目的探讨采用自拟参葛安胎汤治疗妊娠晚期羊水过少的临床疗效。方法本研究选择本院妇产科门诊2011年1月~2012年7月确诊为羊水过少孕妇120例,随机分为3组:饮水组、静脉输液组、中药组(参葛安胎汤),每组40例,观察治疗10d后,B超测羊水指数(AFI)及脐血流S/D值,并统计妊娠结局。结果中药组治疗10d后AFI较治疗前增加、脐血流S/D值下降(P〈0.05),饮水组及静脉输液组治疗前后差异无统计学意义。中药组较饮水组、静脉输液组经阴分娩率高、新生儿并发症少,且差异有统计学意义(P〈0.05)。结论中药治疗(参葛安胎汤)不仅可增加羊水过少者的羊水量,同时可降低胎儿脐血流阻力、改善围产结局。
Objective To explore the clinical effects of the ann tire soup which is used to treat oligohydramnios. Methods Subjects were recruited from the outpatient obstetrical clinic of Maternal and Child Health Care of Za- ozhuang from January 2011 to July 2012. People were eligible if they were diagnosed with oligohydramnios and ran- dom divided into three groups. Finally, collectted the information of the therapeutic effects. Results The AFI and um- bilical cord blood flow S/D value of the Chinese medicine treatment group were improved compared with before treat- ment (P 〈 0.05). However, there were no changes in the other two groups. The delivering rate and neonate complica- tions of the Chinese medicine treatment group were much better than the other two groups. Conclusion The Chinese medicine treatment (ann tire soup) can not only increase the AFI of the oligohydramnios but also decrease the umbili- cal cord blood flow S/D value and improve the perinatal outcome.