陈学奇治疗不明原因复发性流产验案一则
A Medical Case of Professor Chen Xueqi Treatment of Unexplained Recurrent Spontaneous Abortion
扫 描 看 全 文
1.浙江中医药大学附属第二医院 妇产科,杭州 310005
2.浙江中医药大学附属第三医院 妇科,杭州 310000
扫 描 看 全 文
胡凤英, 陈学奇. 陈学奇治疗不明原因复发性流产验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943975&Fpath=home&index=0
HU Fengying, CHEN Xueqi. A Medical Case of Professor Chen Xueqi Treatment of Unexplained Recurrent Spontaneous Abortion[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943975&Fpath=home&index=0
胡凤英, 陈学奇. 陈学奇治疗不明原因复发性流产验案一则[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943975&Fpath=home&index=0 DOI:
HU Fengying, CHEN Xueqi. A Medical Case of Professor Chen Xueqi Treatment of Unexplained Recurrent Spontaneous Abortion[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31943975&Fpath=home&index=0 DOI:
病史摘要,2,曹某,女,39岁,月经不调半年余,不良妊娠史2次。近半年来月经时常延后,周期最长达45天,经量中等,色暗,夹小血块。剖宫产1胎,产后连续2次不良妊娠,流产后行甲状腺功能、性激素六项、标准抗心磷脂抗体及夫妇染色体、配偶精液常规等检查未见明显异常。患者有生育二胎要求,恐再次流产,前来寻求中医治疗。中医诊断 滑胎,月经后期;证属肝肾亏虚,气血不足。西医诊断 复发性流产。干预措施 初诊以滋补肝肾、益气养血,促进受孕。孕后以益气养血、健脾补肾、清热凉血安胎,同时予西药地屈孕酮片等保胎治疗。疗效转归 中药治疗至孕24周。2021年1月剖宫产,足月活胎,母婴均好。
Summary of case history ,The patient, female, 39 years old,., Irregular menstruation for more than half a year with 2 adverse pregnancy histories. In the past six months, menstruation has often been delayed, with a cycle of up to 45 days. The menstrual volume is medium, the color is dark, and there are small blood clots. One fetus was delivered by cesarean section, and two consecutive adverse pregnancies occurred after delivery. No obvious abnormalities were found in thyroid function, sex hormones, standard antiphospholipid antibodies, couple chromosomes and spouse semen routine examination after adverse pregnancy. The patient has a request to have a second child and is afraid of miscarriage again. He comes to seek traditional Chinese medicine treatment.,TCM diagnosis ,Habitual abortion, Late menstruation; Deficiency of liver and kidney, insufficient Qi and blood,Western medicine diagnosis ,Recurrent spontaneous abortion,Therapeutic methods ,At the initial diagnosis, it can promote pregnancy by nourishing the liver and kidney, supplementing qi and nourishing blood. After pregnancy, the fetus was treated with Qi tonifying and blood nourishing, spleen tonifying and kidney tonifying, heat clearing and blood cooling, as well as western medicine Dydrogesterone Tablets.,Clinical outcomes ,Chinese medicine treatment to 24 weeks of pregnancy. In January 2021, she was delivered by caesarean section, and the live full-term fetus was good.
复发性流产中医治疗名医经验陈学奇
Recurrent spontaneous abortionTraditional Chinese medicine treatmentExperience of famous doctorsChen Xueqi
自然流产诊治中国专家共识编写组.自然流产诊治中国专家共识(2020年版)[J].中国实用妇科与产科杂志,2020,36(11):1082-1090.
程阳,赵敏.复发性流产患者阴道菌群特征[J].国际生殖健康/计划生育杂志,2022,41(3):184-188.
中国人体健康科技促进会生殖免疫专业委员会复发性流产病因检查专家共识编写组.复发性流产病因检查专家共识[J].中国计划生育和妇产科,2022,14(2):3-9.
秦朗,高睿.《自然流产诊治中国专家共识(2020年版)》评述[J].西部医学,2021,33(5):625-631.
王东霞,武艳琪,刘俊杰.早期复发性流产患者病因及流产胚胎染色体异常分析[J].中国计划生育学杂志,2020,28(3):404-407.
李洁.2016年中国“复发性流产诊治的专家共识”与2017年欧洲“复发性流产诊治指南”的解读[J].实用妇产科杂志,2018,34(11):822-825.
Practice Committee of the American Society for Reproductive Medicine. Evaluation and treatment of recurrent pregnancy loss:a committee opinion[J]. Fertil Steril,2012,98(5):1103-1111.
Eshre Guideline Group on RPL, Bender Atik R, Christiansen OB,et al.ESHRE guideline:recurrent pregnancy loss[J].Hum Reprod Open,2018,2018(2):hoy004.
中国医师协会生殖医学专业委员会.孕激素维持妊娠与黄体支持临床实践指南[J].中华生殖与避孕杂志,2021,41(2):95-105.
0
浏览量
7
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构