| Research BackgroundRecurrent spontaneous abortion is a common gynecologic disease.Even now people living rich,medical resources are abundant,still unable to reduce the incidence of the disease.In recent years,with the implementation of the two child policy,environmental pollution,lifestyle changes,the incidence rate has increased year by year.Recurrent miscarriage(RSA)has been paid more and more attention because of its repeated pregnancy and falling characteristics,causing women’s physical and mental health damage.The etiology of this disease is complicated,and it is clear that the causes of recurrent miscarriage are genetic,anatomical,endocrine,immune,infection factors,etc..At present,the cause of the disease has not yet been fully explained,and the diagnosis and treatment of the disease depend on the doctor’s own clinical experience.The exact mechanism of the disease etiology and pathogenesis of the disease diagnosis and treatment of Western medicine is mainly based on,but for the cause of RSA and the mechanism has not been completely clear,is not the recent breakthrough in the development,and the effect is poor or even have side effects.Traditional Chinese medicine(TCM)judges the abnormal state and manifestation of patients due to diseases,and analyzes the essential causes of the patients with syndrome differentiation and treatment to regulate the abnormal function of the organism so as to improve the overall state and effectively resist the pathogenic factors.Therefore according to the complex etiology of the disease,often can show its advantages of traditional Chinese medicine.Chinese medicine treatment of RSA has gradually been proved to be effective in some cases,even though the pertinence of its therapeutic effect has not been fully clarified.However,TCM is a kind of subjective dialectic way,for all physicians of TCM syndrome type and recurrent abortion caused by the idea of diagnosis and treatment of some different treatment differences,the objective cause of TCM syndrome and quantification is insufficient,and the curative effect of Chinese medicine in the treatment of recurrent spontaneous abortion has not been fully recognized and valued.With the objective of TCM diagnosis and treatment of unknown origin of Western medicine,traditional Chinese medicine can make the treatment of recurrent spontaneous abortion is more convincing,so need to compile more information to the analysis and research on finishing.Research ObjectiveThe spirit of great importance to women’s blood spleen and kidney of Roche’s point of view,through one to one survey of recurrent spontaneous abortion syndrome syndrome of spleen and kidney is not solid and physicochemical indexes of 82 cases of recurrent spontaneous abortion of pregnant women,the collation of data,statistical analysis.The characteristics of syndrome and index of RSA spleen and kidney were mainly discussed,and the correlation between syndrome type and multiple physical and chemical indexes of RSA spleen and kidney was analyzed.Objective to provide objective basis and data support for TCM syndrome differentiation of RSA,and to explore whether TCM syndrome classification has certain relevance with physical and chemical examination of modern medicine.And through the study of TCM syndrome differentiation and disease differentiation Western differences from the study period encountered problems,that is the difference between western medicine and traditional Chinese medicine to elaborate;and think about how Chinese macro on syndrome differentiation and disease differentiation in western medicine,check for microscopic examination of integration more appropriate under the non-interference,guide the diagnosis of the situation in order to diagnose and treat diseases patients.Research MethodsAccording to the theory of traditional Chinese medicine combined with the clinical experience of Professor Luo Songping,set the basis questionnaire in April 2016 ~2017 year in March in the First Affiliated Hospital of Guangzhou University of Chinese Medicine gynecological clinic of 82 cases diagnosed as recurrent spontaneous abortion and TCM syndrome type of spleen and kidneyregardless of pre pregnancy women were interviewed by a questionnaire survey,a pair of entry.The clinical information collection questionnaire including general information,medical history,TCM syndrome type and characteristics.The related diagnostic data of Western medicine include: BBT,BMI,imaging changes,sex hormones,endocrine six items,immune examination data,etc..After the investigation,the data are sorted out and the information is not clear or incomplete.The TCM Syndromes of the cases should be mainly ignored by the spleen and kidney,and all the test indexes above can be input.Related factors of syndrome analysis regardless of recurrent spontaneous abortion of spleen and kidney,using frequency analysis to describe the population characteristics,to shave the frequency of less than 15% symptoms,and the analysis of recurrent spontaneous abortion of spleen and kidney syndrome factors regardless of symptoms.The correlation analysis of syndrome types and physical and chemical indexes of spleen and kidney of recurrent spontaneous abortion is partly analyzed by frequency statistics method.Finally,combined with the terminology of traditional Chinese medicine clinical diagnosis standard(Guo Jia syndrome)"," waiting "and" differential diagnosis of Gynecology of traditional Chinese medicine,TCM syndrome,combined with clinical practice and experience of experts,analysis of collected information.Results(1)the age,number of abortion,number of weeks of pregnancy and menstrual status were found to be related to the study.The spleen and kidney is not solid RSA in the patients with abnormal BMI index 36,more than 43%.The BBT results are not ideal and abnormal 64.64%.The spleen and kidney is not solid type RSA clinical syndromes,Yaoxisuanruan the highest frequency(22.11),yellow cheek dark spots(13.95),dizziness and tinnitus(13.27),anorexia(12.93),(10.54),diarrhea(9.18),orbital frequency(8.50),dark night urine(5.10),the lower abdomen in the fall(4.42).A higher frequency of the first 3 items in two and kidney related,spleen deficiency related to 1 items of.The total frequency analysis is obtained and 62.59% renal lesions,37.41% had relationship with spleen.This is visible,and the kidney is dominant,supplemented by spleen.The immune factors of spleen and kidney is not solid main factors RSA.The detection index especially blocking antibody and APAs related immune indicators most closely.The Yaoxisuanruan in every index of immunity was the most obvious,may be due to immune dysfunction and TCM related renal function decline.The endocrine in the results of this study for the secondary factors,among which the luteal phase factors most.The endocrine factors mainly presents before three clinical symptoms were yellow or grayish complexion dark spots(95.24)was the most obvious,or mutual transformation of spleen and kidney disorders in.Normal to normal values for the comparison of sex hormone,may have relationship with the whole pituitary reproductive immune axis recession.The correlation factors and the study of uterine cervical insufficiency is minimal,which is the main reason.Conclusion1.patients with recurrent spontaneous abortion and abortion,age,gestational age,menstrual status related.2.spleen and kidney is not solid clinical syndrome type RSA followed by Yaoxisuanruan(22.11%),yellow cheek dark spots(13.95%),dizziness and tinnitus(13.27%),anorexia(12.93%),(10.54%),diarrhea(9.18%),orbital frequency(8.50%),dark night urine(5.10%),hidden belly the pain of falling(4.42%).A higher frequency of the first 3 items in two and kidney related,spleen deficiency related to 1 items of.The total frequency analysis is obtained and 62.59% renal lesions,37.41% had relationship with spleen.3.immune factors of spleen and kidney is not solid main factors RSA.The detection index especially blocking antibody and APAs related immune indicators most closely.Endocrine factors of the luteal phase more. |
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