發(fā)布時間：2018-05-26 18:34

  本文選題：名老中醫(yī)經(jīng)驗 + 胚胎停育��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本文旨在整理總結(jié)王秀霞教授治療胚胎停育再孕的學(xué)術(shù)思想和寶貴經(jīng)驗,客觀評價王秀霞教授經(jīng)驗方益腎促孕方對腎虛型胚胎停育后患者再次妊娠時的干預(yù)作用,明確補腎法有預(yù)防胎停育再次發(fā)生的作用,為臨床治療此病提供有效的思路與方法。方法:采用回顧性病例對照研究方法,收集2015年9月至2016年9月于黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院王秀霞名老中醫(yī)工作室就診患者(腎虛型)病例資料81例,所有入選者均有胚胎停育病史,再次妊娠后在孕6周內(nèi)首次就診且尚未使用激素或其他藥物進行保胎治療。其中再次妊娠前經(jīng)益腎促孕方治療3至6個月的患者入中藥治療組,共51例;再次妊娠前未經(jīng)中藥治療的患者入對照組,共30例。分析中藥治療組和對照組患者血人絨毛膜促性腺激素(β-HCG)、孕酮(P)、雌二醇(E2)的水平及妊娠成功率的差異,數(shù)據(jù)錄入SPSS19.0軟件進行統(tǒng)計分祈,計量資料用獨立樣本檢驗,計數(shù)資料采用卡方檢驗。結(jié)果:1.中藥治療組患者血清孕酮(P)、雌二醇(E2)水平明顯高于對照組,兩組相比有顯著性差異(P0.01)。2.2.中藥治療組妊娠成功率為98.04%,高于對照組妊娠成功率83.33%,兩組相比有差異(P0.05)。3.中藥治療組患者年齡、停經(jīng)天數(shù)、胎停育次數(shù)及血人絨毛膜促性腺激素(β-HCG)水平與對照組相比無差異(P0.05)。結(jié)論:1.益腎促孕方孕前治療胎停育病史患者(腎虛型)3至6個月,可改善患者內(nèi)分泌功能,提高孕早期孕酮及雌激素的水平,且能明顯提高患者再孕時的妊娠成功率。2.王秀霞教授診療本病注重以腎為本,且分孕前孕后兩個階段進行辨證論治。未孕之時,預(yù)培其損,調(diào)經(jīng)助孕。已孕之后,及時用藥,補腎安胎。同時重視情志因素,強調(diào)形神兼顧。臨床上對于本病的治療收效顯著。
[Abstract]:Objective: to summarize Professor Wang Xiuxia's academic thoughts and valuable experience in treating fetal suspension and repregnancy, and to evaluate objectively the intervention effect of Professor Wang Xiuxia's experience prescription of tonifying kidney and promoting pregnancy on the second pregnancy after embryo suspension of kidney deficiency type. The method of tonifying the kidney can prevent the recurrence of fetal arrest and provide an effective method for the clinical treatment of this disease. Methods: a retrospective case-control study was conducted to collect 81 patients (kidney deficiency type) from September 2015 to September 2016 in Wang Xiuxia of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. All of them had a history of fetal arrest. They were treated for the first time within 6 weeks of pregnancy and had not been treated with hormone or other drugs. Among them, 51 cases were treated with traditional Chinese medicine for 3 to 6 months before pregnancy, and 30 cases were treated without traditional Chinese medicine before pregnancy. To analyze the difference of serum levels of human chorionic gonadotropin (尾 -HCG), progesterone (P), estradiol (E _ 2) and pregnancy success rate between the Chinese medicine treatment group and the control group. The data were recorded into SPSS19.0 software for statistical analysis and the measurement data were tested with independent samples. The counting data were checked by chi-square test. The result is 1: 1. The serum levels of progesterone, estradiol and estradiol in the treatment group were significantly higher than those in the control group, and there was a significant difference between the two groups. The success rate of pregnancy in the traditional Chinese medicine treatment group was 98.04, which was higher than that in the control group (83.33). There was no significant difference in age, menopause days, fetal arrest times and serum levels of human chorionic gonadotropin (尾 -HCG) between the Chinese medicine group and the control group (P 0.05). Conclusion 1. Yishen Quan Fang could improve the endocrine function, increase the levels of progesterone and estrogen in early pregnancy, and significantly improve the success rate of pregnancy in patients with pregnancy by treating the patients with history of fetal arrest before pregnancy (kidney deficiency group) for 3 to 6 months (P < 0. 05), which can improve the endocrine function of the patients and increase the levels of progesterone and estrogen in the early pregnancy. Professor Wang Xiuxia focuses on kidney-based diagnosis and treatment of this disease, and divided into two stages of pregnancy before and after the treatment. When not pregnant, pre-culture its damage, adjust the menstruation to help pregnancy. Have been pregnant, timely medication, tonifying the kidney to ease the fetus. At the same time, attach importance to emotional factors, emphasizing both form and spirit. The clinical effect on the treatment of this disease is remarkable.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R249;R271.9

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