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目的:在以往研究的基础上,通过规范的临床研究,进一步观察采用滋肾柔肝法治疗肾虚肝郁型早期先兆流产的临床疗效。方法:选择肾虚肝郁型早期先兆流产患者142例,随机分为中药治疗组72例和黄体酮对照组70例。分别观察两组治疗前后症状改善情况、观察妊娠结局;结果:治疗组保胎成功率为81.94%,对照组78.57%,两组比较经统计分析无显著性差异。中药组和对照组对临床症状均有显著改善,中药组在改善主要症状、中医证候疗效总有效率方面优于对照组,差异有统计学意义。结论:滋肾柔肝法治疗肾虚肝郁型早期先兆流产疗效显著。对改善患者症状较对照组更有优势。
OBJECTIVE: To further observe the clinical efficacy of Zishen Rougan in treating early threatened abortion with kidney deficiency and liver depression based on the previous studies and standardized clinical studies. Methods: 142 cases of early threatened abortion with deficiency of kidney and liver depression were randomly divided into two groups, 72 cases in traditional Chinese medicine group and 70 cases in progesterone control group. The symptoms of both groups were observed before and after treatment to improve the situation and observe the outcome of pregnancy. Results: The success rate of miscarriage was 81.94% in the treatment group and 78.57% in the control group. There was no significant difference between the two groups by statistical analysis. The Chinese medicine group and the control group had significant improvement on the clinical symptoms. The Chinese medicine group was better than the control group in improving the main symptoms and the total effective rate of TCM syndromes, the difference was statistically significant. Conclusion: The method of nourishing the kidney and strengthening the liver to treat kidney deficiency and liver depression is effective in early threatened abortion. To improve the symptoms of patients more advantages than the control group.