Clinical Observation Of Three Kinds Of Methods Of Tocolysis Treatment Of Kidney Deficiency Type Of Early Threatened Abortion

ObjectiveTCM tocolysis method prescription rich experience, from the view point of modern study, early pregnancy luteal support is one of the necessary conditions for embryo implantation, in the maintenance of early pregnancy in the process has an important role and hCG injection has similar function of corpus luteum, based on the theory, this study intends to through clinical observation of traditional Chinese medicine progesterone and hCG treatment of Early Threatened Abortion and and Chinese traditional medicine treatment, traditional Chinese medicine in the treatment of progesterone comparison and screening of gestational early miscarriage.MethodsAll records are from June 2014 to December 2015 in the outpatient tocolysis pregnant women of the First Affiliated Hospital of Guangzhou University of Chinese Medicine. All cases were randomly divided into 3 groups,42 cases in the treatment group,135 cases in the control group,231 cases in the control group. The treatment group:Chinese medicine (Bushen Jianpi Recipe) progesterone group hCG:according to the specific circumstances and drug addition and subtraction of not more than 2-3 medicine. A daily agent, water decoction for 250ml, after a day of 100mg Po QN hCG; progesterone; 2000 im QOD; from week 5 of pregnancy, the pregnancy continued to 8 weeks of pregnancy to stop pregnancy failure to determine pregnancy failure after discontinuation of treatment. The control group 1:Traditional Chinese medicine (Bushen Jianpi party) group:according to the specific circumstances and drug addition and subtraction of not more than 2-3 herbs. A daily agent, water decoction for 250ml, after a day. From 5 weeks of pregnancy, the pregnancy continued to 8 weeks of pregnancy to stop pregnancy after pregnancy to determine the failure failure of the withdrawal. Control group 2:Traditional Chinese medicine (Bushen Jianpi formula) progesterone group:according to the specific circumstances of drug addition and subtraction, addition and subtraction does not exceed 2-3 herbs. Daily a agent, water decoction,250 ml, after a meal times to take lukewarm; progesterone 100mg, Po, QN; pregnant 5 weeks from the start, continue to pregnancy to pregnancy 8 weeks withdrawal, failed pregnancy to determine pregnancy failure after discontinuation of treatment.Observation of TCM syndrome, tongue and pulse change. Combined with serum human chorionic gonadotropin (beta hCG radioimmunoassay, serum progesterone (P) were measured by radioimmunoassay and type B ultrasonic examination. Through the statistical analysis were calculated serum P, beta hCG hormone levels and pregnancy outcome. Judging the efficacy of traditional Chinese medicine + progesterone+HCG treatment of kidney deficiency type of early threatened abortion.Results1 the level of serum P before and after treatment in treatment group was statistically significant (P< 0.05).2 Treatment group and control group 1,2 in the control group at 6 weeks of pregnancy, the serum hCG levels were significantly different (P< 0.05) at 8 weeks of gestation.3 Three groups of patients in their respective treatment and TCM syndrome score a statistically significant difference (P< 0.05). After treatment of TCM syndrome score in treatment group and the control group had no statistical difference, the two control groups has statistically significant difference (P< 0.05). The treatment group and the control group 2 had significant difference (P< 0.05).4 Two compared with the control group, there was no significant difference in the curative effect of TCM treatment group and control group 1. There was no significant difference between the treatment group and the control group 2 (P< 0.05).5 Two compared with the control group, there was no significant difference in the efficacy of traditional Chinese medicine treatment group and control group 1, there was no significant difference between the treatment group and the control group 2 (P<0.05).6 The success rate in the treatment group of pregnancy (85.7%) than in the control group (control group 1 68.6%, control group 2 67.7%), did not find a statistically significant. Two control groups (P= 0.942; treatment group and control group 1 p= 0.071; treatment group and control group 2 compared with P= 0.067.7 The patient was no significant difference between the pregnancy success and failure.8 Before treatment, the serum level of P is pregnancy protective factors (or=1.022), age, adverse pregnancy history, history of uterine cavity operation, past medical history and pregnancy outcome, there is no obvious relationship between.Conclusion1 Chinese medicine hCG progesterone can promote the growth of early pregnancy serum P, serum hCG and promote growth.2 Three methods of treatment can alleviate the symptoms of early threatened abortion. Traditional Chinese medicine progesterone hCG group of TCM Comprehensive treatment than in the traditional Chinese medicine progesterone group.3 Traditional Chinese medicine progesterone hCG group the pregnancy success rate was higher than that in the progesterone group in the traditional Chinese medicine and traditional Chinese medicine group, no statistical significance.4 Before treatment the high level of serum P indicates good pregnancy outcome.