中西医结合治疗肾虚型妊娠早期先兆流产临床观察
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R714.21

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ClinicalObservation ofIntegrated Chineseand Western MedicineTherapyfor Threatened Abortion of Kidney Deficiency Type During Early Pregnancy
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    摘要:

    目的:观察中西医结合治疗肾虚型妊娠早期先兆流产的临床疗效。方法:选取110例肾虚型妊娠早期先兆流产患者为研究对象,随机分为对照组和研究组,每组55例。对照组采用常规西药治疗,研究组在对照组治疗基础上加用中药汤剂口服。治疗后观察2组临床症状的改善情况,及血管内皮生长因子(VEGF)、孕酮(P)、血人绒毛膜促性腺激素(β-HCG)、雌二醇(E2)、CD4+、CD8+、NK细胞、总T细胞的变化。结果:对照组痊愈率41.82%,总有效率78.18%;研究组痊愈率61.82%,总有效率96.36%。2组痊愈率及总有效率比较,差异均有统计学意义(P<0.05)。治疗后,2组阴道流血、小腹坠痛、腰酸胀痛、两膝酸软、头晕耳鸣、夜尿频多积分均较治疗前降低(P<0.05);研究组6项临床症状积分均低于对照组(P<0.05)。治疗后,2组VEGF、P、β-HCG、E2水平均较治疗前上升(P<0.05),研究组以上4项指标水平均高于对照组(P<0.05)。治疗后,2组CD4+水平均较治疗前降低(P<0.05),CD8+、NK细胞及总T细胞水平均较治疗前提升(P<0.05);研究组CD4+水平低于对照组(P<0.05),CD8+、NK细胞及总T细胞水平均高于对照组(P<0.05)。结论:中西医结合治疗肾虚型妊娠早期先兆流产疗效显著,能有效改善患者的临床症状,提高免疫力。

    Abstract:

    Objectives: To observe the clinical effect of integrated Chinese and western medicine therapy for threatened abortion of kidney deficiency type during early pregnancy.Methods:Selected 110 cases of patients with threatened abortion of kidney deficiency type during early pregnancy as study subjects,and divided them randomly into the the control group and the study group,55 cases in each group.The control group received routine western medicine for treatment,while the study group was additionally given oral Chinese medicine decoction based on the treatment of the control group.After treatment,observed the improvement of clinical symptoms in the two groups and changes of vascular endothelial growth factor(VEGF),serum progesterone(P),human chorionic gonadotropin(β-HCG),estradiol(E2),CD4+cells,CD8+cells,natural killer(NK)cells and total T cells.Results:In the control group,the cure rate was 41.82%and the total effective rate was 78.18%.In the study group,the cure rate was 61.82%and the total effective rate was 96.36%.The comparisons of the cure rate and the total effective rate between the two groups showed significance in differences(P < 0.05).After treatment,scores of vaginal bleeding,bearing-down pain of lower abdomen,soreness and distending pain of loins,soreness and weakness of knees,dizziness and tinnitus as well as frequent and much urination at night in the two groups were decreased when compared with those before treatment(P<0.05).These six scores of clinical symptoms in the study group were lower than those in the control group(P < 0.05).After treatment, levels of VEGF, P, β-HCG and E2in the two groups were increased when compared with those before treatment(P<0.05).Levels of these four indexes in the study group were higher than those in the control group(P < 0.05).After treatment,levels of CD4+were decreased in the two groups when compared with those before treatment(P < 0.05),CD8+,NK cells and total T cells in the two groups were increased when compared with those before treatment(P < 0.05).Levels of CD8+,NK cells and total T cells in the study group were higher than those in the control group(P<0.05).Conclusion:Integrated Chinese and western medicine therapy has a significant effect in treating threatened abortion of kidney deficiency type during early pregnancy,which can effectively improve the clinical symptoms of patients and improve the immunologic function.

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周静,陈萍.中西医结合治疗肾虚型妊娠早期先兆流产临床观察[J].新中医,2018,50(4):117-120

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  • 在线发布日期: 2018-04-10
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