| Object:This study is through clinical research toinvestigate the life of fetal pill and subtract joint Dydrogesterone in the treatment of poly cystic ovary syndrome in patients with recurrent abortion effect, through the pregnancy after pregnancy combined Chinese and western medicine therapy and western medicine/after conceived after the comparison between Chinese and western medicine treatment, including the differents of clinical symptoms, pregnancy rate,female hormone and B ultrasound, for clinical treatment of polycystic ovary syndrome in patients with recurrent miscarriage to seek the best solution, has period to increase pregnancy rate, reduce the effect of side effects, make more patients benefit.Methods:This study collected 90 cases all the training hospital outpatient service, consistent with polycystic ovary syndrome caused by recurrent miscarriage, randomly divided into three groups:the treatment of 30 cases of patients with pregnancy after pregnancy intervention into the combination group after pregnancy pregnant, again without pregnancy intervention in the treatment of 60 cases of pregnancy were randomly divided into Chinese and western medicine group, the pregnancy after pregnancy group 30 cases each, ade the western medicine group after pregnancy progestin capsule treatment, Chinese and western medicine group after pregnancy to life of fetal pill and subtract with progesterone therapy, pregnancy after pregnancy joint group: pregnancy to kidney zhoufang treatment, after pregnancy to life of fetal pill and subtract with progesterone therapy, three groups start point for ovulation, and B ultrasonic of pregnant women after treatment is to see:fetal blood vessels, finally as 12 weeks of pregnancy to the end.observation of one period of treatment.According to the cases ruled out standard, excluding cases, conclusion:after pregnancy the western medicine group of 29 cases; Chinese and western medicine group of 30 cases after pregnancy; Before pregnancy and after pregnancy the joint group of 29 cases. Recorded before and after treatment in patients with abdominal pain, vaginal haemorrhage amount color, pregnancy rate, survival rate, etc; Measured value before and after treatment in patients with progesterone (P) and human chorionic gonadotrop (HCG); Using B Ultrasound to check the pregnant woman. The evaluation and statistics were done using SPSS17.0 for Windows software and the calculating data were expressed as x±S. Data before and after the treatment were used T test; categorical data were used chi square test; comparison between groups were used analysis of variance.Results:the pregnancy outcome:29 cases of research group,25 cases of success pregnancy, 4 cases were ineffective pregnancy, the total effective rate was 86.2%. The experimental group was 30 cases,23 cases of successful pregnancy,7 cases had no effect, the total effective rate 76.6%, The control group was 29 cases,20 cases pregnancy success,9 casas were no effect, the total effective rate 68.9%, the team is better than that of the experimental group and control group, the difference was statistically significant (P<0.05). The three groups of patients, serum P-HCG and serum progesterone comparison of 4 weeks,5 weeks,6 weeks,8 weeks and 10 weekend of pregnancy:inthe treatment group of Chinese medicine intervention before pregnancy, the discovery of check blood P-HCG and progesterone P value of 4 weekend,5 weekend and 6 weekend of pregnancy was high, once pregnancy the check blood β-HCG and progesterone P value were higher than other two groups, and these two hormones in the early prevent-miscarriages grow relatively quickly, three groups was statistically significant difference (P<0.05). in 8 weekend and 10 weekend of pregnancy of the three groups the serum β-HCG and serum progesterone P grow slowly, and there was no statistically significant difference (P>0.05).Conclusions:Chinese and western medicine combination therapy Before intervention and pregnancy after pregnancy is better for the treatment of PCOS patients with recurrent miscarriage efficiently, which can change the patient’s clinical symptoms,signs,increase pregnancy rate and survival rate of embryos, can obviously improve the patients of progesterone P human chorionic gonadotropin HCG levels, curative effect is better than that of pure Chinese and western medicine group and western medicine group after pregnancy, can shorten the Chinese medicine treatment at the same time, reduce the side effects of western medicine for clinical treatment of PCOS type recurrent miscarriage to provide a more appropriate method. |
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