CAJ | 학술논문

目的：通过排卵后即开始对复发性流产患者的激素水平进行调整，探讨一种安全、高效、实用的临床保胎方案。方法选取复发性流产患者172例。所有患者自然流产均发生在孕12周或孕12周之前，并均有孕酮保胎失败史。排卵后开始根据测定的激素水平给予相应的外源性雌激素、孕激素和（或）促黄体生成素进行保胎治疗并定期检测激素水平，看到胎心时开始逐渐减量，观察至孕12周，随访至出生后3个月。结果复发性流产患者孕早期保胎成功率为95.32%。结论从排卵后即开始有针对性地进行激素调整保胎治疗可以提高孕早期保胎成功率。
목적：통과배란후즉개시대복발성유산환자적격소수평진행조정，탐토일충안전、고효、실용적림상보태방안。방법선취복발성유산환자172례。소유환자자연유산균발생재잉12주혹잉12주지전，병균유잉동보태실패사。배란후개시근거측정적격소수평급여상응적외원성자격소、잉격소화（혹）촉황체생성소진행보태치료병정기검측격소수평，간도태심시개시축점감량，관찰지잉12주，수방지출생후3개월。결과복발성유산환자잉조기보태성공솔위95.32%。결론종배란후즉개시유침대성지진행격소조정보태치료가이제고잉조기보태성공솔。
OcjectiVe To discuss a safe,efficient and practical clinical miscarriage plan,by adjusting the hormone levels of recurrent spontaneous abortion patients after ovulation. Methods The study enrolled 171 recurrent spontaneous abortion patients and all patients with spontaneous abortion occurred before 12 weeks or 12 weeks of pregnancy,and had a history of progesterone abortion failure. On the basis of the determined hormone levels,appropriate eXternally estrogen,progesterone and luteinizing hormone were used to prevent miscarriage after ovulation and the hormone levels were determined periodically. The dose began to reduce gradually when the fetal heart was observed until 12 weeks of pregnancy. Follow up lasted till three months after birth. Results Patients with recurrent miscarriage in early pregnancy miscarriage got the success rate 95. 32%by the treatment. Conclusion Targeted to adjustment hormone levels after ovulation can enhance the early stages of miscarriages success rate.