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本研究选择柳州市人民医院及广西科技大学第二附属医院2015年1月至2016年3月期间治疗的反复流产病例90例。采用随机分组方法,分为对照Ⅰ组、对照Ⅱ组、治疗组。对照Ⅰ组实施淋巴细胞主动免疫治疗,对照Ⅱ组在对照Ⅰ组的基础上实施心理干预,治疗组在对照Ⅰ组的基础上实施中医食疗联合心理干预。对各组患者妊娠结局及不良情绪改善情况进行评估。结果表明三组有效率差异显著(83.3%(25/30)vs 90.0%(27/30)vs 100.0%(30/30),χ~2=5.210,p<0.05);治疗后,各组患者BA抗体阳性率差异显著(63.3%(19/30)vs 73.3%(22/30)vs 86.7%(26/30),χ~2=4.320,p<0.05),正常分娩例数差异显著(17 vs 20 vs25,χ~2=5.081,p<0.05),对照I组SAS评分、SDS评分显著低于对照Ⅱ组(p<0.05)和治疗组(p<0.05),治疗组SAS评分、SDS评分显著低于对照Ⅱ组(p<0.05)。本研究认为中医食疗联合心理干预可显著缓解反复流产患者不良情绪,改善妊娠结局,具有较高的临床应用价值。
This study selected 90 cases of recurrent miscarriage treated in Liuzhou People’s Hospital and the Second Affiliated Hospital of Guangxi University of Science and Technology from January 2015 to March 2016. Randomized divided into control group Ⅰ, control Ⅱ group, treatment group. The control group Ⅰ was treated with active immunotherapy of lymphocytes. The control group Ⅱ was given psychological intervention on the basis of the control group Ⅰ. The treatment group was treated with traditional Chinese medicine combined with psychological intervention on the basis of the control group Ⅰ. The pregnancy outcome and adverse mood improvement in each group were evaluated. The results showed that there were significant differences among the three groups (83.3% (25/30) vs 90.0% (27/30) vs 100.0% (30/30), χ ~ 2 = 5.210, p <0.05) BA antibody positive rate was significantly different (63.3% (19/30) vs 73.3% (22/30) vs 86.7% (26/30), χ ~ 2 = 4.320, p <0.05) SAS score and SDS score in the control group I were significantly lower than those in the control group Ⅱ (p <0.05) and the treatment group (p <0.05), SAS score and SDS score Significantly lower than the control group Ⅱ (p <0.05). This study suggests that the combination of TCM therapy and psychological intervention can significantly alleviate the adverse emotions of patients with recurrent miscarriage and improve pregnancy outcome, which has a high clinical value.