Clinical effect research of Xiaoyao san and Guishao Wuzi decoction combined with Shenqi glucose injection on the treatment of uterine artery resistance increased recurrent abortion
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摘要: 目的 探讨中医治疗子宫动脉血流阻力增高型复发性流产的临床疗效。 方法 采用随机数字表法将南宁市中医医院2016年1月-2017年6月间收治的80例子宫动脉血流阻力增高型复发性流产患者分为2组,每组40例。孕前对照组给予阿司匹林治疗,观察组给予中药逍遥散加减(月经期)、归芍五子汤加减(非月经期)联合参芎葡萄糖注射液治疗,2组均治疗3个疗程。治疗后,比较中医症候积分、双侧子宫动脉血流阻力指数(RI)与双侧子宫动脉收缩期峰值流速/舒张末期流速(S/D)比值之和,比较妊娠30 d及妊娠56 d血清绒毛膜促性腺激素(β-HCG)与孕酮(P)水平,比较妊娠后保胎成功率。 结果 治疗后,2组中医症候积分均明显降低(均P<0.05),且观察组显著低于对照组(均P<0.05)。治疗后,2组左侧RI、右侧RI及S/D比值之和水平均明显降低(均P<0.05),且观察组显著低于对照组(均P<0.05)。治疗后,观察组妊娠30 d及妊娠56 d血清β-HCG、P水平显著高于对照组(P<0.05)。治疗后,观察组保胎成功率为86.84%,显著高于对照组的67.56%(P<0.05)。 结论 逍遥散加减、归芍五子汤加减联合参芎葡萄糖注射液治疗子宫动脉血流阻力增高型复发性流产疗效显著,可明显改善患者临床症状,降低子宫动脉血流阻力,提高患者保胎成功率。Abstract: Objective To investigate the clinical effect of Xiaoyao san (menstrual period) and Guishao Wuzi decoction (non-menstrual) combined with Shenqi glucose injection on the treatment of uterine artery resistance increased recurrent abortion. Methods A total of 80 patients with uterine artery resistance increased recurrent abortion from January 2016 to June 2017 in our hospital were divided into two groups according to the random number method, with 40 in each group. Before the pregnancy, the control group was given aspirin, and the observation group was given Xiaoyao san (menstrual period) plus Guishao Wuzi decoction (non-menstrual) combined with Shenqi glucose injection. Two groups were treated for 3 courses. After treatment, the TCM syndrome score, the bilateral uterine artery blood flow resistance index (RI) and the bilateral uterine artery systolic peak flow rate/end diastolic flow rate (S/D) ratio of two groups, as well as serum chorionic gonadotropin (β-HCG) and progesterone (P) at Pregnancy 30 days and 56 days in two groups were compared, and the pregnancy success rate after pregnancy was accounted. Results After treatment, the TCM syndrome scores of the two groups were significantly lower (P<0.05), and the observation group was significantly lower than the control group (P<0.05). After treatment, the sum of the left RI, right RI and S/D ratios was significantly lower (P<0.05), and the observation group was significantly lower than the control group (P<0.05). The β-HCG and P levels of observation group at pregnancy 30 days and 56 days were significantly higher than that of control group (P<0.05). After treatment, the success rate of the fetus in the observation group was 86.84%, which was significantly higher than that of the control group (67.56%), P<0.05. Conclusion Xiaoyao San (menstrual period) plus Guishao Wuzi Decoction (non-menstrual period) combined with Shenqi glucose injection could effectively treat uterine artery resistance increased recurrent abortion, significantly improve the clinical symptoms and reduce uterine artery blood flow resistance, and improve the success rate of patients with abortion.
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