罗颂平教授治疗先兆流产合并绒毛膜下血肿经验-环球中医药.pdfVIP

摇摇774 环球中医药2015年7月第8卷第7期摇 Global Traditional Chinese Medicine,July2015,Vol郾8,No郾7 ·岭南罗氏妇科经验专题 · 罗颂平教授治疗先兆流产合并绒毛膜下血 肿经验 刘昱磊摇 王俊玲摇 刘新玉摇 滕辉 揖摘要铱摇 罗颂平教授擅长运用中医药治疗反复自然流产,认为先兆流产合并绒毛膜下血肿的 病机为脾肾两虚,兼有血瘀,治疗中应注重培补脾肾,兼活血止血,强调结合疾病发展的不同阶段遣 方用药,活血药物需选用三七、丹参等平和之品,且用量宜少,中病即止。 揖关键词铱摇 先兆流产;摇 绒毛膜下血肿;摇 名医经验 揖中图分类号铱摇 R249摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2015郾07郾003 Prof郾LUO Song鄄ping蒺s experience with threatened abortion combined with subchorionic hematoma LIU Yu鄄lei,WANG Jun鄄ling,LIU Xin鄄yu,et al郾Shenzhen Maternal and Child Health Hospital,Shenzhen 518033,China Corresponding author:WANGJun鄄ling,E鄄mail:wjl97@126郾com 揖Abstract铱摇 Prof郾LUO Song鄄ping is good at management of recurrent spontaneous abortion in Traditional Chinese medicine郾In her opinion,threatened abortion combined with subchorionic hematoma arisesfrom a dual deficiency of the spleen and kidney plus blood stasis郾Accordingly,in clinical practice, emphasis should be laidonnourishmentandtonificationofthespleenandkidneyaswellasbloodactivation to stanch bleeding郾Meanwhile,she also emphasizesthe importance of choosing suitableformulas according to the development of disease郾As for the drugs for promoting blood circulation,herbs that are neutral in nature such as Radix Notoginseng,Radix Salviae Miltiorrhizae are chosen at a favorably low dose,and should be discontinuedwhile symptoms improve郾 揖Key words铱摇 Threatened abortion;摇 Subchorionic hematoma;摇 Clinical experience 摇 摇 先兆流产的主要临床表现为阴道出血及腹痛, 临床意义。 部分患者B型超声发现绒毛膜下血肿,表现为宫腔 西医目前治疗早期妊娠合并绒毛膜下血肿主 内宫壁与妊娠囊之间的无回声区,有研究显示其对 要采用地屈孕酮、黄体酮、人绒毛膜促性腺激素 妊娠结局有不良影响,增加妊娠丢失、胎盘早剥、胎 (human chorionic gonadotropin,HCG)、间苯三酚单 膜早破及早产的风险,尤其是重度血肿容易导致胚 用或联合治疗,但疗程长,治疗费用高,中西医结合 [1鄄2] 胎或胎儿停止发育 。 因此及时采用安全有效的 治疗可显著缩短疗程,明显降低自然流产率,降低 治疗方法治疗孕早期合并绒毛膜下血肿的先兆流