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安胎止血散穴位贴敷辅助治疗肾虚型先兆流产临床研究 被引量:1
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作者 陈惠惠 陈慧 +3 位作者 冯文图 康旻 王庆一 陈映婷 《山东中医杂志》 2025年第1期78-84,共7页
目的:观察安胎止血散穴位贴敷辅助治疗肾虚型先兆流产的临床疗效。方法:选择肾虚型先兆流产患者100例,按随机数字表法分为安胎止血散穴位贴敷组和安慰剂穴位贴敷组各50例(安胎止血散穴位贴敷组脱落1例,安慰剂穴位贴敷组脱落3例)。安胎... 目的:观察安胎止血散穴位贴敷辅助治疗肾虚型先兆流产的临床疗效。方法:选择肾虚型先兆流产患者100例,按随机数字表法分为安胎止血散穴位贴敷组和安慰剂穴位贴敷组各50例(安胎止血散穴位贴敷组脱落1例,安慰剂穴位贴敷组脱落3例)。安胎止血散穴位贴敷组采用黄体酮肌内注射及地屈孕酮片口服联合安胎止血散穴位贴敷神阙、双侧肾俞治疗,安慰剂穴位贴敷组采用黄体酮肌内注射及地屈孕酮片口服联合特制淀粉安慰剂穴位贴敷神阙、双侧肾俞治疗,两组均连续治疗2周。观察两组患者治疗前、治疗1周后、治疗2周后的血清孕酮、人绒毛膜促性腺素(HCG)、雌二醇水平及宫腔积血面积、孕囊大小、胚芽大小,评价两组患者的临床疗效和中医证候(腰酸、腹痛、阴道出血)疗效,比较两组患者治疗期间的不良反应情况。结果:治疗1周后和治疗2周后,两组患者的血清HCG、雌二醇水平均较治疗前升高(P<0.05),孕囊、胚芽均较治疗前增大(P<0.05)。治疗2周后,安胎止血散穴位贴敷组患者的宫腔积血面积较治疗前缩小(P<0.05),且小于安慰剂穴位贴敷组(P<0.05)。治疗后,安胎止血散穴位贴敷组临床总有效率和中医证候总有效率均高于安慰剂穴位贴敷组(P<0.05)。治疗期间,两组患者均未出现明显不良反应。结论:安胎止血散穴位贴敷神阙、双侧肾俞具有补益肾气、安胎止血的作用,该疗法能减少肾虚型先兆流产患者的宫腔积血,减轻患者腰酸、腹痛、阴道出血等症状,且对患者激素水平无明显影响,临床应用安全性更高。 展开更多
关键词 穴位贴敷 安胎止血散 先兆流产 肾虚 宫腔积血
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Diagnostic Value of Colposcopy and Cervical Biopsy in Cervical Intraepithelial Neoplasia
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作者 feng wentu 《外文科技期刊数据库(文摘版)医药卫生》 2021年第6期228-230,共5页
Objective: to evaluate the diagnostic value and influencing factors of colposcopy and biopsy in cervical intraepithelial neoplasia (CIN). Methods: a total of 252 patients who underwent colposcopy and cervical biopsy b... Objective: to evaluate the diagnostic value and influencing factors of colposcopy and biopsy in cervical intraepithelial neoplasia (CIN). Methods: a total of 252 patients who underwent colposcopy and cervical biopsy between July 2018 and November 2019 were reviewed. Results: colposcope examination and biopsy of 252 cases of patients, some patients in combination with TCT examination, the pathological diagnosed CIN166 example, joint TCT team with pure colposcope team accuracy difference is no clinical significance, satisfied colposcope group coincidence rate is higher than unsatisfied colposcope inspection group, chronic cervicitis and low level of cervical intraepithelial neoplasia group coincidence rate has no obvious difference, The coincidence rate of high grade cervical intraepithelial neoplasia and cervical cancer group increased significantly. Conclusion: colposcopy can be used as screening for patients with intraepithelial neoplasia for those satisfied with colposcopy, especially for those with high-grade cervical intraepithelial neoplasia. 展开更多
关键词 COLPOSCOPY cervical biopsy cervical intraepithelial neoplasia DIAGNOSIS
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