目的:观察中西医结合治疗早期先兆流产的临床疗效.方法:将122例早期先兆流产患者随机分为2 组,对照组60 例口服维生素E、沙丁胺醇,肌注黄体酮、绒毛膜促性腺激素治疗;观察组62 例,在西药治疗的同时口服中药加味寿胎汤,1剂/d,水煎早晚分服.2 组均以2 周为1 个疗程;治疗期间绝对卧床休息,禁止房事,避免精神刺激及不必要的妇科检查.结果:治愈率对照组为65.00%,观察组为82.26%;总有效率对照组为85.00%,观察组为96.77%.2 组相比差异有统计学意义(P＜0.05＝.不良反应发生率对照组为16.67%,观察组为6.45%.2组相比差异有统计学意义(P＜0.05＝.结论:中西医结合治疗早期先兆流产疗效较单纯西药治疗疗效更为显著,治愈率高,且不良反应发生率低.%Objective: To explore clinical effects of integrated traditional Chinese and western medicine in treating threatened abortion. Method: All 122 patients were randomly divided into 60 cases in control group and 62 cases in observation group. Control group received oral medication of vitamin E and salbutamol as well as intramuscular injection of progesterone and chorionic gonadotrophin; observation group took modified ShouTaiTang on the base of western medicine, one dose each day, take twice after decocted. One session was two weeks; during treating the patients should rest on bed and abstinence, avoid psychological stimulation and unnecessary gynecological examination. Result: Cure rate of control group was 65.00%, lower than 82.26% of observation group; Total effective rate of control group was 85%, lower than 96.77% of observation group with statistical meaning (P<0.05). Incidence of adverse reaction of control group was 16.67%, higher than 6.45% of observation group. Comparison of both group indicated statistical meaning in adverse reaction(P<0.05). Conclusion: Integrated traditional Chinese and western medicine can obtain better effects in treating threatened abortion than only western medicine with high cure rate and low incidence of adverse reaction.
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