导师付金荣教授治疗复发性流产的思路和经验

Professor Fu Jinrong’s Ideas and Experience for Treating Recurrent Spontaneous Abortion

复发性流产是妇科常见病和疑难病,自然流产的发病率为13%~17%,2次自然流产后,流产的复发风险为第一次的3倍。本病病因复杂,治疗棘手,不仅损害妇女身心健康,还可能导致一系列家庭甚至社会问题,因此探索一种有效的诊治思路具有积极的临床意义和社会意义。中医药保胎历史悠久,在临床治疗中具有独特的优越性,导师付金荣教授认为复发性流产的基本病机为肾虚、湿瘀交阻。孕前审因调治,以补肾活血,清热化湿为治疗原则,孕后未病先防及时保胎,以当归芍药散加减,临床取得较好疗效。

Recurrent spontaneous abortion is a common gynecological disease with complicated causes and difficult treatment. The incidence of spontaneous abortion is 13% to 17%. After 2 spontaneous abortions, the risk of recurrence of abortion is 3 times that of the first time. It not only damages women’s physical and mental health, but also may lead to a series of family and even social problems. Therefore, exploring an effective diagnosis and treatment has positive clinical and social significance. Traditional Chinese medicine has a long history of miscarriage and has unique advantages in clinical treatment. Professor Fu Jinrong includes that the basic pathogenesis of recurrent spontaneous abortion is kidney deficiency, wet phlegm and blood stasis, to strengthen the kidney and promote blood circulation, clearing heat and dampness as the principle of treatment, pre-pregnancy treat for the cause, timely treat after pregnancy, and received better treatment results.