Curative Effect Observation Of Tonifying Kidney,Soothing Liver And Removing Blood Stasis Therapy Combined With Dydrogesterone In Treating Early Threatened Abortion With SCH

Objective: This subject observes the clinical efficacy of the method of invigorating the kidney,soothing the liver and removing blood stasis combined with dydrogesterone in the treatment of patients with early threatened abortion combined with subchorionic hematoma,in order to provide new diagnosis and treatment ideas and methods for future clinical treatment.Methods: The 62 patients who met the inclusion criteria were divided into the experimental group and the control group using a random number table method,with 31 cases in each group.The control group was treated with Gushen Antai Pills combined with dydrogesterone,and the test group was treated with tonifying kidney,soothing the liver and removing blood stasis combined with dydrogesterone.The two groups were treated for 2 consecutive weeks respectively.Observe and record the TCM clinic of the two groups before and after treatment Syndrome score,regression of subchorionic hematoma(SCH area,SCH area/gestation sac area ratio),changes in serum human chorionic gonadotropin,estradiol and progesterone values.Result: In terms of comprehensive efficacy of the two groups,the effective rate of the experimental group was 93.00%,and that of the control group was70.00%.There was a statistical difference between the two groups(P<0.05);in terms of the efficacy of TCM syndromes,the effective rates of the experimental group and the control group were different It was 96.67% and80.00%,there was a statistical difference between the groups(P<0.05);in terms of the TCM syndrome score,the two groups of patients after treatment were compared between the groups,and the difference was statistically significant(P<0.05);In terms of SCH area,the SCH area of the experimental group after treatment(0.72±1.17)was significantly reduced compared with that before treatment(2.90±2.25),and the difference was statistically significant(P<0.05).The SCH area of the control group after treatment(1.62 ± 1.17)1.50)Compared with before treatment(2.24 ± 1.37),the difference was significantly reduced(P<0.05),and after treatment between the two groups,the difference was statistically significant(P<0.05);in SCH area In terms of the ratio of gestational sac area,the experimental group(2.44 ± 4.08)was significantly lower than before(35.48 ± 38.00)after treatment,and the control group(7.80±10.98)was also significantly lower than before(30.87±23.28)after treatment.The comparisons were statistically different(P<0.05).The difference between the two groups after treatment was statistically significant(P<0.05);in terms of the effect on serum sex hormones,the test group increased E2 and P levels significantly In the control group,there was a statistical difference between the groups(P<0.05),but there was no statistical difference in the improvement of β-HCG between the groups(P>0.05).