补肾保胎助孕汤治疗肾虚型胎漏和胎动不安的临床效果观察
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摘要
目的:探究肾虚型胎漏和胎动不安进行补肾保胎助孕汤治疗的临床效果。方法:临床选择2016年4月-2018年2月在笔者所在医院住院的肾虚型胎漏和胎动不安患者74例,按随机数字表法分为对照组(n=25)和观察组(n=23)、对照2组(n=26),全部患者均进行黄体酮治疗,对照2组单用黄体酮治疗,观察组在其基础上应用补肾保胎助孕汤治疗,对照组在其基础上进行滋肾育胎丸治疗。三组均治疗2周,比较三组的临床效果,以及治疗前后的血清孕酮(P)水平和血清性激素β-hCG水平。结果:观察组的临床总有效率为78.2%,明显高于对照组的48.0%、对照2组的46.2%(P<0.05)。治疗前三组的P、β-hCG水平比较,差异无统计学意义(P>0.05);治疗后观察组各指标水平均优于对照组、对照2组,差异有统计学意义(P<0.01)。结论:肾虚型胎漏和胎动不安进行补肾保胎助孕汤治疗,临床效果确切,值得临床推广。
Objective:To explore the effect of Bushen Baotai Zhuyun Decoction in kidney-deficiency vaginal bleeding and threatened abortion.Method:A total of 74 patients with kidney-deficiency vaginal bleeding and threatened abortion of taking the progesterone from April 2016 to February 2018 in our hospital were selected.According to the randomized controlled method,the subjects were assigned to control group(25 cases),observation group(23 cases) and control group 2(26 cases).All patients were treated with progesterone,the control group 2 was treated with progesterone alone.On this basis,the observation group took the Bushen Baotai Zhuyun Decoction;the control group took the Zishen Yutai Pills.The therapeutic effect after 2 weeks of treatment,and progesterone(P) and β-human chorionic gonadotropin(β-hCG) levels before and after treatment were compared.Result:The clinical effective rate in the observation group was 78.2%,higher than 48.0% in the control group and 46.2% in the control group 2 respectively,the differences were statistically significant(P<0.05).There were no significant differences in P and β-hCG levels among the three groups before treatment(P>0.05);after treatment,the levels of each index in the observation group were better than those in the control group and the control group 2 respectively,the differences were statistically significant(P<0.01).Conclusion:The Bushen Baotai Zhuyun Decoction has an obvious effect in kidney-deficiency vaginal bleeding and threatened abortion.It is worthy of clinical promotion.
Objective:To explore the effect of Bushen Baotai Zhuyun Decoction in kidney-deficiency vaginal bleeding and threatened abortion.Method:A total of 74 patients with kidney-deficiency vaginal bleeding and threatened abortion of taking the progesterone from April 2016 to February 2018 in our hospital were selected.According to the randomized controlled method,the subjects were assigned to control group(25 cases),observation group(23 cases) and control group 2(26 cases).All patients were treated with progesterone,the control group 2 was treated with progesterone alone.On this basis,the observation group took the Bushen Baotai Zhuyun Decoction;the control group took the Zishen Yutai Pills.The therapeutic effect after 2 weeks of treatment,and progesterone(P) and β-human chorionic gonadotropin(β-hCG) levels before and after treatment were compared.Result:The clinical effective rate in the observation group was 78.2%,higher than 48.0% in the control group and 46.2% in the control group 2 respectively,the differences were statistically significant(P<0.05).There were no significant differences in P and β-hCG levels among the three groups before treatment(P>0.05);after treatment,the levels of each index in the observation group were better than those in the control group and the control group 2 respectively,the differences were statistically significant(P<0.01).Conclusion:The Bushen Baotai Zhuyun Decoction has an obvious effect in kidney-deficiency vaginal bleeding and threatened abortion.It is worthy of clinical promotion.
引文
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[10]姜丽娟,张良英.国家级名医张良英教授诊治妇科疾病学术经验(六)--先兆流产[J].中国中医药现代远程教育,2014,32(24):170-171.
[11]Baba H,Kakuta R,Tomita H,et,al.The first case report of septic abortion resulting fromβ-lactamase-negative ampicillin-resistant nontypeable Haemophilus influenzae infection[J].JMM Case Rep,2017,4(10):123.
[12]孟昱琼,翟婷婷.补肾保胎助孕汤治疗肾虚型胎漏、胎动不安探析[J].内蒙古中医药,2016,35(9):66.
[2]孟昱琼,高冰.补肾保胎助孕汤对肾虚型胎漏及胎动不安患者CA125、内分泌激素及妊娠结局的影响[J].中成药,2018,40(6):1440-1443.
[3]赵青.寿胎丸加减治疗胎漏胎动不安50例疗效观察[J].中国民族民间医药,2013,39(10):193-194.
[4]廖朝青.50例胎儿安冲汤治疗胎漏、胎动不安的效果分析[J].中国当代医药,2016,6(18):228-229.
[5]宋艳玲,王东梅.寿胎丸加味治疗胎漏、胎动不安的临床体会[J].中国民族民间医药,2017,43(1):112-114.
[6]李玉嫦,曾蕾,李永红,等.岭南罗氏妇科肾虚血瘀型胎漏、胎动不安的治疗经验探析[J].中国民族民间医药,2016,42(21):181-183.
[7]关淑珍,尹金磊,宗静娟.保孕汤治疗胎漏、胎动不安的临床疗效及方药解析[J].中国现代药物应用,2014,23(23):173-174.
[8]黎娅.寿胎丸合补中益气汤加减治疗胎动不安临床疗效观察[J].中国保健营养,2017,27(22):199-200.
[9]王娇,刘卉.菟丝子在妇科疾病中的典型应用[J].中国中医药现代远程教育,2017,35(13):99-100.
[10]姜丽娟,张良英.国家级名医张良英教授诊治妇科疾病学术经验(六)--先兆流产[J].中国中医药现代远程教育,2014,32(24):170-171.
[11]Baba H,Kakuta R,Tomita H,et,al.The first case report of septic abortion resulting fromβ-lactamase-negative ampicillin-resistant nontypeable Haemophilus influenzae infection[J].JMM Case Rep,2017,4(10):123.
[12]孟昱琼,翟婷婷.补肾保胎助孕汤治疗肾虚型胎漏、胎动不安探析[J].内蒙古中医药,2016,35(9):66.