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目的:观察补肾活血化瘀法治疗子宫腺肌症早期先兆流产的临床疗效.方法:根据纳入标准,将60例子宫腺肌症早期先兆流产的患者随机分组分成治疗组30例和对照组30例.治疗组患者服用补肾活血化瘀法中药和地屈孕酮片治疗,对照组患者口服地屈孕酮片治疗,比较两组的12周活胎率及两组12周活胎者治疗前后子宫动脉血流阻力指数(RI)、血流搏动指数(PI)值变化情况.结果:治疗组12周活胎率为73.3％,对照组12周活胎率为53.3％,差异有统计学意义(P＜0.05).治疗组12周活胎者治疗前后子宫动脉血流阻力指数(RI)、血流搏动指数(PI)值比较,差异有统计学意义(P＜0.05);对照组12周活胎者治疗前后子宫动脉血流阻力指数(RI)、血流搏动指数(PI)值比较,差异无统计学意义(P＞0.05).结论:补肾活血化瘀法有助于子宫腺肌症早期先兆流产患者提高妊娠成功率;补肾活血化瘀法有助于改善子宫动脉血流;子宫腺肌症患者流产多发生在6～8周;子宫腺肌症患者妊娠后建议安胎至8周以上.“,”Objectives:To observe the clinical effect ot applying Huoxue Huayu Bushen Methaod in the treatment of adenomyosis and early threatened abortion.Methods:According to the inclusion criteria,60 patients were randomly assigned to treatment group (30 cases) and controlled group (30 cases).The treatment group was given Bushen Huoxue Huayu Chinese herbs and dydrogesterone.The controlled group received dydrogesterone.Compared the two groups' s 12 weeks living fetal rate,and the RI and PI before and after treatment of the 12 weeks live births of the two groups.Results:1.The 12 weeks living fetal rate of the treatment group was 73.3％,the 12 weeks living fetal rate of the controlled group was 53.3％,the difference was significant (P ＜ 0.05).2.The RI and PI of the 12 weeks live births of the treatment group had significantly difference compared to pretreatment (P ＜ 0.05);the RI and PI of the 12 weeks live births of the controlled group had no significantly difference compared to pre-treatment (P ＞ 0.05).Conclusion:Bushen Huoxue Huayu Method has more advantages in promoting the successful rate of pregnancy;Huoxue Huayu Bushen Method helps to improve uterine artery blood flow;Adenomyosis usually has abortioned at 6-8 weeks;Adenomyosis patients are suggested hold the fetus above 8 weeks of pregnancy.