CAJ | 학술논문

目的：探讨阿司匹林联合低分子肝素治疗习惯性流产的临床效果。方法：选取2013年5月-2014年4月到本院妇产科就诊的84例习惯性流产患者，按随机数字表法分为A、B、C三组，每组各28例，三组患者分别给予阿司匹林联合低分子肝素、单用阿司匹林、安慰剂治疗，治疗结束后，对比三组的临床治疗效果。结果：三组患者的妊娠率、分娩出血量、流产孕周、子痫前期、胃肠道反应、血小板减少发生率比较差异均无统计学意义（P>0.05）；三组患者的绝对活产率、活产率、分娩孕周、流产、瘀斑发生率比较差异具有统计学意义（P<0.05）。结论：习惯性流产采用阿司匹林联合低分子肝素治疗可以显著改善妊娠结局，临床价值显著，可推广应用。
목적：탐토아사필림연합저분자간소치료습관성유산적림상효과。방법：선취2013년5월-2014년4월도본원부산과취진적84례습관성유산환자，안수궤수자표법분위A、B、C삼조，매조각28례，삼조환자분별급여아사필림연합저분자간소、단용아사필림、안위제치료，치료결속후，대비삼조적림상치료효과。결과：삼조환자적임신솔、분면출혈량、유산잉주、자간전기、위장도반응、혈소판감소발생솔비교차이균무통계학의의（P>0.05）；삼조환자적절대활산솔、활산솔、분면잉주、유산、어반발생솔비교차이구유통계학의의（P<0.05）。결론：습관성유산채용아사필림연합저분자간소치료가이현저개선임신결국，림상개치현저，가추엄응용。
Objective:To discuss the effect of Aspirin joint low molecular weight heparin in the treatment of habitual abortion.Method: From May 2013 to April 2014,84 cases of obstetrics and gynecology clinic of habitual abortion in our hospital were selected and divided into three groups,group A, group B,group C in accordance with random digit table,each group had 28 cases.Three groups of patients were given different treatment,after treatment,the treatment effect of the three groups were compared.Result:The pregnancy,postpartum bleeding,abortion pregnant weeks,preeclampsia,gastrointestinal reaction and the incidence of thrombocytopenia of the three groups,the comparison results displaied no significant difference(P>0.05). There were statistically significant differences in the absolate live-birth rate,live-birth rate,delivery pregnancy week,the incidence rates of abortion and ecchymosis among the three groups(P<0.05).Conclusion:Habitual abortion choice of Aspirin joint low molecular weight heparin was significant improvement the outcome of pregnancy,significant clinical value,can be applied.