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300例先兆流产中医证候调查分析
作者姓名:李肖凤  李伟莉  张 涛
作者单位:1.安徽中医药大学研究生部,安徽 合肥 230038;2.安徽中医药大学第一附属医院妇科,安徽 合肥 230031;3.安徽省六安市中医院,安徽 六安 237000
摘    要:目的 对先兆流产患者的中医证候进行调查分析。方法 查阅分析300份先兆流产病历,统计并分析其中医证型与病因、年龄、孕周的关系。结果 先兆流产的中医证型以肾虚型频率最高;不明原因所致先兆流产者以血热型为主,其他因素所致者则以肾虚型为主;肾虚类证型的平均发病年龄显著高于非肾虚类证型的平均发病年龄;孕4~9周是先兆流产的高发病期,且以肾虚型最多见。结论 肾虚是先兆流产的基本环节,在肾虚类证型中以肾虚型最多见,在非肾虚类证型中以血热型最多见;中医证型分布与发病原因、妊娠年龄及妊娠周数有一定的相关性。

关 键 词:先兆流产  证候  肾虚  血热

Investigation of Traditional Chinese Medicine Syndromes in Patients with Threatened Abortion: An Analysis of 300 Cases
Abstract:Objective To investigate and analyze the traditional Chinese medicine (TCM) syndromes in patients with threatened abortion. Methods The medical records of 300 patients with threatened abortion were reviewed, and the relationship of TCM syndrome types with etiology, age, and gestational weeks was statistically analyzed. Results Kidney deficiency was the most frequent type of TCM syndrome in all patients with threatened abortion; blood heat was the main type of TCM syndrome in patients with unexplained threatened abortion, and kidney deficiency was the main type in those with threatened abortion caused by other factors; the mean age of onset was significantly higher in patients with syndromes of kidney deficiency class than in those with syndromes of other classes; threatened abortion occurred most frequently during 4-9 weeks of gestation, and kidney deficiency was the most common type of TCM syndrome. Conclusion Kidney deficiency is the basic syndrome of threatened abortion; kidney deficiency is the most common one in the TCM syndromes of kidney deficiency class, while blood heat is the most common one in the TCM syndromes of other classes; TCM syndrome types have a certain relationship with etiology, age, and gestational weeks in patients with threatened abortion.
Keywords:threatened abortion  syndrome  kidney deficiency  blood heat
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