[1]程晓嫚,田丽颖,王 芬,等.安胎方联合穴位贴敷治疗早期先兆流产疗效观察[J].陕西中医,2023,(9):1198-1201.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.008]
 CHENG Xiaoman,TIAN Liying,WANG Fen,et al.Curative effect observation of Antai formula combined with acupoint application on early threatened abortion[J].,2023,(9):1198-1201.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.008]
点击复制

安胎方联合穴位贴敷治疗早期先兆流产疗效观察
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年9期
页码:
1198-1201
栏目:
临床研究
出版日期:
2023-09-05

文章信息/Info

Title:
Curative effect observation of Antai formula combined with acupoint application on early threatened abortion
作者:
程晓嫚田丽颖王 芬成自霞聂 婷
(安徽中医药大学第二附属医院妇科,安徽 合肥 230061)
Author(s):
CHENG XiaomanTIAN LiyingWANG FenCHENG ZixiaNIE Ting
(Department of Gynaecology Second Affiliated Hospital Anhui University of Traditional Chinese Medicine,Hefei 230061,China)
关键词:
早期先兆流产 肾虚证 安胎方 穴位贴敷 黄体酮注射液 激素水平
Keywords:
Early threatened abortion Kidney deficiency syndrome Antai formula Acupoint application Progesterone injection Hormone levels
分类号:
R 714.21
DOI:
DOI:10.3969/j.issn.1000-7369.2023.09.008
文献标志码:
A
摘要:
目的:观察安胎方联合穴位贴敷治疗早期先兆流产疗效及对患者激素水平、证候积分的影响。方法:选取早期先兆流产(肾虚证)患者62例,按随机数字表法分为对照组、观察组各31例,两组分别脱落1例,每组各剩30例,对照组予黄体酮注射液肌注; 观察组在肌注黄体酮注射液基础上予安胎方联合穴位贴敷。比较两组治疗前后孕酮(P)、人绒毛膜促性腺激素(β-HCG)、雌二醇(E2)及证候积分,比较两组症状缓解时间,评估疗效,并比较两组治疗后不良反应、随访至妊娠12周的胎儿颈项透明层(NT)正常率及满意度。结果:治疗后两组P、β-HCG、E2均升高,证候积分均降低,且观察组改善明显,症状缓解时间明显缩短,总有效率、NT正常率及满意度均较对照组高,差异均有统计学意义(均P<0.05); 两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:在肌注黄体酮注射液基础上,予安胎方联合穴位贴敷治疗早期先兆流产(肾虚证)可更好的调节患者激素水平,改善症状,提高疗效,且安全性及满意度高。
Abstract:
Objective:To observe the curative effect of Antai formula combined with acupoint application on early threatened abortion and the influence of hormone levels and syndrome score.Methods:62 cases of early threatened abortion(kidney deficiency syndrome),random number table method was used to divide 31 cases into control group and observation group.Two groups shed 1 case respectively,with 30 cases remaining in each group.The control group was injected intramuscularly with progesterone injection,on the basis,observation group was treated with Antai formula combined with acupoint application.Compared progesterone,β-human chorionic gonadotropin,estradiol(P,β-HCG,E2)and TCM syndrome score between groups before and after treatment,and the time of symptom relief,evaluate the efficacy,and compare the adverse reactions after treatment,the Nuchal translucency(NT)normal rate and satisfaction at 12 weeks of gestation between the two groups.Results:After treatment,P,β-HCG,E2 in groups were increased,the scores of syndrome were decreased,observation group improved more obviously,the time of symptom relief was shorter obviously,the total effective rate,NT normal rate and satisfaction degree were higher than control group,all with statistical significancet(all P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion:On the basis of intramuscular injection of progesterone,the treatment of early threatened abortion(kidney deficiency syndrome)with Antai formula combined with acupoint application can better regulate the levels of hormone levels,improve symptoms and therapeutic effect,and high safety and satisfaction.

