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目的:评价两种中医治则治疗早期先兆流产的临床疗效,以提高中药安胎的成功率。方法:回顾性分析2005年1月—2011年1月本院以中药安胎为主的先兆流产病例401例,按不同治疗原则分组,对两组的疗效及辅助检查结果(血β-HCG、P)进行比较。结果:补肾法安胎的病例181例,成功例数123例,成功率68.0%;活血补肾法安胎的例数220例,成功例数187例,成功率85.0%。两种治则的成功率差异有统计学意义(P<0.05)。补肾法和活血补肾法治疗成功的病例血β-HCG浓度上升情况及血孕酮的平均值经分析差异都无统计学意义(P>0.05)。
Objective: To evaluate the clinical curative effect of two kinds of traditional Chinese medicine in treating early threatened abortion, in order to improve the success rate of traditional Chinese medicine tocolysis. Methods: A retrospective analysis of 401 cases of threatened miscarriage in our hospital from January 2005 to January 2011 was conducted according to different treatment principles. The curative effect and auxiliary examination results (blood β-HCG, P) for comparison. Results: There were 181 cases of tocolysis with tonifying kidney method, the number of successful cases was 123 cases, the success rate was 68.0%; the number of tocolysis with activating blood and invigorating the kidney method was 220 cases, 187 cases were successful, the success rate was 85.0%. The difference between the two treatment methods was statistically significant (P <0.05). There was no significant difference in the blood β-HCG concentration and blood progesterone average value after successful therapy of tonifying the kidney and promoting blood circulation and tonifying the kidney (P> 0.05).