observation group was better than that in the control group(P< 0.05). The stopping time of vaginal bleeding and the relief time of abdominal pain and low back pain in the observation group were shorter than those in the control group(P < 0.05). The scores of vaginal bleeding time, bleeding volume,lower abdominal pain or bearing-down pain and soreness and distention pain of low back and back pain in the observation group were all lower than those in the control group(P < 0.01). Conclusion: Based on the routine western medicine combined with modified Shoutai pills for patients with early threatened abortion, the application of routine nursing combined with Chinese medicine nursing measures has significant effect in shortening the course of disease,improving symptoms and promoting the success rate of the fetus protection.