Distribution Of TCM Syndromes And Their Relationships With Progesterone And β - HCG In Early Emergent Fluctuation

Research purposes:based on the early threatened abortion clinical questionnaire and TCM four diagnosis of acquisiting datum of cases, and record the patient treatment, and the related parameters to study the clinical factors of the disease and distribution of TCM syndromes, and serum progesterone and blood beta-hCG value of combined detection in the early threatened abortion, for clinical provides a better scheme to guide women to avoid the occurrence of early threatened abortion, as soon as possible to may cause factors intervene early threatened abortion and for the clinical dialectical and prognosis of patients with threatened abortion judgment to provide a better basis.Research methods:follow the epidemiological investigation method, design unified survey scale. Choose from November 2014 to March 2016 in Beijing university of Chinese medicine in the third affiliated hospital of department of Gynecology Clinic and inpatient ward of 98 patients with early threatened abortion, according to the situation of the treatment of patients with track record, cases can be divided into two groups, Abortion group for 20 cases of spuc treatment is invalid, pregnancy group for spuc symptoms improved in 78 cases of the treatment. through a questionnaire to patients during treatment and hormone check index records, collect the basic information of the patients, the effective data into Excel, using SPSS22.0 statistical software for statistical analysis of data.Results:1.98 early threatened abortion patients evidence type distribution investigation: kidney deficiency type 41.8%, spleen and kidney deficiency type 18.4%, deficiency of both qi and blood 9.4%, and 19.4% blood-heat type, kidney and blood stasis type 11.2%.2. The TCM syndrome type distribution and number of patients age, maternal had statistical significance (P < 0.05).3. The failure group in 5 weeks,6 weeks,7 weeks of progesterone values were significantly lower than continue pregnancy group, the difference was statistically significant (P<0.01).4. The failure group in week 5,7 weeks of pregnancy serum beta-hCG significantly below to continue the pregnancy group (P<0.01),in the sixth week blood beta-hCG value and no statistical differences between pregnancy group (P> 0.05).5. Continue to group 5,6,7 weeks pregnancy serum progesterone and blood beta-hCG increased obviously, the difference was statistically significant (P<0.05). Abortion group 5,6,7 weeks of pregnancy serum progesterone increase is not obvious between groups, there was no statistically significant difference (P> 0.05).Research conclusions:1. The early threatened abortion syndrome type of traditional Chinese medicine in kidney type of the most common, followed by the spleen kidney both deficiency type, deficiency of both qi and blood type, kidney deficiency and blood stasis type, type two qi.2. The correlated with age and the early threatened abortion type connecting, as the growth of the age, early threatened abortion syndrome patients are more prone to kidney deficiency syndrome; Relatively young patients prone to blood-heat syndromes.3. The usual number of abortions and type distribution of correlation justification of early threatened abortion, the more abortions, the more early symptoms of threatened abortion patients are more prone to kidney deficiency syndrome; First pregnancy patients prone to blood heat syndromes.4. Serum progesterone and blood beta-hCG diagnosis and prognosis judgment of early threatened abortion has important clinical value.5.Before pregnancy failure in patients with spontaneous abortion and blood beta-hCG can show unstable slow growth or decline, combined with low progesterone and progesterone levels drop better diagnosis or prognosis.6. Serum progesterone and blood beta-hCG joint detection has a guiding significance to the diagnosis of early threatened abortion, can improve the accuracy of test results and sensitivity, which can effectively guide the clinical.