子痫121例分析及探讨

北京妇产医院子痫的发病率由1960～1965年的0.12％,降至1981～1982年的0.07％(P<0.01),同时期产妇死亡率由4.2％降至0,围产儿死亡率由16.2％降至0。治疗方法从1981年的定时给强镇静剂,改为静滴大量硫酸镁和血浆扩容,并不失时机的选用剖腹产终止妊娠。剖腹产使用率1981～1982年达50％。 讨论了子痫的预防、治疗和剖腹产的应用。     

Effect of Yangxue Antai Granule (养血安胎冲剂) in Prevention and Treatment of Abortion and Short Life T-Suppressor Cell

Ｔｈｅｍｏｒｂｉｄｉｔｙｏｆｈａｂｉｔｕａｌａｂｏｒｔｉｏｎ（ＨＡ），ｏｎｅｏｆｔｈｅｃｏｍｍｏｎｄｉｓｅａｓｅｓｏｆｇｙｎｅｃｏｌ ｏｇｙａｎｄｏｂｓｔｅｔｒｉｃｓ，ｉｓａｂｏｕｔ 1 % （1）．Ｔｈｅｉｎｃｉ ｄｅｎｃｅｗｉｌｌｒｉｓｅｕｐｔｏ 2 5%ｔｏ 4 6     

先兆子痫和子痫对围产儿的影响

337例先兆子痫和子痫的346名围产儿的早产率、新生儿病率和死亡率都比对照组高。胎龄小、低体重儿及患者病情重、病程长及有合并症者围产儿死亡率高。主要死因为缺氧。30.3%为不可避免的死亡。循序的产前检查及早期诊断和治疗可降低病率。恰当地掌握中止妊娠的时间及改进和提高医护水平和设施可降低新生儿病率和围产死亡率。     

养血安胎冲剂防治习惯性流产及对短寿命抑制性T细胞的影响

探讨抑制性Ｔ细胞（Ｔｓ）的活性对习惯性流产（ＨＡ）的影响，并观察养血安胎冲剂对抑制性Ｔ细胞的调节作用及保胎疗效。方法：应用短寿命抑制性 Ｔ细胞活性检查方法（ＭＴＴ），对５６例ＨＡ孕妇孕早期（治疗前）检查抑制性Ｔ细胞活性，并给予养血安胎冲剂防治。其中对２０例追踪观察了孕中期、孕晚期的抑制性Ｔ细胞活性。同时设立正常孕妇孕早期、正常孕产史未孕及有ＨＡ史未孕妇女作为对照组。结果：防治组抑制性Ｔ细胞活性孕早期比孕中期、晚期均低（Ｐ＜０．０１，Ｐ＜０．００１）；比各对照组也低（分别为Ｐ＜０．０１，Ｐ＜０．００１）。保胎成功率为９８．２％，获子率９８．０％。结论：抑制性Ｔ细胞活性低下可能为ＨＡ的免疫学原因，本冲剂所以保胎成功，可能是对抑制性Ｔ细胞活性起到调节作用所致。     

A CLINICAL STUDY ON TCM DIFFERENTIATION OF SYMPTOMS AND SIGNS IN PREGNANCY HYPERTENSION SYNDROME

An epidemiological investigation was made into the diagnostic types of 457 cases of pregnancy classified according to differentiation of symptoms and signs by traditional Chinese medicine (TCM) with the aim of finding out its relationship with pregnancy hypertension syndrome (PHS). The total occurrence rate of PHS was 36.8%. In early pregnancy, 65.9% of patients with deficiency of yin of the liver had a high rate of developing PHS, while in the intermediate stage, 61.6% of patients with deficiency of the spleen and exuberance of the liver were most liable to develop it. In 50 cases diagnosed and treated on the basis of TCM differentiation of symptoms and signs the incidence was reduced to be 20%. The changes of such biochemical indices as ACh, AChE, cholic acid and gastrin in different diagnostic types during pregnancy, as well as the effect of spleen-invigorating therapy on these indices in pregnancy with deficiency of the spleen were also observed.