益黄安胎合剂辅助黄体酮治疗先兆流产的临床观察.docVIP

精品论文 参考文献 益黄安胎合剂辅助黄体酮治疗先兆流产的临床观察 （南京市妇幼保健院，南京，210004） 摘要：目的：观察用益黄安胎合剂辅助黄体酮治疗先兆流产的临床疗效。方法：选102例孕早期先兆流产需保胎病例，随机分两组，每组51例，对照组在常规治疗基础上应用黄体酮，观察组在对照组基础上加服益黄安胎合剂。以1周为一疗程，每周监测szlig;-HCG和孕酮值。孕12周左右做早期妊娠筛查B超测胎儿NT值观察胎儿发育情况。结果：观察组：48例保胎成功，3例失败；对照组：35例保胎成功，失败16例。两组疗效差异显著（Plt;0.05）。结论：益黄安胎合剂辅助黄体酮治疗先兆流产能明显提高疗效，增加保胎成功率。 关键词：益黄安胎合剂，黄体酮，先兆流产 Yi Huang mixture assisted progesterone clinical observation on treatment of threatened abortion by Yi Guangcai (maternal and child health hospital in Nanjing city, Nanjing, 210004) Abstract: Objective: Observation by Yi-Huang mixture assisted the curative effect of progesterone in the treatment of threatened miscarriage. Methods: 102 early pregnant threatened abortion need to kind of cases were randomly divided into two groups, each group of 51 cases, are kind of required absolute bed rest, prohibition of intercourse, fasting, raw food, emotional stability, timely taking progesterone capsules and VE baotai, Yi Huang took observation group based mixture. On a weekly basis for a course of weekly monitoring of szlig;-HCG and progesterone. 12W pregnancy first trimester screening fetal ultrasound measurement of fetal NT value development. Fetus as a kind of success (cure). Results: Group: 48 cases of baotai success, 3 cases; the control group: 35 kind of success, failures in 16 cases. Two groups differ significantly (Plt;0.05). Conclusion: Yi Huang tire mixture support can significantly improve the efficacy of progesterone treatment of threatened abortion, increase the kind of success rate. Key words: Yi-Huang mixture, progesterone, threatened abortion 导致先兆流产的病因很复杂，既有胚胎本身的原因也有孕妇自身的原因，有的病因能明确查出，许多病例是不明原因流产，主要按黄体功能不足治疗，但有时治疗效果并不显著，2012年初至2014年底我院采用中西医结合治疗，取得较好疗效，现将相关的分组对比研究报告如下。 1.材料和方法 1.1 病例选择 将102例妊娠先兆流产患者随机分为观察组和对照组各51例。孕妇年龄20-40岁，无合并症，临床表现符合先兆流产的诊断。 1.2 治疗方法 对照组采用常规西药治疗，黄体酮胶囊口服20 mg,2次/d,VE100 mg,口服，1次/d；观察组在常规西药治疗基础上加服益黄安胎合剂，50ml,2次/d。1周为一疗程，每周测血清szlig;-HCG值和孕酮值，szlig;-HCG值1.7—2日翻倍为显效，孕酮20—40ng/ml为正常。孕12周作早期妊娠筛查，B超检