体外受精-胚胎移植术后早期妊娠先兆流产患者的中医体质辨识研究
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R749.3

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广东省中医药局科研课题面上项目(20191288);深圳市妇幼保健院院内科研基金重点项目(FYA2017010)


Study on Chinese Medicine Constitution Identification of Patients with Early Pregnancy Threatened Abortion After In Vitro Fertilization-Embryo Transfer
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    摘要:

    目的:分析总结体外受精-胚胎移植(IVF-ET) 术后早期妊娠先兆流产患者的中医体质分布特点。方法:运用中医体质辨识仪器及软件对400 例IVF-ET 术后早期妊娠先兆流产患者进行中医体质辨识,由专人对体质辨识数据进行测评分析。统计不同中医体质患者的数量,并观察先兆流产3 项主要症状(阴道流血、腹痛、腰酸) 及年龄≤28 岁、29~34 岁、年龄≥35 岁3 个不同年龄段与体质类型的关系。结果:400 例患者中,平和质43 例,偏颇体质357 例。偏颇体质的患者根据例数的多少由高到低排列,依次为:阳虚质>气郁质>血瘀质>气虚质>痰湿质>湿热质>阴虚质>特禀质。在有阴道流血症状的患者中,平和质占比最高;在有腹痛症状的患者中,气郁质占比最高;在有腰酸症状的患者中,阳虚质占比最高。年龄≤28 岁的患者中,平和质占比最高;29~34 岁的患者中,气郁质占比最高;年龄≥35 岁的患者中,阳虚质占比最高。结论:IVF-ET 术后早期妊娠先兆流产患者的临床症状及年龄与体质类型均密切相关。对患者进行中医体质类型测评,根据其体质特点对症安胎治疗,并对其进行心理疏导,调整偏颇体质,有助于提高安胎的临床疗效,提升该类患者的妊娠成功率。

    Abstract:

    Abstract: Objective: To analyze and summarize the distribution characteristics of Chinese medicine constitution of patients with early pregnancy threatened abortion after in vitro fertilization- embryo transfer(IVF- ET). Methods: A total of 400 cases of patients with early pregnancy threatened abortion after IVF-ET were identified by Chinese medicine constitution identification instrument and software,and the data of constitution identification were evaluated and analyzed by specialists. The number of patients with different Chinese medicine constitutions was counted; the relationship between three main symptoms of threatened abortion(vaginal bleeding, abdominal pain, waist soreness) as well as three different age groups (younger than 28 years old, 29~34 years old and older than 35 years old) and constitution types was observed. Results: Among the 400 cases of patients, there were 43 cases of balanced constitution and 357 cases of biased constitution. According to the number of cases, the patients with biased constitution were ranked from high to low in order: yangdeficiency constitution > qi- depression constitution > blood stasis constitution > qi- deficiency constitution > phlegmdampness constitution > dampness-heat constitution > yin-deficiency constitution > special intrinsic constitution. Among the three main symptoms of threatened abortion, patients with vaginal bleeding had the highest proportion of balanced constitution;in patients with abdominal pain,qi- depression constitution accounted for the highest proportion;in patients with waist soreness, yang-deficiency constitution accounted for the highest proportion. Among the patients younger than 28 years old, balanced constitution accounted for the highest proportion, and the proportion of biased constitution was relatively low. Among the patients aged 29 to 34 years old,qi-depression constitution accounted for the highest proportion. Among the patients older than 35 years old,yang-deficiency constitution accounted for the highest proportion. Conclusion: The clinical symptoms of patients with early pregnancy threatened abortion after IVF- ET are closely related to age and constitution types. By assessing Chinese medicine constitution types of patients,treating with anti-abortion based on their constitution characteristics, giving psychological counseling and adjusting biased constitution, it is helpful to improve the clinical effect of anti-abortion and the successful pregnancy rate of such patients.

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刘新玉,禹东慧,陈妍,黄素宁,田英,宁艳.体外受精-胚胎移植术后早期妊娠先兆流产患者的中医体质辨识研究[J].新中医,2021,53(22):105-109

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  • 在线发布日期: 2021-11-26
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