本文選題：先兆流產(chǎn) + 回顧性分析�。� 參考：《北京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：[目的]通過回顧性分析91例先兆流產(chǎn)患者病因、中醫(yī)證型、治療方式和臨床療效等,總結(jié)先兆流產(chǎn)的發(fā)病特點(diǎn)并提出有效而合理的治療方法和預(yù)防措施。[方法]通過對(duì)北京中醫(yī)藥大學(xué)附屬醫(yī)院東直門醫(yī)院婦科2014年6月到2017年1月三年間收治的91例先兆流產(chǎn)患者的一般資料、臨床癥狀、既往月經(jīng)情況、孕產(chǎn)史、距上次妊娠時(shí)間、中醫(yī)證型、并發(fā)疾病、既往腹部相關(guān)手術(shù)史、妊娠結(jié)局等10個(gè)觀察指標(biāo)進(jìn)行歸納分析,采用統(tǒng)計(jì)學(xué)處理。[結(jié)果]1.91例先兆流產(chǎn)患者的發(fā)病年齡主要集中在30歲到34歲之間,平均發(fā)病年齡32.91歲;2.91例先兆流產(chǎn)患者的臨床表現(xiàn)為腰酸、下腹痛、小腹下墜、陰道出血,但多數(shù)患者有2種以上的癥狀表現(xiàn),有39人,占42.86%;3.91例患者中有18人既往月經(jīng)異常,其中月經(jīng)后錯(cuò)的有13人,占14.29%;4.91例先兆流產(chǎn)患者中僅有10人有過分娩史,其余81人中有33人至少有過一次妊娠。91例患者有56人有過不良孕產(chǎn)史,其中胎停育患者人數(shù)最多,有33人,占36.36%;5.91例患者中距上次妊娠時(shí)間13-24個(gè)月的人數(shù)最多,為26人,占34.21%;6.中醫(yī)證型方面先兆流產(chǎn)患者中主要以腎虛證居多,有59人,占64.84%;7.91例先兆流產(chǎn)病患中,2例伴發(fā)甲減、1例伴發(fā)哮喘病、1例伴發(fā)淺表性胃炎;8.91例先兆流產(chǎn)病患中有24人有過腹部手術(shù)史,占26.37%;9.91例先兆流產(chǎn)患者中治愈的有42人,占51.85%、顯效的有14人,占17.28%、有效的10人,占12.35%、無效的15人,占18.52%。[結(jié)論]1.先兆流產(chǎn)的主要致病因素有高齡、勞累、多產(chǎn)等,且情志不暢也會(huì)對(duì)保胎治療造成不良影響,在保胎治療過程中應(yīng)注意避免勞累、調(diào)暢情志;2.腎虛是先兆流產(chǎn)發(fā)生的主要病機(jī),對(duì)治療先兆流產(chǎn)主要以補(bǔ)腎安胎為主,治療方以壽胎丸為基本方;3.采用中西醫(yī)結(jié)合治療先兆流產(chǎn)療效確切,且對(duì)子代的安全性無不良影響,所以臨床可遵循此治療方法。
[Abstract]:[objective] to analyze retrospectively the etiology, syndrome type, treatment method and clinical efficacy of 91 patients with threatened abortion, and to summarize the characteristics of threatened abortion and to put forward effective and reasonable treatment methods and preventive measures. [methods] General data, clinical symptoms, past menstruation and pregnancy history of 91 patients with threatened abortion admitted from June 2014 to January 2017 in Dongzhimen Hospital, affiliated Hospital of Beijing University of traditional Chinese Medicine, were analyzed. From the last pregnancy time, TCM syndromes, complicated diseases, previous abdominal surgery history, pregnancy outcome and other 10 observation indicators were summarized and analyzed by statistical analysis. [results] 1.The age of onset of 91 threatened abortion patients was mainly between 30 and 34 years old. The average age of onset was 32.91 years old and 2.91 cases of threatened abortion patients showed lumbar acid, lower abdominal pain, lower abdomen fall, vaginal hemorrhage. But most of the patients had more than two symptoms, 39 of them (42.86 / 3.91) had abnormal menstruation, 13 of them were misdiagnosed after menorrhagia, and only 10 out of 14.2991 patients with threatened abortion had a history of delivery. Among the other 81 patients, 33 had at least one pregnancy. 56 of them had a history of bad pregnancy. Among them, the number of patients with fetal arrest was the most, 33, accounting for 36.3636 and 5.91 patients, the most from the last pregnancy time 13-24 months, 26, accounting for 34.21 and 6. Among the patients with threatened abortion in TCM syndromes, 59 were mainly kidney deficiency. Of the 791 patients with threatened abortion, 2 were diagnosed with hypothyroidism and 1 with asthma. Out of 8.91 threatened abortion patients with superficial gastritis, 24 had a history of abdominal surgery and 42 were cured out of 26.37g / 9.91 threatened abortion, the study showed that: (1) 2 cases with hypothyroidism and 1 case with asthma, 1 case with superficial gastritis and 8. 91 cases with threatened abortion, 24 cases had a history of abdominal surgery, accounting for 26. 37% of 9. 91 cases of threatened abortion. Accounting for 51.85, there are 14 people with remarkable effect, accounting for 17.28, 10 effective, 12.35 and 15 invalid, accounting for 18.52. [conclusion] 1. The main pathogenetic factors of threatened abortion are old age, tiredness, labor, and so on, and the unobstructed emotion will also have a bad effect on the treatment of fetal preservation. We should pay attention to avoid tiredness in the course of the treatment of fetal preservation and adjust the unobstructed feeling. 2. Kidney deficiency is the main pathogenesis of threatened abortion. The combination of traditional Chinese and western medicine is effective in treating threatened abortion and has no adverse effect on the safety of offspring.
【學(xué)位授予單位】：北京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R271.9

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