60例复发性流产患者中药安胎治疗的疗效观察

目的分析有复发性流产病史患者再次妊娠后经中药安胎治疗的疗效,为中医药治疗复发性流产的必要性提供参考依据。方法对60例有复发性流产史再次妊娠患者进行辨证分型,并随症加减给予中药安胎治疗。统计治疗前后先兆流产症状的例数及症状改善率;比较治疗前后β-HCG、P水平,计算安胎妊娠成功率。结果安胎治疗后,患者阴道流血、腰酸、腹痛、肛门坠胀感症状改善率分别为86%,83%,83%与90%,各种症状改善率比较无显著性差异。治疗后血清β-HCG、P水平升高。既往流产次数2次、3次及4次以上的患者安胎妊娠成功率分别为94%,90%,89%,无显著性差异(P均>0.05)。结论孕早期中药安胎治疗能有效改善先兆流产症状,提高患者血清β-HCG、P水平,起到维持妊娠,预防再发流产或胚胎停止发育的作用,因此有必要在孕早期给予中药安胎治疗。

Effects of miscarriage prevention with Chinese herbs for 60 recurrent spontaneous abortion patients

Objective It is to analyze the effects of miscarriage prevention with Chinese herbs for recurrent spontaneous abortion(RSA)patients,so as to provide reference for the necessity of treating RSA with Chinese herbs.Methods 60 cases of patients were treated with miscarriage prevention of Chinese drugs according to the syndrome differentiation types.The number of cases with threaten abortion symptoms before and after treatment and the symptom improvement rate were calculated,the differentiation of serum β-HCG and P levels between the two stages were compared,and the effective ratio of miscarriage prevention treatment was counted.Results After miscarriage prevention treatment,the symptom improvement rate of bleeding,waist soreness,abdominal pain and anal bulg was 86%,83%,83% and 90% respectively,there was no significant difference in the improving rates of every symptom.The levels of serum β-HCG and P increased after treatment.The effective ratio for patients had 2 times,3 times and over 4 times spontaneous abortion history was 94%,90% and 89% respectively,the differences were not significant.Conclusion Miscarriage prevention with Chinese herbs in the early pregnant stage can relieve the threaten abortion symptoms,elevate patients' serum β-HCG and P levels,so it can play the role of maintaining the pregnancy and preventing the probability of another miscarriage.It's necessary to precede treatment with Chinese herbs in the early pregnant stage.