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目的：研究阿司匹林联合低分子肝素治疗血栓前状态致早期复发性流产的临床疗效。方法选取2012年5月～2014年5月收入我院的复发性流产患者100例，随机分为治疗组和对照组，每组各50例。对照组患者使用低分子肝素治疗，治疗组患者使用阿司匹林联合低分子肝素治疗。检测治疗前后患者D-二聚体（D-Dimer）凝血酶时间（T T）、等指标，分析两组患者妊娠结果。结果对照组比较，治疗后治疗组的TT、D-Dimer具有统计学差异（P＜0.05）；治疗组活产率为84.00%，明显高于对照组的56.00%（P＜0.05）。结论阿司匹林联合低分子肝素治疗血栓前状态早期复发性流产疗效显著，可有效缓解孕妇血栓前状态，提高活产率，减少不良反应，值得推广应用。“,”Objective:To investigate effect of aspirin and low molecular heparin in the treatment of prethrombotic state induced early recurrent spontaneous abortion. Methods:100 cases of recurrent spontaneous abortion patients were randomly divided into two groups,each of 50 cases. The control group was givenwith low molecular weight heparin ,while the treated group was given aspirin and low molecular weight heparin.Patients before and after treatment with two D- dimer (D-Dimer) , thrombin time (TT)were tested and the pregnancy outcome were compared. Results:The treated group after treatmentD-Dimer , TT were significantly than that of control group(P<0.05);The live birth rate of treated group was 84.00%,significantly higher than control group (56.00%)(P<0.05). Conclusion:Aspirin and low molecular weight heparin in the treatment of prethrombotic state early recurrent miscarriage is curative effect, can aleviate the prethrombotic state of pregnant women, improve live birth rate, less adverse reactions.