| Objective: To explore the clinical value of the early threatened abortion patients' age, abortion history, clinical symptoms, serum hormones, B ultrasound, and other related factors judging the ending of soothing fetus, further reveals the laws of morbidity of early threatened abortion. Provide reference for putting forward effective prevention measures and reasonable clinical treatment, grasping the best time of soothing fetus, so as to improve the success rate of soothing fetus.Methods: Collecting 60 patients with successful ending of soothing fetus(observe to 12 gestational weeks, no threatened abortion symptoms) and 60 patients with failing ending of soothing fetus(miscarry in 12 weeks) according to the standard of inclusion criteria and exclusion criteria from the early threatened abortion patients who are hospitalized in genecology ward of affiliated hospital of Shandong university of TCM. Analyze and sort the clinical material of the two groups' patients from the aspects of their age, maternal history, clinical symptoms, serum hormone, B ultrasound, and many other aspects retrospectively.Then process the valid data using statistical methods.Results:(1)Age is in relation to the ending of soothing fetus, and the success rate of soothing fetus gradually reduced with age.(2)Spontaneous abortion and induced abortion are in relation to the ending of soothing fetus, and the success rate of soothing fetus gradually reduced with increased number of abortions.(3)5~11 weeks of gestation, the failure group's level of E2, P, ?-HCG were significantly lower than the success group's.(4)The time and the volume of vaginal bleeding, hypogastric pain can reduce the success rate of soothing fetus, but the color and the quality of vaginal bleeding, abdominal pendant, backache have no obvious correlation with the ending of soothing fetus.(5)Hematometra whose area is less than 10cm2 have no obvious correlation with the ending of soothing fetus.Conclusion:(1) Monitor serum hormone levels regularly during pregnancy to observe the situation of embryonic development. Take effective measures against the abnormal timely so as to improve the success rate of pregnancy.(2)Give an active treatment to the patients who are diagnosed threatened abortion, especially the one with vaginal bleeding, hypogastric pain.(3)Monitor the development conditions of embryonic regularly with B ultrasound. Give a timely symptomatic treatment to the one who has hematometra.(4)Procreate at the right age. At the same time, strengthen the education of effective contraception so as to reduce the occurrence of an unwanted pregnancy, safeguarding the reproductive health of the childbearing age women. |
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