王秀霞教授治疗肾虚型胚胎停育的临床观察

发布时间：2018-05-26 18:34

本文选题：名老中医经验 + 胚胎停育　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:本文旨在整理总结王秀霞教授治疗胚胎停育再孕的学术思想和宝贵经验,客观评价王秀霞教授经验方益肾促孕方对肾虚型胚胎停育后患者再次妊娠时的干预作用,明确补肾法有预防胎停育再次发生的作用,为临床治疗此病提供有效的思路与方法。方法:采用回顾性病例对照研究方法,收集2015年9月至2016年9月于黑龙江中医药大学附属第一医院王秀霞名老中医工作室就诊患者(肾虚型)病例资料81例,所有入选者均有胚胎停育病史,再次妊娠后在孕6周内首次就诊且尚未使用激素或其他药物进行保胎治疗。其中再次妊娠前经益肾促孕方治疗3至6个月的患者入中药治疗组,共51例;再次妊娠前未经中药治疗的患者入对照组,共30例。分析中药治疗组和对照组患者血人绒毛膜促性腺激素(β-HCG)、孕酮(P)、雌二醇(E2)的水平及妊娠成功率的差异,数据录入SPSS19.0软件进行统计分祈,计量资料用独立样本检验,计数资料采用卡方检验。结果:1.中药治疗组患者血清孕酮(P)、雌二醇(E2)水平明显高于对照组,两组相比有显著性差异(P0.01)。2.2.中药治疗组妊娠成功率为98.04%,高于对照组妊娠成功率83.33%,两组相比有差异(P0.05)。3.中药治疗组患者年龄、停经天数、胎停育次数及血人绒毛膜促性腺激素(β-HCG)水平与对照组相比无差异(P0.05)。结论:1.益肾促孕方孕前治疗胎停育病史患者(肾虚型)3至6个月,可改善患者内分泌功能,提高孕早期孕酮及雌激素的水平,且能明显提高患者再孕时的妊娠成功率。2.王秀霞教授诊疗本病注重以肾为本,且分孕前孕后两个阶段进行辨证论治。未孕之时,预培其损,调经助孕。已孕之后,及时用药,补肾安胎。同时重视情志因素,强调形神兼顾。临床上对于本病的治疗收效显著。
[Abstract]:Objective: to summarize Professor Wang Xiuxia's academic thoughts and valuable experience in treating fetal suspension and repregnancy, and to evaluate objectively the intervention effect of Professor Wang Xiuxia's experience prescription of tonifying kidney and promoting pregnancy on the second pregnancy after embryo suspension of kidney deficiency type. The method of tonifying the kidney can prevent the recurrence of fetal arrest and provide an effective method for the clinical treatment of this disease. Methods: a retrospective case-control study was conducted to collect 81 patients (kidney deficiency type) from September 2015 to September 2016 in Wang Xiuxia of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. All of them had a history of fetal arrest. They were treated for the first time within 6 weeks of pregnancy and had not been treated with hormone or other drugs. Among them, 51 cases were treated with traditional Chinese medicine for 3 to 6 months before pregnancy, and 30 cases were treated without traditional Chinese medicine before pregnancy. To analyze the difference of serum levels of human chorionic gonadotropin (尾 -HCG), progesterone (P), estradiol (E _ 2) and pregnancy success rate between the Chinese medicine treatment group and the control group. The data were recorded into SPSS19.0 software for statistical analysis and the measurement data were tested with independent samples. The counting data were checked by chi-square test. The result is 1: 1. The serum levels of progesterone, estradiol and estradiol in the treatment group were significantly higher than those in the control group, and there was a significant difference between the two groups. The success rate of pregnancy in the traditional Chinese medicine treatment group was 98.04, which was higher than that in the control group (83.33). There was no significant difference in age, menopause days, fetal arrest times and serum levels of human chorionic gonadotropin (尾 -HCG) between the Chinese medicine group and the control group (P 0.05). Conclusion 1. Yishen Quan Fang could improve the endocrine function, increase the levels of progesterone and estrogen in early pregnancy, and significantly improve the success rate of pregnancy in patients with pregnancy by treating the patients with history of fetal arrest before pregnancy (kidney deficiency group) for 3 to 6 months (P < 0. 05), which can improve the endocrine function of the patients and increase the levels of progesterone and estrogen in the early pregnancy. Professor Wang Xiuxia focuses on kidney-based diagnosis and treatment of this disease, and divided into two stages of pregnancy before and after the treatment. When not pregnant, pre-culture its damage, adjust the menstruation to help pregnancy. Have been pregnant, timely medication, tonifying the kidney to ease the fetus. At the same time, attach importance to emotional factors, emphasizing both form and spirit. The clinical effect on the treatment of this disease is remarkable.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R271.9

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