中西医结合防治脾虚血瘀型子痫前期复发临床疗效观察.docVIP

中西医结合防治脾虚血瘀型子痫前期复发临床疗效观察 　　摘要：目的 探?加减补中益气汤联合低分子肝素钠防治脾虚血瘀型子痫前期复发的临床疗效。方法 选择既往患子痫前期病史的孕妇245例，随机分为A组67例，予中药加减补中益气汤加味治疗，B 组67例予中药+低分子肝素钠治疗，C组66例予低分子肝素钠治疗，D组45例空白组，不用中药+低分子肝素钠治疗。比较各组孕妇子痫复发率、发病孕周、早产平均孕周、早产儿平均体重；检测各组治疗前后胆固醇（TC）、甘油三酯（TG）、高密度脂蛋白（HDL）、低密度脂蛋白（LDL）。结果 子痫前期复发率：D组A组和C组B组，比较有显著性差异（PA组和C组D组，比较有显著性差异，A组和C组比较无差异（P0.05）。早产平均孕周B组比A组、C组、D组明显延长。TC、Tg，LDL治疗期升高值：D组A组和C组B组，比较有显著性差异（P0.05）；HDL治疗期升高值：B组A组和C组D组，比较有显著性差异（P0.05）。结论 防治子痫前期患者复发，加减补中益气汤加低分子肝素钠临床效果最佳 关键词：子痫前期复发；脾虚血瘀型；临床疗效；加减补中益气汤；低分子肝素钠 中图分类号：R271.4 文献标志码：B 文章编号：1007-2349（2017）02-0021-04 【Abstract】Objective： To study the clinical effect of modified Buzhong Yiqi Decoction combined with low molecular weight heparin on prevention and treatment of pre-eclampsia recurrence patients with spleen asthenia and blood stasis syndrome. Methods： 245 pregnant women with a history of pre-eclampsia were randomly divided into group A （67 cases）， treated with traditional Chinese medicine plus Buzhong Yiqi Decoction， group B （67 cases）， treated with traditional Chinese medicine plus low molecular weight heparin， group C （66 cases）， treated with low molecular weight heparin， and group D （45 cases）， treated only with low molecular weight heparin. The epilepsy recurrence rate， the incidence of gestational weeks， the average gestational age of premature birth and the average weight of premature children of each group were compared and their TC， TG， HDL and HDL were detected. Results： The pre-eclampsia recurrence rate： group Dgroup A and group Cgroup B. The comparison showed significant difference （P group A and group Cgroup D. The comparison was significant difference. There was no significant difference between group A and group C （P0.05）. The average gestational age in preterm labor group B was significantly longer than that in group A， C and D. The levels of TC， TG and LDL in the treatment group were significantly higher than those in group A and C （P0.05）. Conclusion： Modified Buzhong Yiqi Decoction plus low molecular weight h