术菟安胎方联合黄体酮治疗早期先兆流产随机平行对照研究

发布时间：2018-05-20 23:24

本文选题：早期先兆流产 + 胎漏　；参考：《实用中医内科杂志》2016年11期

【摘要】：[目的]观察术菟安胎方联合黄体酮治疗早期先兆流产疗效。[方法]使用随机平行对照方法,将92例门诊患者按就诊顺序编号简单随机分为两组。对照组46例黄体酮20mg/次,1次/d,肌注。治疗组46例术菟安胎方(白术15g,菟丝子30g,川断15g,桑寄生20g,阿胶~(烊化)、黑杜仲各15g,黄芪30g;出血较多加艾叶炭12g,龙骨~煅、牡蛎~煅各20g;纳差乏力,面色无华加党参30g,山药18g;腹部下坠加升麻12g,柴胡6g;恶心呕吐加砂仁~(后下)5g,苏梗6g,陈皮10g;有热加槐花、侧柏炭、黄芩各10g;便秘加麻子仁10g、肉苁蓉15g;伴有感染加金银花15g,知母10g,蒲公英20g;精神紧张加枣仁~炒20g,远志10g),水煎400mL,早晚温服;黄体酮治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组痊愈28例,有效16例,无效2例,总有效率95.65%;对照组痊愈22例,有效18例,无效6例,总有效率86.96%;治疗组疗效优于对照组(P0.05)。[结论]术菟安胎方联合黄体酮治疗早期先兆流产,疗效满意,无严重不良反应,值得推广。
[Abstract]:[objective] to observe the therapeutic effect of Zhutu an Feifang combined with progesterone in the treatment of early threatened abortion. [methods] 92 outpatients were randomly divided into two groups. The control group (n = 46) received intramuscular injection of progesterone 20mg/ once a day. In the treatment group, 46 cases of Shutu Anti decoction (Atractylodes macrocephala 15g, Cuscuta 30g, Chuancuu 15g, mulberry parasitic 20g, Ejiao (closing Huadong 15g, Black Eucommia ulmoides 15geach, Astragalus 30g), bleeding more 12 g, keel ~ calcined, oyster 20g each; anorexia), No color, 30 g. of Codonopsis, 18 g. of yam; 12g of abdominal drop and 12g of Constantine, 6gof of Bupleurum; nausea and vomiting plus Amomum (5g, 6g of pedicel, 10g of pericarp; hot with Sophora japonica, charcoal of Platycladus, Scutellaria baicalensis 10g each, constipation plus kennel 10g, Cistanche 15g. accompanied with infection with Flos Lonicerae 15g, Anemarrhena affinis 10g, dandelion 20g; mental stress plus jujube seed ~ stir-fry 20g, Yuanzhi 10gg, decoction 400mL, morning and evening warm clothes; progesterone treatment and control group. The treatment was a course of treatment for 7 days. Clinical symptoms and adverse reactions were observed. Three consecutive courses of treatment to determine the efficacy. [results] in the treatment group, 28 cases were cured, 16 cases were effective, 2 cases were ineffective, the total effective rate was 95.655,22 cases were cured in the control group, 18 cases were effective, 6 cases were ineffective, and the total effective rate was 86.96.The curative effect of the treatment group was better than that of the control group (P 0.05). [conclusion] the treatment of early threatened abortion with Zutu an Feifang combined with progesterone is satisfactory, no serious adverse reactions, and worth popularizing.
【作者单位】：河南省洛阳市第一中医院妇科;
【分类号】：R714.21

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