Objective:Observe the clinical efficacy of the kidney and spleen, a result of ACA positive early recurrent spontaneous abortion, new way to explore a simple, safe and practical treatment of the disease.Method:Selected in December2009to2011in December during treatment of Heilongjiang University of Chinese Medicine, Second Affiliated Hospital gynecology clinic ACA positive recurrent spontaneous abortion, syndrome of61cases of spleen and kidney deficiency. Were randomly divided into two groups:Treatment group,31cases; control group of30cases, two-stage treatment.Stagel:pre-training of its loss, is not pregnant the first anti-treatment group taking the dialectical treatment of kidney and spleen Chinese medicine, the control group was treated with prednisone+aspirin a month for a course of treatment, continuous observation of the three courses,observation of the medication in patients with antibody negative and clinical symptoms to improve the situation. The second stage:Both pregnancy and disease prevention, has been ill for early treatment. After the first phase of treatment, the antibody negative patients with fertility requirements, and to guide its conception, to observe the two sets of ACA negative patients with pregnancy,Results:Clinical observations suggest that the kidney and spleen, treatment of ACA positive early recurrent spontaneous abortion patients antibody negative rate of74.19%,80%in the control group, X2test, P>0.05, ACA negative conversion rate between the two groups showed no difference; Total symptom score in the two groups after treatment were significantly decreased, the comparison group (P<0.01), there were significant differences in the two methods of the disease have a better effect; Total score between the two groups after treatment, P<0.05was statistically significant, suggesting that the treatment group to improve the symptoms of the disease, the total score higher than the control group; TCM clinical symptoms of the treatment group, the total effective rate was90.32%, the clinical symptoms of Chinese medicine in the control group the total effective rate was66.67%, P<0.05, treatment group symptom improvement rate was significantly higher than that in the control group, treatment group in improving the clinical symptomshas a good effect; The treatment group re-pregnancy abortion rate was26.32%, control group pregnancy abortion rate was44.45%, P<0.05was statistically significant, the treatment group can significantly improve the pregnancy outcome of the RSA patients, reflecting the advantage of TCM treatment.Conclusions:Kidney and spleen ACA negative treatment efficacy and western medicine (prednisone+aspirin) no difference in the improvement of Chinese medicine clinical symptoms were significantly better than the WM group, significant improvement in patients with recurrent spontaneous abortion of pregnancyoutcome. |