补肾凉血方联合黄体酮注射液对先兆流产患者妊娠激素水平及妊娠结局的影响
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R714.21

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Effect of Bushen Liangxue Prescription Combined with Progesterone Injection on Pregnant Hormone Levels and Pregnancy Outcomes of Patients with Threatened Abortion
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    摘要:

    目的:观察补肾凉血方联合黄体酮注射液对先兆流产患者妊娠激素水平及妊娠结局的影响。方法:选取89 例先兆流产患者,按随机数字表法分为观察组45 例及对照组44 例,对照组采用肌肉注射黄体酮注射液,观察组在对照组基础上采用补肾凉血方治疗。2 组均治疗2 周。比较2 组临床疗效,比较2 组治疗前后妊娠激素水平[雌二醇(E2)、人绒毛膜促性腺激素(β-HCG)、孕酮(P)]、子宫动脉血流动力学[子宫螺旋动脉阻力指数(RI)、舒张期末流速(EDV)、收缩期峰值血流(PSV)]、妊娠结局的变化。结果:观察组临床疗效总有效率为93.33%,对照组为77.27%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组E2、β-HCG、P 水平均较治疗前升高,观察组上述3 项水平均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组RI 均较治疗前降低,EDV、PSV 指标值均较治疗前升高,差异均有统计学意义(P<0.05);治疗后,观察组RI 低于对照组,EDV、PSV 指标值均高于对照组,差异均有统计学意义(P<0.05)。观察组流产发生率为4.44%,对照组为20.45%,2 组比较,差异有统计学意义(P<0.05);足月妊娠发生率为88.89%,对照组为70.45%,2 组比较,差异有统计学意义(P<0.05)。结论:补肾凉血方联合黄体酮注射液治疗先兆流产的临床疗效确切,能有效调节妊娠激素水平,改善子宫动脉血流动力学,减少流产发生率,提高足月妊娠率。

    Abstract:

    Abstract: Objective: To observe the effect of Bushen Liangxue prescription combined with progesterone injection on pregnant hormone levels and pregnancy outcomes of patients with threatened abortion. Methods:A total of 89 cases of patients with threatened abortion were selected and divided into the observation group and the control group according to the random number table method,with 44 cases in each group. The control group was given intramuscular injection with progesterone injection, and the observation group was additionally treated with Bushen Liangxue prescription based on the treatment of the control group. Both groups were treated for two weeks. The clinical effects in the two groups were compared; the changes in the levels of pregnant hormones including estradiol(E2), human chorionic gonadotropin(β- HCG) and progesterone(P), uterine artery hemodynamics including resistance index(RI), end diastolic velocity(EDV) and peak systolic velocity(PSV) in uterine spiral artery as well as pregnancy outcomes before and after treatment in the two groups were compared. Results:The total effective rate was 93.33% in the observation group and 77.27% in the control group,the difference being significant(P< 0.05). After treatment,the levels of E2,β-HCG and P in the two groups were increased when compared with those before treatment,and the above three levels in the observation group were higher than those in the control group, differences being significant(P<0.05). After treatment, the values of RI in the two groups were decreased when compared with those before treatment,and the values of EDV and PSV were increased,differences being significant(P<0.05). After treatment,RI in the observation group was lower than that in the control group,and the values of EDV and PSV were higher,differences being significant (P<0.05). The incidence of abortion was 4.44% in the observation group and 20.45% in the control group, the difference being significant(P<0.05). The incidence of full- term pregnancy was 88.89% in the observation group and 70.45% in the control group,the difference being significant(P<0.05). Conclusion: The therapy of Bushen Liangxue prescription combined with progesterone injection has a definite clinical effect in the treatment of threatened abortion, which can effectively regulate the levels of pregnant hormones in patients, improve uterine artery hemodynamics, reduce the incidence of abortion and increase the rate of full-term pregnancy.

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叶垚敏,叶咏菊.补肾凉血方联合黄体酮注射液对先兆流产患者妊娠激素水平及妊娠结局的影响[J].新中医,2022,54(17):143-147

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  • 在线发布日期: 2022-09-06
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