止血保胎饮治疗早期先兆流产及对孕囊周围暗区的影响

目的观察中药止血保胎饮对孕囊周围存在暗区的早期先兆流产的保胎效果。方法对已出现阴道流血的105例早期先兆流产患者随机分为两组，分别给予中药止血保胎饮（治疗组）和黄体酮（对照组）治疗．同时通过血清激素及阴道B超动态监测两组疗效。结果治疗组54例中有效44例，保胎率为81．5％：对照组51例中有效22例，保胎率为43．1％，治疗组保胎成功率优于对照组（P〈0．01）。治疗组有暗区者19例，其中吸收16例（84．2％）；对照组有暗区者17例，其中吸收6例（35．3％），两组比较差异有统计学意义。结论中药止血保胎饮对孕囊周围存在暗区的早期先兆流产患者有较好的临床的疗效。

The Fetus Protection Effects of Zhixue Baotai Decoction on Women of Early Threatened Abortion with Dark Area Surrounding Pregnancy Sac

Objective To observe the fetus protection effects of Zhixue Baotai Decoction (ZBD) on women of early threatened abortion with dark area surrounding pregnancy sac. Methods The 105 patients with early threatened abortion, in whom vaginal bleeding was shown already, were randomly assigned to the treatment group and the control group, who were treated respectively with ZBD and progesterone to protect fetus. The efficacy of treatment was evaluated by dynamic monitoring of serum hormone and B-ultrasonic examination. Results Among the 54 cases in the treatment group the fetus was protected successfully, showing a fetus protecting rate of 81.5%; while among the 51 cases in the control group, the protection was effective in 22 cases (43.1%), the success rate in the former was better (P<0.01). The dark area was absorbed in 16 out of 19 cases (84.2%) in the treatment group, while in the control group absorption occurred only in 6 out of 17 (35.3%). Conclusion The effect of ZBD is superior to that of progesterone in treating women of early threatened abortion with dark area surrounding pregnancy sac.