中西医结合孕前孕后并治不明原因早期复发性流产疗效观察

目的:观察中西医结合孕前与孕后联合治疗不明原因早期复发性自然流产的临床疗效。方法:选择符合入选标准的不明原因早期复发性流产患者90例,随机分为研究组48例和对照组42例,研究组自计划妊娠的前3个月开始接受补肾健脾中药治疗至孕3个月止,对照组孕后开始接受同样的中药治疗至孕12周;两组自孕前3个月至孕12周期间都同时服用天然维生素E胶丸和叶酸片,孕后两组都接受黄体酮安胎治疗。随访至孕28周,比较妊娠结局。结果:研究组临床妊娠成功率显著高于对照组(P<0.05)。结论:中西医结合孕前孕后并治不明原因早期复发性流产疗效显著优于孕后开始接受治疗者。

Clinical Efficacy Observation of Early Recurrent Spontaneous Abortion Treated by Traditional Chinese and Western Medicine from Before Pregnancy to Pregnant for Three Months

Objective： To investigate the clinical efficacy of early recurrent spontaneous abortion treated by traditional chinese and western medicine from before pregnancy to pregnancy for three months. Methods： The 90 cases were randomly divided into study group （48 cases） and control group（42 cases）, the study group accepted the treatment of chinese herbal medicine three months before planning of pregnancy, until pregnant for three months; the control group accepted the same treatment after the pregnancy, all patients were also receiving progesterone treatment after pregnancy. The two groups were observed continuously until pregnancy for seven months, and monitored HCG and progesterone regularly, then compared the clinical efficacy. Results： The clinical curative effect of experimental group was better than the control group （P〈0.05）. Conclusion： Strengthening the spleen and kidney should be early used for treatment of early recurrent spontaneous abortion before the pregnancy, its curative effect is obviously superior to the treatment after the pregnancy.