摘要
[目的]观察以补肾健脾活血为治法的调冲汤孕前治疗复发性流产(recurrent spontaneous abortion,RSA)的疗效,其对生殖能力以及妊娠结局的影响。[方法]收集2008年1月至2010年12月期间我院门诊以及住院的RSA患者共160例,随机分为治疗组和对照组各80例,两组均服用天然维生素E胶丸与叶酸片,治疗组加用调冲汤孕前治疗,两组治疗时间均为3个月,随访9个月,比较两组治疗后受孕情况以及妊娠结局。[结果 ]治疗组着床率、临床妊娠率明显高于对照组,继发不孕率明显低于对照组,差别有统计学意义(P<0.005);治疗组先兆流产症候评分分级低于对照组,差别有统计学意义(P<0.05);治疗组活产率高于对照组,但差别无统计学意义(P>0.05)。[结论]补肾健脾活血法孕前治疗RSA,可以提高着床率和临床妊娠率,降低继发不孕率,减轻受孕后先兆流产症候分级程度,从而提高RSA患者的生殖能力。
[Objective ] To investigate the effect of Tianchong Decoction of tonifying-kidney reinforcing-spleen and activating-blood on fecundity and pregnant result of recurrent abortion before pregnancy. [Method ] Randomly divide 160 cases into treatment and control groups, n=80 for both; both took natural vitamin E soft capsule and Folic Acid Tablets; the treatment one was added with Tiaochong Decoction, both for 3m, followed up for 9m; compare their pregnancy and result. [Result] The implantation rate and clinical pregnant rate of the treatment group were much higher than control one, and successive rate lower than control one, with difference of statistical meaning ; the threatened abortion symptom score of the treatment group was lower than control one, with difference of statistical meaning; as well as the five birth rate, but without difference of statistical meaning. [Conclusion] Tonifying-kidney reinforcing-spleen and activating-blood treating recurrent abortion can improve implantation and clinical pregnant rates, reduce secondary infertility, relieve threatened abortion symptom level, therefore improve the patients' fecundity.
出处
《浙江中医药大学学报》
CAS
2012年第6期636-638,共3页
Journal of Zhejiang Chinese Medical University
基金
温州市科技计划项目课题(Y20110231)~~
关键词
RSA
生殖能力
补肾健脾活血法
调冲汤
RSA
fecundity
tonifying-kidney reinforcing-spleen and activating-blood
Tiaochong Decoction