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目的:分析先兆流产孕妇经中西医结合保胎治疗后筛查结果。方法:随机选取宁波市中医院妇产科345例经中西医保胎治疗的先兆流产孕妇作为保胎组,并随机选取同期分娩、早期先兆流产且无其他高危因素的孕妇350例作为对照组,分析两组孕妇产前筛查结果。结果:先兆流产孕妇经中西医结合保胎治疗后继续妊娠者,检出唐氏综合征高风险孕妇7例,阳性率2.02%;350例正常孕妇中,检出唐氏综合征高风险孕妇6例,阳性率为1.71%,产前筛查异常率与正常孕妇比较无统计学差异(P>0.05)。保胎治疗孕妇筛查出18-三体综合征高风险孕妇8例,神经管畸形3例;正常孕妇中检出18-三体高风险孕妇6例,神经管畸形2例。结论:妊娠早期先兆流产患者经中西医结合保胎治疗后,不会增加产前筛查异常率及新生儿畸形风险。
Objective: To analyze the screening results of pregnant women with threatened abortion after tocolytic treatment with Chinese and Western medicine. Methods: A random sample of 345 pregnant women with threatened abortion treated by Chinese and Western medicine in Ningbo Obstetrics and Gynecology Hospital of Ningbo Hospital of Chinese Medicine was randomly selected as the fetus protection group. 350 pregnant women of the same birth, early threatened abortion and no other risk factors were randomly selected as the control group, Prenatal screening results of two groups of pregnant women were analyzed. Results: Threatened abortion pregnant women continued pregnancy after tocolysis treatment, 7 cases of Down’s syndrome high risk pregnant women were detected, the positive rate of 2.02%; 350 normal pregnant women, the detection of Down’s syndrome high-risk pregnant women 6 Cases, the positive rate was 1.71%, prenatal screening abnormalities compared with normal pregnant women no significant difference (P> 0.05). Eight miscarriage-treated pregnant women screened for high risk pregnant women with 18-trisomy syndrome and 3 cases of neural tube deformity. In normal pregnant women, 6 pregnant women with high risk of 18-trisomy and 2 cases of neural tube malformation were detected. CONCLUSIONS: In the first trimester of pregnancy, threatened abortion in patients with Integrative Medicine miscarriage treatment, will not increase the abnormal rate of prenatal screening and neonatal malformations.