摘要
目的探讨健脾益肾汤辨证加减辅助治疗羊水过多的临床疗效。方法选择2011年6月至2014年6月在河北省易县医院妇产科诊断为羊水过多的患者170例为研究对象,依据随机数字表法分为对照组和观察组,各85例。对照组给予吲哚美辛片,每次25 mg,每日3次,用药时间为1周;观察组在对照组的基础上给予健脾益肾中药汤剂,每日3次,每次50 m L,连续服用1周。比较两组患者的临床效果、妊娠结局以及产后并发症。结果观察组治疗后的羊水指数和症状积分分别为(193±11)mm、(3.8±0.7)分,显著低于对照的(220±10)mm、(5.3±0.2)分,差异有统计学意义(P<0.01)。观察组剖宫产、早产及产后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论健脾益肾汤辨证加减法治疗羊水过多临床效果显著,安全性高,产后并发症少,在临床上具有很高的应用价值。
Objective To observe the clinical curative effect of Jianpi Yishen decoction dialectical aux- iliary treatment for polyhydramnios. Methods A total of 170 polyhydramnios patients admitted to Yixian Hospital of Hebei Province from Jun. 2011 to Jun. 2014 were divided into observation group and control group according to random number table method ,85 cases each. The control group received indomethacin tablets, 25 mg per time, three times per day, for one week;the observation group was given Jianpi Yishen decoction on the basis of the control group＇s therapy,3 times a day,50 mL per time,for one week. The clinical effects, pregnancy outcome and postnatal complications of the two groups were compared. Results After treatment, the amniotic fluid index and symptom score of the observation group were （ 193± 11 ） nun, （3.8 ± 0.7）, sig- nificantly lower than the control group [ （220± 10） ram, （5.3 ± 0.2） ] （ P 〈 0.01 ）. The incidence of cesarean section,premature delivery and postpartum complication of the observation group were lower than that of the control group, the differences were statistically significant（ P 〈 0.05 ）. Conclusion Jianpi Yishen decoction dialectical treatment has significant clinical effects for polyhydramnios with high safety and lower postpartum complications, thus has very high application value in the clinical practice.
出处
《医学综述》
2015年第19期3609-3611,共3页
Medical Recapitulate
关键词
羊水过多
健脾益肾汤
辅助治疗
治疗效果
Polyhydramnios
Jianpi yishen decoction
Auxiliary treatment
Curative effect
