寿胎丸治疗先兆流产临床观察

[摘要]目的：观察寿胎丸治疗先兆流产的临床疗效。方法：80例早孕先兆流产患者作为治疗组，20例正常妊娠妇女作为对照组。治疗组中A组30例予中药治疗，运用寿胎丸；B组30例予中西医结合治疗，运用寿胎丸、黄体酮和绒毛膜促性腺激素（HCG）治疗；C组20例予西药治疗．运用黄体酮和HCG。疗程为2周，观察疗效及孕酮（P）、人绒毛膜促性腺激素（β—HCG）水平。结果：有效率A组为93.33％，B组为90.00％，C组为70.00％，C组显著低于其余2组，差异均有显着性意义（P〈0.05）。治疗前A组、B组、C组P、β—HCG浓度均显著低于对照组，差异均有显著性意义（P〈0.05）；治疗后A组的P浓度、C组的P、β—HCG浓度仍显著低于对照组，差异均有显着性意义（P〈0．05），而B组与对照组比较，差异无显著性意义（P〉0．05）；A组、B组、c组治疗前后比较，差异均有显著性意义（P〈0．05）。结论：寿胎丸治疗早孕先兆流产疗效显著，其机制可能在于促进旱孕期胎盘分泌HCG．提高孕激素水平从而改善黄体功能。

Clinical Observation of Shoutai Pills for Treatment of Early Threatened Abortion

Objective： To observe the therapeutic effect of Shoutai Pills （STP） on early threatened abortion. Methods： Eighty patients with early threatened abortion were enrolled into the treatment groups. Group A（n=30）was treated with STP, group B （n=30）received STP and progesterone, human chorionic gonadotropin （β-HCG）, and group C （n=20）was treated with progesterone and β-HCG. The treatment lasted two weeks. Twenty healthy early pregnancy women served as the control group. After treatment, the clinical effect was compared, and the levels of progesterone （P） and 13-HCG were observed. Results.. The effective rate was 93.33% in group A, 90.00% in group B, and 70.00% in group C. The effective rate in group C was obviously lower than that in the other two groups, the difference being significant（P 〈 0.05）. Before treatment, the levels of P and β -HCG in the three treatment groups were obviously lower than those in the control group（P 〈 0.05）. After treatment, the level of P in group A, and the levels of P and β -FICG in group C were still lower than those in the control group（P 〈 0.05）, while no significant difference was found between group B and the control group. Significant differences were found in the three treatment groups before and after treatment （P 〈 0.05）. Conclusion： STP have certain effect on the early threatened abortion, and its possible mechanism is related with promoting the secretion of HCG in the early pregnancy placenta, and increasing P level to adjust the function of corepus luteum.