| Objective Clinical efficacy observation of combined therapy using chinese medicine of nourish kidney and strength spleen and activate the circulation of blood for treating threatened abortion with intrauterine haematoma; study the intrauterine haematoma may risk factors and observe the influence on pregnancy outcomes and pregnancy complications occurred.Method Collected a total of 65 cases the hospitalized patients in the inpatient of nanjing maternity and child care hospital from January 1,2014 to June 30,2015,all of them are threatened abortion with intrauterine haematoma in the first trimester of pregnancy this patients should be meet the conditions that theirs clinical symptoms Conform to the pattern of kidney deficiency and blood stasis. They can be divided into the treatment group and control group, which included in 35 cases in treatment group,30 cases in control group. On the specific treatment, control group given progesterone injection 40 mg muscle injection, and oral dydrogesterone tablets 10 mg every time, three times a day. Treatment group on the western medicine treatment as the same as the control group, at the same time, they should taking chinese medicine of nourish kidney and strength spleen and activate the circulation of blood,unified made decoction, currently taking twice a day. Both groups evaluation of clinical curative effect after two weeks of treatment. If the patients have these situations,such as vaginal bleeding Continue to increase or see Embryonic development stops by using the colour B ultrasonic,then we will stop this treatment and take the corresponding treatment measures. Divided treatment group and control group to hematoma group, at the same time collection 65 cases of patients without intrauterine haematoma the history of two groups of cases were collected for analysis.Results On the total curative effect, treatment group cure of 17 cases of patients,14 cases had marked effect, the total effective rate is 88.6%; To cure 8 patients with control group, the effective 12 cases, the total effective rate was 66.7%, the treatment group curative effect clear difference compared with control group, with statistical significance (P<0.05); Two groups in the extent of narrow the area of hematoma have statistical significance differences (P<0.05), the haematoma area was reduced in treatment group was obviously; In terms of the score of TCM symptoms, the treatment group was obviously better than the control group;In terms of the total time of stay in the hospital, the total length of hospital stay of patients to treatment group was obviously longer than the control group, the difference is obvious (P<0.05); Compare the differences of the incidence of dysmenorrhea between the group of the intrauterine haematoma and nonintrauterine haematoma of threatened abortion patients, the results significantly difference compared the two groups, with statistical significance (P<0.05); In the intrauterine hematoma merger of threatened abortion group, the number of adverse pregnancy outcomes and pregnancy complications occurred not have significant difference compared with the general threatened abortion group, no significant statistical significance (P>0.05); the observation group has more abortion chances than the comparison group;For the probability of IVF-ET happened in patients with intrauterine hematoma is more high than the threatened abortion patients with intrauterine pregnancy hematoma whose pregnancy Is happened in the natural state, this difference is obvious (P<0.05)Conclusion Using chinese medicine of nourish kidney and strength spleen and activate the circulation of blood cure intrauterine hematoma can have a more narrow area, a more curative effect in improving.the clinical symptoms; Repeated miscarriages, accompanied by the history of menstrual cramps and IVF-ET technique may be caused by intrauterine hematoma several risk factors, threatened abortion patients with uterine hematoma not increase adverse pregnancy complications. |
