摘要
目的:观察在常规治疗基础上基于KY3H中医体质辨识-评估-干预系统辨证治疗先兆流产的临床疗效。方法:选取2022年7月—2023年6月在浙江中医药大学附属温州市中医院治疗的600例先兆流产患者,以随机数字表法分为对照组与观察组各300例。对照组予以常规治疗,观察组在对照组基础上根据体质类型针对性给予中药汤剂治疗。2组均治疗2周。比较2组临床疗效、性激素水平及保胎成功率。结果:治疗2周后,总有效率观察组93.00%(279/300),高于对照组87.67%(263/300),差异有统计学意义(P<0.05)。2组血清孕酮(P)、雌二醇(E2)、人绒毛膜促性腺激素(HCG)水平均较治疗前升高,观察组血清P、E2、HCG水平均高于对照组,差异均有统计学意义(P<0.05)。保胎成功率观察组90.67%(272/300),高于对照组83.67%(251/300),差异有统计学意义(P<0.05)。结论:在常规治疗基础上基于KY3H中医体质辨识-评估-干预系统辨证治疗先兆流产能提高P、E2、HCG水平,改善妊娠结局。
Objective:To observe the clinical effect of syndrome differentiation and treatment of threatened abortion based on the KY3H Chinese Medicine Constitution Identification-Assessment-Intervention System in addition to conventional treatment.Methods:A total of 600 cases of patients with threatened abortion treated at Wenzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University from July 2022 to June 2023 were selected and divided into the control group and the observation group according to the random number table method,with 300 cases in each group.The control group received conventional treatment,and the observation group addition to the conventional treatment received by the control group,used the KY3H Chinese Medicine Constitution Identification-Assessment-Intervention System to determine the Chinese medicine constitution type of each patient and was further treated with targeted Chinese medicine decoction based on their constitutional types.Both groups were treated for two weeks.Clinical effects,sex hormone levels,and success rates of fetal protection were compared between the two groups.Results:After two weeks of treatment,the total effective rate was 93.00%(279/300)in the observation group,higher than that of 87.67%(263/300)in the control group,with a significant difference(P<0.05).The levels of progesterone(P),estradiol(E2),and human chorionic gonadotropin(HCG)in serum in the two groups were increased when compared with those before treatment,and the levels of P,E2 and HCG in the observation group were higher than those in the control group,differences being significant(P<0.05).The success rate of fetal protection was 90.67%(272/300)in the observation group,higher than that of 83.67%(251/300)in the control group,with a significant difference(P<0.05).Conclusion:The KY3H Chinese Medicine Constitution Identification-Assessment-Intervention System,when used in addition to conventional treatment,can improve the levels of P,E2,and HCG in serum,and enhance pregnancy outcomes in patients with threatened abortion.
作者
颜晓钏
戴凌虹
林秀伟
徐甜甜
孙云
YAN Xiaochuan;DAI Linghong;LIN Xiuwei;XU Tiantian;SUN Yun(Wenzhou TCM Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)
出处
《新中医》
2025年第2期81-85,共5页
New Chinese Medicine
基金
温州市科技局基础性公益科技项目(Y20220424)。
关键词
先兆流产
KY3H中医体质辨识-评估-干预系统
辨证论治
性激素
Threatened abortion
KY3H Chinese Medicine Constitution Identification-Assessment-Intervention System
Syndrome differentiation and treatment
Sex hormones
