胶艾汤加味联合地屈孕酮治疗寒凝血瘀型胎动不安临床研究
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R271.41

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Keywords: Fetal restless; Cold congealing and blood stasis type; Jiao'ai tang; Dydrogesterone; Chinese medicine syndrome;Hormone;Pregnancy outcome


Clinical Study on Modified Jiao'Ai Tang Combined with Dydrogesterone for Fetal Restless of Cold Congealing and Blood Stasis Type
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    摘要:

    目的:观察胶艾汤加味联合地屈孕酮治疗寒凝血瘀型胎动不安的临床疗效及对患者激素水平的影响。方法:选取80 例寒凝血瘀型胎动不安患者,随机分为对照组与观察组,每组40 例。对照组给予地屈孕酮治疗,观察组在对照组基础上给予胶艾汤加味治疗,2 组均治疗3 周。比较2 组临床疗效及治疗前后中医证候积分,血清孕酮(P)、雌二醇(E2)、β-人绒毛膜促性腺激素(β-HCG) 水平,记录2 组不良妊娠结局。结果:观察组总有效率为95.00%,高于对照组的80.00%(P<0.05)。治疗后,2 组中医证候积分均较治疗前降低(P<0.05),观察组中医证候积分低于对照组(P<0.05)。治疗后,2 组血清P、E2、β-HCG水平均较治疗前升高(P<0.05),观察组血清P、E2、β-HCG 水平均高于对照组(P<0.05)。观察组不良妊娠结局发生率为15.00%,低于对照组的35.00%(P<0.05)。结论:胶艾汤加味联合地屈孕酮治疗寒凝血瘀型胎动不安,可有效缓解患者的临床症状,调节其激素水平,改善妊娠结局。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of Jiao'ai tang combined with dydrogesterone on the treatment of fetal restless of cold congealing and blood stasis type and its influence on the hormone level of patients. Methods:A total of 80 cases with fetal restless of cold congealing and blood stasis type were selected and divided into the observation group and the control group randomly, with 40 cases in each group. The control group was treated with dydrogesterone,and the observation group was additionally treated with Jiao'ai tang on the basis of the control group. Both groups were treated for three weeks. The clinical effect and the Chinese medicine syndrome score, levels of serum progesterone(P), estradiol(E2) and β- human chorionic gonadotropin(β- HCG) before and after treatment between the two groups were compared. Adverse pregnancy nodules were recorded in the two groups. Results:The total effective rate was 95.00% in the observation group, higher than that of 80.00% in the control group(P<0.05). After treatment, the Chinese medicine syndrome scores in both groups were decreased when compared with those before treatment(P<0.05),and the Chinese medicine syndrome score in the observation group was lower than that in the control group(P<0.05). After treatment, The levels of serum P, E2 and β- HCG in both groups were increased when compared with those before treatment(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05). The incidence of adverse pregnancy outcome in the observation group was 15.00% , lower than that of 35.00% in the control group(P<0.05). Conclusion: The therapy of Jiao'ai tang combined with dydrogesterone can effectively relieve the clinical symptoms of patients with fetal restless of cold congealing and blood stasis type and improve the pregnancy outcome.

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陈祥艳,马大正,孙云,陈湘宜,林超,高楚楚,卢亦彬.胶艾汤加味联合地屈孕酮治疗寒凝血瘀型胎动不安临床研究[J].新中医,2021,53(22):14-17

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  • 在线发布日期: 2021-11-26
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