中药神阙穴贴敷联合黄体酮对肾虚型早期先兆流产患者的护理干预

Nursing intervention of Chinese medical sticking on acupoint shenque combined with progestin on earlier threatened abortion due to kidney deficiency

  • 摘要: 目的:探讨中药神阙穴贴敷联合黄体酮护理干预肾虚型早期先兆流产患者的临床疗效。方法将60例肾虚型早期先兆流产患者随机分为对照组和治疗组,2组在实施先兆流产常规护理的基础上,对照组30例单纯采用黄体酮肌肉注射治疗,治疗组30例给予中药神阙穴贴敷联合黄体酮治疗,然后对2组治疗后的临床疗效及阴道出血和腰痛、腹痛的消失时间进行比较,同时动态监测血清黄体酮和β-HCG 水平。结果治疗组临床治疗有效率显著优于对照组(P <0.05);治疗组临床症状的消失时间显著短于对照组(P <0.05);治疗组、对照组血清黄体酮水平与治疗前相比差异有统计学意义(P <0.05),治疗后2组间比较差异无统计学意义(P >0.05);治疗组、对照组β-HCG 水平与治疗前相比差异有统计学意义(P <0.05),治疗后2组间比较差异有统计学意义(P <0.05)。结论中药穴位贴敷联合黄体酮治疗早期先兆流产可以缩短治疗时间,提高孕激素水平,改善黄体功能,能够有效避免流产的继续发展,提高了保胎成功率。

     

    Abstract: ABSTRACT:Objective To explore the nursing intervention of Chinese medical sticking on acupoint shenque combined with progestin on earlier threatened abortion due to kidney deficiency. Methods 60 threatened abortion patients due to kidney deficiency were randomly divided into con-trol group and observation group.On the basis of traditional nursing,the patients in the control group(30 cases)were only given intramuscular progestin injection treatment while the patients in the observation group(30 cases)were given Chinese medical sticking on acupoint shenque combined with progestin.Clinical efficacy,disappearance time of vaginal bleeding,back and abdominal pain of both groups were compared.Levels of progesterone andβ-HCG of both groups were dynamic monitored.Results The effective rate of observation group was significantly higher than that in the control group (P <0.05).Disappearance time of clinical symptoms of observation group was significantly shorter than that in the control group (P <0.05).After treatment,level of serum progesterone of both groups showed statistical difference than that before treatment (P <0.05). There was no statistical significant difference between two groups after treatment (P >0.05).Af-ter treatment,level of serumβ-HCG of both groups showed statistical difference than that before treatment (P <0.05).After treatment,the difference in the two groups was statistically signifi-cant(P <0.05).Conclusion Chinese medical sticking on acupoint shenque combined with pro-gestin on earlier threatened abortion due to kidney deficiency could shorten cure time,raise proges-terone levels and improve luteal function.Thus,the therapy can effectively prevent abortion and improve the success rate of miscarriage.

     

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