补肾凉血安胎法治疗肾虚血热型先兆流产合并官腔积液临床研究

目的:研究补肾凉血安胎法治疗肾虚血热型先兆流产合并宫腔积液的效果。方法:选择肾虚血热型先兆流产合并宫腔积液患者160例,按随机数字表法分为对照组和观察组各80例。对照组给予黄体酮联合酚磺乙胺治疗,观察组采用补肾凉血安胎法治疗,连续治疗2周。观察2组临床疗效,比较2组孕酮(P)、雌二醇(E2)、人绒毛膜促性腺激素(HCG),以及中医症候评分。结果:观察组总有效率为85.00%,高于对照组70.00%(P<0.05)。治疗前,2组P、HCG、E2水平比较,差异无统计学意义(P>0.05)。治疗后,2组P、HCG、E2水平较治疗前升高(P<0.05),且观察组P、HCG、E2水平高于对照组(P<0.05)。治疗前,2组各项中医症状评分比较,差异无统计学意义(P>0.05)。治疗后,2组各项中医症状评分较治疗前降低(P<0.05),且观察组各项中医症状评分低于对照组(P<0.05)。结论:采用补肾凉血安胎汤治疗肾虚血热型先兆流产合并宫腔积液患者,不仅能改善患者血液指标,有利于保胎,还能促进宫腔积液的吸收,效果显著,值得临床应用。

Clinical Study on Bushen Liangxue Antai Method for Threatened Abortion of Kidney Deficiency and Blood Heat Type Complicated with Endometrial Cavity Fluid

Objective:To study the effect of Bushen Liangxue Antai method on threatened abortion of kidney deficiency and blood heat type complicated with endometrial cavity fluid. Methods: A total of 160 cases of patients with threatened abortion of kidney deficiency and blood heat type complicated with endometrial cavity fluid were divided into the control group and the observation group according to the random number table method,80 cases in each group. The control group was treated with progesterone and etamsylate,and the observation group was treated with Bushen Liangxue Antai method. Both groups were treated for two weeks. The clinical effect in the two groups was observed. The progesterone(P),estradiol(E2),human chorionic gonadotropin(HCG) and Chinese medicine symptom scores in the two groups were compared. Results:The total effective rate was 85.00% in the observation group,higher than that of 70.00% in the control group(P<0.05). Before treatment,compared the levels of P,HCG,and E2 in the two groups,there was no significance in the difference(P>0.05).After treatment, the levels of P, HCG, and E2 in the two 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).Before treatment, there was no significant difference being found in the comparison of each Chinese medicine symptom score in the two groups(P>0.05). After treatment,the Chinese medicine symptom scores in the two groups were decreased when compared with those before treatment(P<0.05),and each score in the observation group was lower than those in the control group respectively(P<0.05). Conclusion:In the treatment of threatened abortion of kidney deficiency and blood heat type complicated with endometrial cavity fluid,Bushen Liangxue Antai method can not only improve blood indexes and help to protect fetus,but also promote absorption of fluid in endometrial cavity,with significant curative effect,which is worthy of clinical application.