Volume 19 Issue 7
Jul.  2021
Turn off MathJax
Article Contents
SHANG Xin-tong, HUANG Nan, QIU Ya-fen. Effect of Chinese Herbal Decoction combined with dydrogesterone in the treatment of early threatened abortion[J]. Chinese Journal of General Practice, 2021, 19(7): 1206-1209. doi: 10.16766/j.cnki.issn.1674-4152.002022
Citation: SHANG Xin-tong, HUANG Nan, QIU Ya-fen. Effect of Chinese Herbal Decoction combined with dydrogesterone in the treatment of early threatened abortion[J]. Chinese Journal of General Practice, 2021, 19(7): 1206-1209. doi: 10.16766/j.cnki.issn.1674-4152.002022

Effect of Chinese Herbal Decoction combined with dydrogesterone in the treatment of early threatened abortion

doi: 10.16766/j.cnki.issn.1674-4152.002022
Funds:

 2019KY498

  • Received Date: 2020-09-04
    Available Online: 2022-02-16
  •   Objective  To explore the effect of self-made Gushen Antai Decoction combined with dydrogesterone in the treatment of early threatened abortion in order to provide a reference for the clinical treatment of early threatened abortion.  Methods  Eighty cases of early threatened abortion at the Affiliated Hospital of Hangzhou Normal University from January 2017 to December 2019 were selected and randomly divided into observation group and control group (40 cases in each group). The control group was treated with dydrogesterone, whereas the observation group was treated with Gushen Antai Decoction on the basis of the control group. The clinical efficacy, improvement of clinical indicators, progesterone level, nuchal translucency thickness (NT) and crown hip length (CRL) of foetuses, success rate of foetal preservation and incidence of adverse reactions at 12-14 weeks of gestation were compared between the two groups.  Results  After treatment, the total effective rate and the success rate of foetal preservation in the observation group were 92.5% (37/40), which were significantly higher than those in the control group [75.0% (30/40) and 72.5% (29/40), respectively. P < 0.05]. After treatment, the relief time of waist pain, abdominal pain and haemostasis in the observation group were significantly shorter than those in the control group (all P < 0.05). The levels of β-human chorionic gonadotropin, progesterone and estradiol in the observation group were significantly higher than those in the control group (all P < 0.05). No significant difference was observed in foetal NT and CRL levels and the incidence of adverse reactions between the two groups of patients at 12-14 weeks of gestation (P>0.05).  Conclusion  Gushen Antai Decoction has a significant effect on the treatment of early threatened abortion. It can effectively stabilise the patient's progesterone level, relieve the symptoms of abdominal pain and back pain, increase the efficiency of foetal preservation and is safe and reliable.

     

