[1]李沙沙,赵 娜,孙渤星.药物联合情绪管理疗法在治疗不明原因复发性流产的临床疗效观察[J].医学信息,2019,32(08):131-132135.[doi:10.3969/j.issn.1006-1959.2019.08.038]
　LI Sha-sha,ZHAO Na,SUN Bo-xing.Clinical Observation of Drug Combined with Emotional Management Therapy in the Treatment of Unexplained Recurrent Spontaneous Abortion[J].Journal of Medical Information,2019,32(08):131-132135.[doi:10.3969/j.issn.1006-1959.2019.08.038]
点击复制

药物联合情绪管理疗法在治疗不明原因复发性流产的临床疗效观察()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年08期
页码:
131-132135
栏目:
临床研究
出版日期:
2019-04-15

文章信息/Info

Title:
Clinical Observation of Drug Combined with Emotional Management Therapy in the Treatment of Unexplained Recurrent Spontaneous Abortion
文章编号:
1006-1959（2019）08-0131-03
作者:
李沙沙1; 赵 娜1; 孙渤星2
（广元市中医医院妇产科1，病案室2，四川 广元 628000）
Author(s):
LI Sha-sha1; ZHAO Na1; SUN Bo-xing2
(Department of Obstetrics and Gynecology1,Case Room2,Guangyuan Traditional Chinese Medicine Hospital,Guangyuan 628000,Sichuan,China)
关键词:
联合疗法; 不明原因; 复发性流产
Keywords:
Combination therapy; Unexplained cause; Recurrent spontaneous abortion
分类号:
R714.2
DOI:
10.3969/j.issn.1006-1959.2019.08.038
文献标志码:
A
摘要:
目的 探讨联合疗法在不明原因复发性流产中治疗的临床疗效。方法 选取2016年3月~2018年2月来自广元市中医医院60例不明原因的复发性流产患者设为观察组，采用药物联合情绪管理疗法治疗，将文献中采用相同疗法的63例设为文献观察组，采用通用治疗方案64例设为文献对照组，比较其发生副反应发生率及妊娠成功率。结果 观察组妊娠成功54例，妊娠成功率为90.00%（54/60），高于文献对照组的76.56%（49/64），差异有统计学意义（P＜0.05）；观察组副反应发生率为6.67%（4/60），其中1例出现红疹，3例出现红肿硬结等不良反应，低于文献对照组的15.62%（10/64），差异有统计学意义（P＜0.05）；观察组妊娠成功率及副反应发生率分别与文献观察组比较，差异无统计学意义（P＞0.05）。结论 联合疗法治疗不明原因习惯性流产方法可靠，疗效肯定，且不增加副反应，值得借鉴应用。
Abstract:
Objective To investigate the clinical efficacy of combination therapy in the treatment of unexplained recurrent spontaneous abortion. Methods From March 2016 to February 2018, 60 patients with unexplained recurrent spontaneous abortion from Guangyuan Traditional Chinese Medicine Hospital were enrolled in the observation group. The drug was combined with emotional management therapy. 63 cases of the same therapy in the literature were used as the literature. In the observation group, 64 cases of the general-purpose treatment plan were used as the literature control group, and the incidence of side effects and pregnancy success rate were compared. Results In the observation group, 54 cases were successful in pregnancy, the success rate of pregnancy was 90.00% (54/60), which was higher than that of the literature control group 76.56% (49/64), the difference was statistically significant (P<0.05); the side group occurred in the observation group. The rate was 6.67% (4/60), including 1 case of rash and 3 cases of redness and induration, which was lower than the literature control group of 15.62% (10/64), the difference was statistically significant (P<0.05). The pregnancy success rate and incidence of side effects in the observation group were not significantly different from those in the literature observation group (P>0.05). Conclusion Combination therapy for the treatment of unexplained habitual abortion is reliable and effective,and does not increase side effects. It is worthy of reference.

参考文献/References:

[1]Practice Committee of the American Society for Reproductive Medicine.Evaluation and treatment of recurrent pregnancy loss:a committee opinion[J].Fertil Steril,2012,98(5):1103-1111. [2]Royal College of Obstetricians and Gynaecologists.The investigation and treatment of couples with recurrent firsttrimester and second- trimester miscarriage.Green-top Guideline No.17, 2011[EB/OL].https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_17.pdf [2015-06-08]. [3]谢幸,苟文丽.妇产科学[M].第9版.北京:人民卫生出版社,2018:3-8. [4]曹泽毅.中华妇产科学[M].第3版.北京:人民卫生出版社,2014:11-20. [5]李洁.2016年中国“复发性流产诊治的专家共识”与2017年欧洲“复发性流产诊治指南”的解读[J].实用妇产科杂志,2018,34(11):822-825. [6]于芳,贾海军,廖飞燕.地屈孕酮对比黄体酮在治疗原因不明复发性流产中的疗效观察[J].罕少疾病杂志,2015(4):33-35. [7]Pagnini I,Simonini G,Cavalli L,et al.Bone status of children born from mothers with autoimmune diseases treated during pregnancy with prednisone and/or low molecular weight heparin[J]. Pediatr Rheumatol Online J,2014(12):47. [8]张建平,杨春凤.复发性自然流产诊治若干问题[J].中华妇幼临床医学杂志(电子版),2015,11(3):292-296. [9]Beydoun H,Saftlas AF.Association of human leucocyteantigen sharing with recurrent spontaneous abortions[J].Tissue Antigens,2005,65(2):123-135. [10]Krussel JS,Behr B,Milki AA,et al.Vascular endothelial growth factor (VEGF)mRNA splice variants are differentially expressed in human blastocysts[J].Mol Hum Reprod,2001,7(1):57-63. [11]中华医学会妇产科学分会产科学组.复发性流产诊治的专家共识[J].中华妇产科杂志,2016,51(1):3-8. [12]杨钦灵,米建锋.阿司匹林在治疗复发性流产中的应用现状及进展[J].中国医药指南,2011,9(25):41-42. [13]赵爱明,乔杰.低分子肝素防治自然流产中国专家共识[J].中华生殖与避孕杂志,2018,38(9):701-708.

相似文献/References:

[1]李佳颖,李春霖,王玉莹,等.鲍曼不动杆菌的单药治疗及其联合使用的研究[J].医学信息,2019,32(05):48.[doi:10.3969/j.issn.1006-1959.2019.05.016]
　LI Jia-ying,LI Chun-lin,WANG Yu-ying,et al.Monotherapy of Acinetobacter Baumannii and Its Combined Use[J].Journal of Medical Information,2019,32(08):48.[doi:10.3969/j.issn.1006-1959.2019.05.016]

更新日期/Last Update: 2019-04-15