中医补肾疗法结合西药治疗肾虚型早期先兆流产的前瞻性探究.pdfVIP

提 要 目的：总结中医补肾疗法结合西药治疗肾虚型早期先兆流产的经验和临床疗效。 方法：对符合纳入标准的109例住院患者的年龄、孕周、流产次数、住院天数、治疗 过程等进行前瞻性分析，观察治疗前后中医证候的改善情况，观察B超、血清绒毛膜 促性腺激素（ß-HCG）及孕酮（P）的变化。结果：109 例患者出院时治愈 76 例，好 转 20 例，无效 13 例。随访到其中 75 例患者，有 2 例患者至孕中期时流产，1 例患 者因担心间断流血时间较长会影响胎儿健康，与家人商量后选择引产，其余均顺利分 娩。患者的ß-HCG及P水平，治疗后较治疗前有明显改善。结论：中医补肾疗法结合 西药治疗肾虚型早期先兆流产疗效确切，使患者的临床症状和体征得到有效的改善， 且服药安全，不失为临床治疗的有效途径之一。 关键词 中医补肾疗法；西药；肾虚；早期先兆流产；前瞻性研究 Prospective Study on Kidney Deficiency of Early Threatened Abortion by Bushen Therapy with Western Medicine Speciality：Gynecology of Traditional Chinese Medicine Graduate：Wan Li Tutor：Prof. Wang Dongmei Abstract Objective： Conclude the experience and clinical efficacy on treatment kidney deficiency of early threatened abortion from Bushen therapy of Traditional Medicine combined western medicine. Methods ：Prospectively analyze the ages, weeks of pregnant, the miscarriage number of times, the number of days hospitalized, and the treatment process, etc. of the 109 inpatients who measure up to the standards, observe the improvements before and after the treatment on the syndrome and the changes of B-ultrasonic, serum human chorionic gonadotropin (ß-HCG) and progesterone (P). Results ：76 patients are cured in 109cases, and 20 cases are improved. 13 cases are of no effect. From 75 random samples, 2 patients aborted during the second trimester, one case of patients with intermittent bleeding for fear that it will affect fetal health, chose abort after consulting with her family, and the rest are smoothly delivered. Patients’ ß-HCG and P levels are improved significantly after treatment than before. Conclusion：The effect of treatment on kidney deficiency of early threate