中西医结合治疗复发性流产病例报告1例
One Case Report of Recurrent Abortion Treated by Integrated Traditional Chinese and Western Medicine
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1.湖南中医药大学中西结合学院,长沙 410208
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雷磊. 中西医结合治疗复发性流产病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503294&Fpath=home&index=0
LEI Lei. One Case Report of Recurrent Abortion Treated by Integrated Traditional Chinese and Western Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503294&Fpath=home&index=0
雷磊. 中西医结合治疗复发性流产病例报告1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503294&Fpath=home&index=0 DOI:
LEI Lei. One Case Report of Recurrent Abortion Treated by Integrated Traditional Chinese and Western Medicine[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=29503294&Fpath=home&index=0 DOI:
病史摘要,2,患者杨某,女,42岁,24岁结婚,孕8,顺产1,人流3,稽留流产3,2001年顺产1子,配偶及儿子均体健。2017年、2018年先后因稽留流产于当地行清宫术,术后月经量较前减少约1/2,未行进一步诊治。2019年8月19日于门诊就诊,欲行中西药调理治疗,积极备孕。患者检查结果大致正常,诊断考虑不明原因复发性流产可能性大,结合患者年龄较大,现月经量少,既往多次手术史,建议患者中药调理3月后备孕,遂予自拟补肾活血方口服3个月经周期。患者二诊时月经量明显改善,调整中药后嘱其开始备孕,并用排卵试纸监测排卵,测到强阳性时同房。经过中西医结合治疗,患者顺利怀孕并顺产1名健康男婴。中医诊断 胎动不安 脾肾两虚证。中医治法 健脾补肾、固冲安胎。西医诊断 1.先兆流产;2.复发性流产。干预措施 中药予以寿胎丸加减,治以健脾补肾、固冲安胎,根据患者症状随症加减;西医予叶酸片口服预防胎儿神经管畸形,维生素E胶囊0.1 g,口服每日2次,预防流产,泼尼松片5 mg,口服,每日1次,预防免疫性流产,低分子肝素钠注射液0.4 ml,皮下注射Qd,改善子宫微循环、预防血栓性流产,黄体酮胶囊100 mg,口服每日2次,补充孕酮。孕期前三月动态监测血HCG、孕酮及雌二醇,定期复查肝功能、凝血功能及妇科彩超,调整用药。疗效转归 2022年5月17日随访,患者已于2021年1月于湖南省妇幼保健院顺产1健康男婴。
Summary of case history ,Patient Yang, female, aged 42. Married at the age of 24, 8 pregnant, 1 abortion, 3 missed abortion, and 1 child in 2001. Both spouses and sons are healthy. In 2017 and 2018, the patient underwent uterine clearance surgery due to delayed abortion. The last time was In August 2018, the postoperative menstrual volume decreased by about 1/2 compared with the previous period, and no further diagnosis and treatment was required. On August 19, 2019, she went to the outpatient clinic to undergo Chinese and Western medicine conditioning treatment and actively prepare for pregnancy. Considering multiple adverse pregnancy patients, first of all find out the cause: test results about normal patients, diagnosis of unexplained recurrent abortion is more likely to consider, in combination with older patients, now menstrual quantity is little, past history of surgery for many times, suggested that patients with Chinese traditional medicine recuperates the march backup pregnant, hence to from kidney invigorate the circulation of the oral three menstrual cycles. On December 6, 2019, the menstrual volume of the patient was significantly improved at the second diagnosis. After adjusting traditional Chinese medicine, she was ordered to start pregnancy preparation, and ovulation test paper was used to monitor ovulation. After Integrated Traditional Chinese and Western Medicine Treatment, the patient successfully conceived and gave birth to a healthy baby boy.,TCM diagnosis ,threatened abortion, deficiency of spleen and kidney.,TCM treatment ,strengthening the spleen, tonifying the kidneys, fixing the flushing and calming the fetus.,Western medicine diagnosis ,1. threatened abortion; 2. recurrent miscarriage.,TCM diagnosis ,Chinese medicine Shoutai pill was added and subtracted to strengthen spleen and kidney, consolidate chong and prevent miscarriage, and was added and subtracted according to the symptoms of patients; Western medicine administered folic acid tablet orally to prevent fetal neural tube malformation, vitamin E capsule 0.1 g orally Bid to prevent abortion, prednisone tablet 5mg orally Qd to prevent immune abortion, low molecular heparin sodium injection 0.4ml subcutaneously Qd to improve uterine microcirculation and prevent thrombotic abortion, progesterone capsule 100mg orally Bid to supplement progesterone. Dynamic monitoring of blood HCG, progesterone and estradiol in the first trimester of pregnancy, regular reexamination of liver function, coagulation function and gynecological color Doppler ultrasound, and adjustment of medication.,Regression ,At the follow-up visit on May 17, 2022, the patient had delivered a healthy male baby in January 2021 at the Hunan Provincial Maternal and Child Health Hospital.
复发性流产寿胎丸中西结合治疗
Recurrent abortionShoutai pillCombination therapy of Chinese and western medicine
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