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滋肾育胎丸联合间苯三酚对先兆流产患者的效果

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目的:探究滋肾育胎丸联合间苯三酚治疗先兆流产患者的临床效果.方法:选择 2020 年 7 月—2022 年 12 月武汉华科生殖专科医院收治的 85 例先兆流产患者作为研究对象,按随机数表法分为对照组(42 例)和观察组(43 例).对照组予以间苯三酚治疗,观察组予以联合滋肾育胎丸治疗,于治疗 1 个月后评估效果.比较两组临床疗效、血清性激素水平、症状改善情况、凝血纤溶系统功能、保胎结局、不良反应情况.结果:观察组治疗总有效率高于对照组,阴道流血持续、下腹坠胀、腹痛持续及腰痛持续时间均短于对照组,阴道出血量少于对照组,差异有统计学意义(P<0.05);观察组治疗后血清绒毛膜促性腺激素(β-HCG)、雌二醇(E2)、孕酮(P)均高于对照组,卵泡雌激素(FSH)低于对照组,凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)长于对照组,纤维蛋白原(FIB)、纤溶酶原激活物抑制剂-1(PAI-1)、组织型纤溶酶原激活物(t-PA)低于对照组,差异有统计学意义(P<0.05);观察组保胎成功率高于对照组,差异有统计学意义(P<0.05);对比两组不良反应,差异无统计学意义(P>0.05).结论:滋肾育胎丸联合间苯三酚治疗先兆流产患者可有效调节血清性激素水平,改善凝血纤溶系统功能,加快临床症状恢复,提高保胎成功率,且安全可靠.
The Effect of Zishen Yutai Pill Combined with Phloroglucinol on Patients with Threatened Miscarriage
Objective:To explore the clinical effect of Zishen Yutai pill combined with phloroglucinol in the treatment of threatened miscarriage patients.Method:85 patients with threatened miscarriage admitted to Wuhan Huake Reproductive Hospital from July 2020 to December 2022 were randomly divided into a control group of 42 cases and an observation group of 43 cases using a random number table method.The control group was treated with phloroglucinol,while the observation group was treated with a combination of Zishen Yutai Pill.The effect was evaluated after one month of treatment.The clinical efficacy,serum sex hormone levels,symptom improvement,coagulation and fibrinolysis system function,fetal protection outcomes and adverse reactions were compared between two groups.Result:The total effective rate of the observation group was higher than that of the control group,the duration of vaginal bleeding,abdominal distension,abdominal pain and low back pain were shorter than those in the control group.The amount of vaginal bleeding was less than that of the control group Serum chorionic gonadotropin(β-HCG),estradiol(E2),and progesterone(P)were all higher in observation group than those in the control group,follicle estrogen(FSH)was lower than the control group after treatment,prothrombin time(PT)and activated partial thromboplastin time(APTT)were longer than those of the control group,fibrinogen(FIB),plasminogen activator inhibitor-1(PAI-1),and tissue plasminogen activator(t-PA)were lower than those of control group.The success rate of maintaining pregnancy in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion:The combination of Zishen Yutai pill and phloroglucinol in the treatment of threatened miscarriage patients can effectively regulate serum sex hormone levels,improve coagulation and fibrinolysis system function,accelerate clinical symptom recovery,increase the success rate of fetal protection,and is safe and reliable.

Threatened miscarriageZishen Yutai pillPhlorotriolSerum sex hormone levelsImprovement of symptomsCoagulation and fibrinolysis system functionThe outcome of protecting the fetus

李明艳

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武汉华科生殖专科医院 湖北 武汉 430000

先兆流产 滋肾育胎丸 间苯三酚 血清性激素水平 症状改善情况 凝血纤溶系统功能 保胎结局

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(21)