  • loading
  • [1]
    李晖. 褚氏安胎方联合黄体酮对肾虚型早期先兆流产患者的临床疗效[J]. 中成药, 2019, 41(11): 2646-2650. doi: 10.3969/j.issn.1001-1528.2019.11.018
    [2]
    张佳缘, 夏宛廷, 黄金珠, 等. 674例早期先兆流产患者孕产史中医证型与疗效及安胎切入时机的相关性研究[J]. 时珍国医国药, 2019, 30(10): 2452-2454. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY201910047.htm
    [3]
    谭玉杰, 王颢, 海巨珺. 加味寿胎丸治疗肾虚型早期先兆流产疗效及保胎后妊娠结局的研究[J]. 中华中医药学刊, 2018, 36(9): 2243-2245. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS201809053.htm
    [4]
    吴家满, 宁艳, 廖坚, 等. 耳穴埋针联合地屈孕酮对早期妊娠先兆流产合并绒毛膜下血肿患者免疫因子及血清CA125的影响[J]. 中国针灸, 2019, 39(10): 1046-1050. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZE201910005.htm
    [5]
    陈晨, 李嘉锌. 援土固胎汤联合黄体酮注射液对早期妊娠先兆流产患者的临床疗效[J]. 中成药, 2019, 41(7): 1556-1561. doi: 10.3969/j.issn.1001-1528.2019.07.014
    [6]
    庄淑涵, 周萱, 田之魁, 等. 从《诸病源候论》阐释先兆流产的病因病机[J]. 中国中医基础医学杂志, 2019, 25(10): 1354-1355. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201910011.htm
    [7]
    祁苏娥. 中西医结合治疗与护理干预早期先兆流产临床研究[J]. 新中医, 2019, 51(2): 257-260. https://www.cnki.com.cn/Article/CJFDTOTAL-REND201902080.htm
    [8]
    杨延凤, 杨旸. 地屈孕酮联合黄体酮胶丸治疗黄体功能不全先兆流产效果[J]. 中国计划生育学杂志, 2020, 28(2): 223-225. https://www.cnki.com.cn/Article/CJFDTOTAL-JHSY202002020.htm
    [9]
    尹鑫, 刘文. 自拟健脾补肾养血安胎汤联合左甲状腺素钠片治疗孕早期先兆流产合并亚临床甲状腺功能减退症的价值评估[J]. 中国急救医学, 2018, 38(1): 81. https://www.cnki.com.cn/Article/CJFDTOTAL-XDJH201717027.htm
    [10]
    曾薇薇, 周华, 陆齐天, 等. 补肾活血方联合地屈孕酮片治疗先兆流产合并宫腔积血的临床观察[J]. 上海中医药大学学报, 2020, 34(3): 26-30. https://www.cnki.com.cn/Article/CJFDTOTAL-SHZD202003006.htm
    [11]
    王玉玲, 林海燕. 固本保胎饮治疗肾虚型早期先兆流产的临床研究[J]. 中国医药科学, 2020, 10(3): 49-52. doi: 10.3969/j.issn.2095-0616.2020.03.014
    [12]
    张佳缘, 夏宛廷, 黄金珠, 等. 674例早期先兆流产患者孕产史中医证型与疗效及安胎切入时机的相关性研究[J]. 时珍国医国药, 2019, 30(10): 2452-2454. https://www.cnki.com.cn/Article/CJFDTOTAL-SZGY201910047.htm
    [13]
    乔丽泽. 中医护理对先兆流产患者干预效果及不良情绪的影响[J]. 中外医学研究, 2019, 17(19): 115-117. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY201919052.htm
    [14]
    赖娟, 刘芳, 钱立锋, 等. 中药加减辅助治疗先兆流产的临床效果及对相关因子的影响[J]. 中华全科医学, 2020, 18(5): 783-786. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202005023.htm
    [15]
    陈颖异, 周笑梅. 中医治疗妊娠期绒毛膜下血肿临证体会[J]. 中华中医药杂志, 2019, 34(11): 5190-5192. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201911050.htm
    [16]
    邓雯. 护理干预配合中医疗法对早期先兆流产的疗效分析[J]. 国外医学(医学地理分册), 2017, 38(3): 279-281. doi: 10.3969/j.issn.1001-8883.2017.03.021
    [17]
    何洁丽. 寿胎异功散联合黄体酮治疗肾虚血瘀型早期先兆流产疗效观察[J]. 现代中西医结合杂志, 2017, 26(14): 1568-1570. doi: 10.3969/j.issn.1008-8849.2017.14.029
    [18]
    潘继钊, 黄海深, 郑靖莉, 等. 血清人绒毛膜促性腺激素、孕酮、雌二醇水平与先兆流产的临床关系探讨[J]. 中国医药科学, 2020, 10(2): 74-76. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX202002023.htm
    [19]
    夏小艳, 李耀军. 血清β人绒毛膜促性腺激素、孕激素、可溶性人类白细胞抗原G动态变化在早期先兆流产结局预测中应用研究[J]. 中国医药导报, 2017, 14(12): 101-104. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201712025.htm
    [20]
    林德嫦, 韦桥兰, 谢碧柳. 七味白术散治疗脾虚型妊娠期糖尿病的临床分析[J]. 中医临床研究, 2019, 11(16): 104-106. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYLY201916042.htm
    [21]
    黄琪, 李丽丽, 程春松, 等. 黄芩炭对早孕流产大鼠子宫出血保护作用及机制研究[J]. 中国中药杂志, 2019, 44(21): 4691-4697. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGZY201921021.htm
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Article Metrics

    Article views (102) PDF downloads(3) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return