参考文献/References:

[1] 汪翠萍,余欣慧,杜冰心,等.补肾安胎汤治疗肾虚型早期先兆流产的疗效及对患者血清激素水平、妊娠结局的影响[J].中国医院用药评价与分析,2021,21(12):1434-1437.
[2] 王培培.益气补肾方联合黄体酮对肾虚型先兆流产保胎率及对血绒毛膜促性腺激素、孕酮、雌二醇的影响[J].四川中医,2022,40(3):176-178.
[3] Saleh M,Ahmed A,Galal S.Serum progesterone and serum β-HCG levels in first trimester threatened abortion[J].Al-Azhar International Medical Journal,2020,1(3):248-251.
[4] 林 科,程 颢,张群青.彩色多普勒超声检查联合血清学指标检测在先兆流产诊断及预后评估中的价值分析[J].陕西医学杂志,2021,50(9):1086-1089.
[5] 何晓梦,赵小卫,吕 娜.黄体酮治疗先兆流产患者前后血清中孕酮(P)和孕激素诱导阻断因子(PIBF)表达比较[J].陕西医学杂志,2017,46(3):395-397.
[6] 吴 霜,何沁奕,邹 敏,等.基于网络药理学研究续断-杜仲药对治疗先兆流产的作用机制[J].中国性科学,2022,31(4):154-157.
[7] 农夏欣.中医综合干预方案对早期先兆流产患者妊娠结局的影响[J].河北中医,2019,41(12):1810-1814.
[8] 谢 幸,孔北华,段 涛.妇产科学[M].9版.北京:人民卫生出版社,2018:70-73.
[9] 罗颂平,刘雁峰.中医妇科学[M].3版.北京:人民卫生出版社,2016:170-173.
[10] 国家食品药品监督管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:253-258.
[11] 位菊峰,杨琳琳,方 辉,等.滋肾育胎丸联合黄体酮治疗黄体功能不全型先兆流产的疗效观察[J].世界中医药,2022,17(15):2195-2198.
[12] 张 丽,束 芹,曹如梦,等.补肾安胎法联合黄体酮治疗胎动不安疗效及对患者妊娠结局的影响[J].陕西中医,2022,43(1):38-40.
[13] 余欣慧,蒋 平.补肾安胎冲剂联合地屈孕酮治疗肾虚型早期先兆流产30例[J].安徽中医药大学学报,2021,40(4):19-23.
[14] 官 璐,连 方,相 珊.郑惠芳从脾论治胎动不安经验[J].山东中医杂志,2022,41(5):470-474.
[15] 高 璐,张大伟.圆运动理论指导胎动不安治疗[J].中医学报,2020,35(12):2540-2543.
[16] 黄圆圆,张 元,康利平,等.党参属植物化学成分及药理活性研究进展[J].中草药,2018,49(1):239-250.
[17] 杨小颀,马雁南,马晓军,等.黄芩苷对复发性流产小鼠的保胎作用及子宫免疫微环境的调节[J].长春中医药大学学报,2019,35(1):124-127.
[18] 余万冰,潘 贝,崔 璨,等.生地黄及其多糖对焦虑小鼠的影响[J].中国中医基础医学杂志,2022,28(5):728-733.
[19] 苑程鲲,马琳琳,孟小钰,等.中药穴位贴敷治疗脾胃虚弱型妊娠剧吐的临床观察[J].中医药学报,2021,49(8):77-80.
[20] 李柯狄.经阴道彩色多普勒超声联合血清E2、β-HCG早期预测妊娠结局价值研究[J].陕西医学杂志,2020,49(6):732-735.
[21] 陈祥艳,马大正,孙 云,等.胶艾汤治疗胎动不安的疗效及对内分泌激素、妊娠结局的影响[J].中华中医药学刊,2022,40(9):59-62.
[22] 吴金兰,马 岚,张 丽.补肾安胎饮加减联合穴位贴敷治疗先兆流产疗效及对患者血清β-HCG、孕酮、雌二醇的影响[J].陕西中医,2021,42(9):1193-1196.

相似文献/References:

[1]赵 欣,丁冰倩,王雪嫄,等.补肾健脾方对早期先兆流产患者阴道微生态及免疫功能的影响[J].陕西中医,2024,(3):340.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.011]
 ZHAO Xin,DING Bingqian,WANG Xueyuan,et al.Effects of Bushen Jianpi prescription on vaginal microecology and immune function in early threatened abortion[J].,2024,(9):340.[doi:DOI:10.3969/j.issn.1000-7369.2024.03.011]

备注/Memo

备注/Memo:
基金项目:安徽省卫生健康科研项目(AHWJ2022b023); 田丽颖全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]; 安徽省“十三五”省级重点中医专科建设项目[卫办秘(2016)680号]
更新日期/Last Update: 2023-09-08