中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2015年
3期
617-618,627
,共3页
先兆流产%保胎%中西医结合治疗%临床疗效%妊娠结局
先兆流產%保胎%中西醫結閤治療%臨床療效%妊娠結跼
선조유산%보태%중서의결합치료%림상료효%임신결국
threatened abortion%fetus protection%treatment combining traditional Chinese medicine with western medicine%clinical effect%pregnancy outcomes
目的：观察早期先兆流产的中医辅助治疗临床疗效,探讨其妊娠结局,并分析其防治措施。方法选择2013年10月至2014年3月在浙江省海宁市第二人民医院保胎的早期妊娠先兆流产患者116例,随机分为对照组和观察组,各58例。观察组应用中西医辅助治疗；对照组应用西医进行治疗,主要观察治疗效果、并发症、生产方式和围生儿结局。结果观察组病愈率为94.83%(55/58),高于对照组的86.21%(50/58),观察组无效率为5.27%(3/58),低于对照组的13.79%(8/58),差异有统计学意义(χ2=9.896,P<0.05)。观察组患者并发症为1.82%(1/55),低于对照组的10.00%(5/50),差异具有统计学意义(χ2=8.912,P<0.05)；观察组产式、新生儿窒息率和早产率与对照组比较,差异均具有统计学意义(χ2值分别为11.081、10.146、8.912,均P<0.05)；观察组新生儿体质量和Apgar评分分别为(3170.84±186.37) g和(7.53±0.86)分,高于对照组(3014.25±163.51)g和(6.92±0.30)分,差异均具有统计学意义(t值分别为16.292、10.673,均P<0.05)。结论中医辅助治疗早期先兆流产有着良好的临床疗效,可降低并发症,提高母婴结局。
目的：觀察早期先兆流產的中醫輔助治療臨床療效,探討其妊娠結跼,併分析其防治措施。方法選擇2013年10月至2014年3月在浙江省海寧市第二人民醫院保胎的早期妊娠先兆流產患者116例,隨機分為對照組和觀察組,各58例。觀察組應用中西醫輔助治療；對照組應用西醫進行治療,主要觀察治療效果、併髮癥、生產方式和圍生兒結跼。結果觀察組病愈率為94.83%(55/58),高于對照組的86.21%(50/58),觀察組無效率為5.27%(3/58),低于對照組的13.79%(8/58),差異有統計學意義(χ2=9.896,P<0.05)。觀察組患者併髮癥為1.82%(1/55),低于對照組的10.00%(5/50),差異具有統計學意義(χ2=8.912,P<0.05)；觀察組產式、新生兒窒息率和早產率與對照組比較,差異均具有統計學意義(χ2值分彆為11.081、10.146、8.912,均P<0.05)；觀察組新生兒體質量和Apgar評分分彆為(3170.84±186.37) g和(7.53±0.86)分,高于對照組(3014.25±163.51)g和(6.92±0.30)分,差異均具有統計學意義(t值分彆為16.292、10.673,均P<0.05)。結論中醫輔助治療早期先兆流產有著良好的臨床療效,可降低併髮癥,提高母嬰結跼。
목적：관찰조기선조유산적중의보조치료림상료효,탐토기임신결국,병분석기방치조시。방법선택2013년10월지2014년3월재절강성해저시제이인민의원보태적조기임신선조유산환자116례,수궤분위대조조화관찰조,각58례。관찰조응용중서의보조치료；대조조응용서의진행치료,주요관찰치료효과、병발증、생산방식화위생인결국。결과관찰조병유솔위94.83%(55/58),고우대조조적86.21%(50/58),관찰조무효솔위5.27%(3/58),저우대조조적13.79%(8/58),차이유통계학의의(χ2=9.896,P<0.05)。관찰조환자병발증위1.82%(1/55),저우대조조적10.00%(5/50),차이구유통계학의의(χ2=8.912,P<0.05)；관찰조산식、신생인질식솔화조산솔여대조조비교,차이균구유통계학의의(χ2치분별위11.081、10.146、8.912,균P<0.05)；관찰조신생인체질량화Apgar평분분별위(3170.84±186.37) g화(7.53±0.86)분,고우대조조(3014.25±163.51)g화(6.92±0.30)분,차이균구유통계학의의(t치분별위16.292、10.673,균P<0.05)。결론중의보조치료조기선조유산유착량호적림상료효,가강저병발증,제고모영결국。
Objective To observe the clinical effect of traditional Chinese medicine adjuvant therapy on early threatened abortion, discuss pregnancy outcomes, and analyze prevention and treatment measures. Methods Totally 116 cases of early threatened abortion were selected in Second People’ s Hospital of Haining from October 2013 to March 2014, and they were randomly divided into control group and observation group with 58 cases in each group. The observation group accepted adjuvant therapy of traditional Chinese medicine additionally, while the control group only received western medicine treatment. Treatment effect, complication, delivery mode and perinatal outcomes were observed. Results The recovery rate of the observation group was 94. 83% (55/58), which was higher than the control group (86. 21%, 50/58). The inefficient rate of the observation group was 5. 27% (3/58), which was lower than the control group (13. 79%, 8/58), and the difference was significant (χ2 =9. 896,P<0. 05). The incidence of complications in the observation group was 1. 82% (1/55) and it was lower than the control group (10. 00%, 5/50). The difference was statistically significant (χ2 =8. 912, P<0. 05). There were differences in labor mode, incidence of neonatal asphyxia and premature birth between two groups (χ2 value was 11. 081, 10. 146 and 8. 912, respectively, all P<0. 05). Neonatal body quality and Apgar score of the observation group were 3 170. 84 ± 186. 37g and 7. 53 ± 0. 86, respectively, which were higher than the control group (3 014. 25 ± 163. 51g, 6. 92 ± 0. 30). The differences were significant (t value was 16. 292 and 10. 673, respectively, both P <0. 05). Conclusion Adjuvant therapy of traditional Chinese medicine has good clinical curative effect on early threatened abortion. It can reduce complications and improve maternal and neonatal outcomes.
