论文部分内容阅读
[目的]观察茵陈术附汤联合黄体酮治疗脾肾阳虚复发性流产疗效。[方法]使用随机平行对照方法,将84例门诊患者按就诊顺序编号方法简单随机分为两组。对照组42例黄体酮,根据孕酮值调用量。治疗组42例茵陈术附汤,附子制9g,白术炒、茵陈各15g,党参、麦冬各25g,杜仲15g,菟丝子25g,二花20g,丹参12g,水煎400m L,1剂/d,早晚温服;黄体酮治疗同对照组。连续治疗14d为1疗程。观测临床症状、HCG、B超、孕酮、不良反应。连续治疗2疗程(28d),判定疗效。[结果]治疗组痊愈25例,有效15例,无效2例,总有效率95.23%;对照组痊愈15例,有效15例,无效12例,总有效率71.42%;治疗组疗效优于对照组(P<0.01)。[结论]茵陈术附汤联合黄体酮治疗脾肾阳虚复发性流产,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of capillaris Decoction combined with progesterone in treatment of recurrent spontaneous abortion of spleen and kidney. [Methods] Using randomized parallel control method, 84 outpatients were randomly divided into two groups according to the sequence number of visiting doctor. Control group, 42 cases of progesterone, according to the amount of progesterone call. In the treatment group, 42 cases of Yinchen Shufu Decoction, 9g of aconite, 15g of Atractylodes macrocephalae, 15g of Rhizoma anemarrhenae, 25g of Codonopsis pilosula and Ophiopogon japonicus, 15g of Eucommia ulmoides, 25g of dodder, 20g of sophora flower, 12g of Radix Salviae Miltiorrhizae, d, morning and evening warm clothes; progesterone treatment with the control group. Continuous treatment 14d for a course of treatment. Observed clinical symptoms, HCG, B ultrasound, progesterone, adverse reactions. Continuous treatment of 2 courses (28d), determine the efficacy. [Results] In the treatment group, 25 cases were cured, 15 cases were effective, 2 cases were ineffective and the total effective rate was 95.23%. In the control group, 15 cases were cured, 15 cases were effective and 12 cases were ineffective. The total effective rate was 71.42% (P <0.01). [Conclusion] Induction of recurrent abortion with Yinchen Decoction combined with progesterone in treatment of spleen and kidney yang deficiency has satisfactory curative effect and no serious adverse reactions, which deserves promotion.