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1010例早期先兆流产患者中医证型分布及妊娠结局相关因素分析

黄玉华 柯海 魏颖楠 郭婧 徐鸿燕 胡晶

中国中医药信息杂志2017,Vol.24Issue(8):22-26,5.
中国中医药信息杂志2017,Vol.24Issue(8):22-26,5.DOI:10.3969/j.issn.1005-5304.2017.08.006

1010例早期先兆流产患者中医证型分布及妊娠结局相关因素分析

Analysis on the Distribution of TCM Syndromes and Related Factors of Pregnancy Outcome of 1010 Cases of Early Threatened Abortion

黄玉华 1柯海 1魏颖楠 1郭婧 1徐鸿燕 1胡晶2

作者信息

  • 1. 首都医科大学附属北京中医医院,北京 100010
  • 2. 北京市中医研究所,北京 100010
  • 折叠

摘要

Abstract

Objective To discuss the distribution laws of TCM syndromes of early threatened abortion; To analyze the related factors of pregnancy outcome of early threatened abortion. Methods The study included 1010 hospital patients who were diagnosed as early threatened abortion. Excel2010 was used to establish database in order to collect general information such as the age, menstrual history, times of abortion and adverse pregnancy, incidence of solar term and pregnancy week, the type of TCM syndromes and the pregnancy outcome (at least 3 months after being out of hospital) of patients. The distribution laws of TCM syndromes, and related factors of pregnancy outcome were analyzed. Results Among the 1010 cases, 762 cases were with kidney deficiency syndrome (75.4%); followed by blood heat syndrome, a total of 178 cases, accounting for 17.6%; qi and blood deficiency syndrome, a total of 40 cases, accounting for 4%; blood stasis syndrome, a total of 15 cases, accounting for 1.5%; liver stagnation syndrome, a total of 15 cases, accounting for 1.5%. The distribution of TCM syndromes was statistical significance in the different age groups and the incidence of pregnancy week (P<0.01). But there was no statistical significance in menstrual history, times of abortion, times of adverse pregnancy, and the incidence of solar term (P>0.05). Among the 1010 cases, follow-up to 698 cases, 567 cases were successful pregnancies, accounting for 81.2% of the follow-up of patients; 131 cases were failed pregnancies, accounting for 18.8% of the follow-up of patients. In the study, it found that there was statistical significance between different age groups and pregnancy outcomes (P=0.026). The pregnancy outcomes were related to the age groups (P=0.012, OR=1.063), and it was not related to TCM syndromes, times of abortion, times of adverse pregnancy, menstruation, pregnancy week. Conclusion Kidney deficiency syndrome is the main syndrome of early threatened abortion. The distribution of TCM syndromes is related to the age group and the incidence of pregnancy week of patients. Age of patients is the related factor affecting the pregnancy outcome.

关键词

早期先兆流产/中医证型/妊娠结局

Key words

early threatened abortion/TCM syndromes/pregnancy outcome

分类

医药卫生

引用本文复制引用

黄玉华,柯海,魏颖楠,郭婧,徐鸿燕,胡晶..1010例早期先兆流产患者中医证型分布及妊娠结局相关因素分析[J].中国中医药信息杂志,2017,24(8):22-26,5.

中国中医药信息杂志

OACSCDCSTPCD

1005-5304

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