寿胎丸加味方联合西药治疗IVF妊娠早期先兆流产合并绒毛膜下血肿临床观察.pdf

积/孕囊面积比较、中医肾虚证候积分比较，有极显著性差异（P ﹤0.01 ）。A 组与 B 组停经 56 天血清 β-hCG、E 、P 水平比较，无显著性差异（P ﹥0.05 ）。 2 结论 1.IVF 妊娠早期先兆流产合并 SCH 与患者年龄、孕龄、阴道流血起始时间、阴道 流血持续时间、SCH 面积/孕囊面积、停经42 天血清E 、P 水平及停经56 天血清β-hCG、 2 E2 、P 水平有关。 2.寿胎丸加味方联合西药能够有效改善 IVF 妊娠早期先兆流产合并 SCH 患者的 肾虚症状、SCH 面积、SCH 面积/孕囊面积。并对 20-30 岁年龄段患者的 SCH 面积、 SCH 面积/孕囊面积及中医肾虚证候积分的疗效更佳。 关键词 IVF ；早期先兆流产；绒毛膜下血肿；寿胎丸 Clinical observation of combined therapy using modified Shou Tai Wan and western medicine for treating early threatened abortion with sub-chorionic haematoma in in vitro fertilisation pregnancy. Specialty：Gynecology of Traditional Chinese Medical Author ：ONG Yu Pey Tutor：Associate Prof ．ZHANG Jian-wei Abstract Purpose: To analyse relevant factors which affect early threatened abortion (ETA) with sub-chorionic haematoma (SCH) in early in vitro fertilisation-embryo transfer (IVF) pregnancy, and to observe the clinical efficacy of combined therapy using modified Shou Tai Wan and western medicine in treating it. Method First Part: To collect data of 60 hospitalised and outpatient samples which are diagnosed with ETA with SCH at the Department of Gynaecology, Shandong University of Traditional Chinese Medicine Affiliated Hospital between January 2010 and February 2012. Amongst them, 30 samples are categorised as IVF group; the other 30 are non-IVF group. These samples are then analysed and compared for the patients’s ages, their gestational ages, the total number of natural miscarriages, the onset timing of vaginal bleedings, the duration of vaginal bleedings, the SCH area, the proportion of SCH area and gestational sac area, and the blood serum level of β-Human c