ZHANG Wei, DING Caifei. Clinical Observation on 100 Cases of Threatened Abortion Treated with Yishen Angong Formula( 益肾安宫方) Combined with Progesterone Injection[J]. Journal of Traditional Chinese Medicine2015, 56(9): 773-777.
ZHANG Wei, DING Caifei. Clinical Observation on 100 Cases of Threatened Abortion Treated with Yishen Angong Formula( 益肾安宫方) Combined with Progesterone Injection[J]. Journal of Traditional Chinese Medicine2015, 56(9): 773-777.DOI: 10.13288/j.11-2166/r.2015.09.013.
Clinical Observation on 100 Cases of Threatened Abortion Treated with Yishen Angong Formula( 益肾安宫方) Combined with Progesterone Injection
Objective To observe the clinical effect the treatment with Yishen Angong Formula combined with progesterone injection on threatened abortion. Methods Totally 100 cases of threatened abortion patients were randomly divided into treatment group and control group
with 50 cases in each group. In the control group
patients were given intramuscular injection of progesterone injection 40 mg
1 time per day. According to TCM syndrome differentiation
patients in the treatment group were divided into kidney deficiency and blood heat pattern and the kidney and spleen deficiency pattern
and were given prescription No. 1 and No. 2 of Yishen Angong Formula respectively
one dose per day. For the two groups
set 7 days as one course
and totally treated with 3 courses. The levels of serum chorionic gonadotropin( beta-HCG)
progesterone( P)
estradiol( E2) were tested in both groups before treatment
and 1
2
3 weeks after treatment. The TCM syndrome score will be compared in two groups before and after treatment. After treatment
evaluated the comprehensive efficacy and syndrome efficacy
then evaluated the clinical comprehensive therapeutic effect in the treatment group among patients with different age
different history of natural abortion and different gestational weeks. Results In the treatment group and the control group
the total effective rates of the clinical curative effect are respectively 88% and 72%
and the treatment group was significantly better than the control group( P < 0. 05). After treatment
the TCM syndrome score of the two groups was significantly lower than those before treatment( P < 0. 01); and after treatment
TCM syndrome score of the control group was significantly lower than the control group( P < 0. 05). One
two
three weeks after the treatment
the serum-HCG
E2 levels of the patients in both groups were significantly increased compared with those before treatment( P < 0. 01). In the treatment group
one
two
three weeks after the treatment
the serum level of P increased significantly compared with those before treatment(( P < 0. 01 or P < 0. 05)
and in the control group
one
two
three weeks after the treatment
the level of serum P obviously rose than those before treatment( P < 0. 01); One
two
three weeks after the treatment
the serum levels of E2 in treatment group were significantly higher than in the control group( P <0. 01). Comparing patients with different ages
different histories of natural abortion
and gestational weeks in the treatment group
it showed that the differences of the total curative effect were not statistically significant( with P >0. 05). Conclusion The treatment of Yishen Angong Formula combined with progesterone injection in threatened abortion has exact curative effect
which is not affected by patient age
history of spontaneous abortion
gestational weeks. It can significantly improve the clinical TCM symptoms and raise the serum level of E2.
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Related Author
MA Liya
ZHANG Dawei
ZHANG Ying
PANG Yuqin
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ZHAO Junmei
HUO Lei
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Related Institution
Third Affiliated Hospital of Henan University of Traditional Chinese Medicine
Henan University of Traditional Chinese Medicine
Population and Family Planning Science and Technology Research Institute of Henan Province