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目的探讨胎儿生长受限(FGR)的治疗方法。方法将128例住院FGR孕妇随机分为对照组(61例)和观察组(67例)。对照组采用硫酸镁静脉滴注辅以营养饮食,观察组在此基础上根据患者气血虚弱、脾肾阳虚、肝肾阴虚等不同类型采用不同中药辨证施治,1个疗程后评价效果。结果两组治疗前后脐动脉血流阻力指数比较,差异有显著性意义(P<0.05、P<0.01);治疗后观察组疗效显著优于对照组(P<0.05)。结论硫酸镁配合中药辨证施治是治疗FGR的有效方法之一。
Objective To investigate the treatment of fetal growth restriction (FGR). Methods 128 pregnant women with inpatient FGR were randomly divided into control group (61 cases) and observation group (67 cases). The control group received magnesium sulfate intravenous drip supplemented with nutrition diet. On the basis of the observation group, the patients were treated with different TCM syndrome differentiation according to the patients’ qi and blood weakness, spleen and kidney yang deficiency, liver and kidney yin deficiency, and the effect after 1 course of treatment . Results Before and after treatment, the resistance index of umbilical artery in two groups was significantly different (P <0.05, P <0.01). After treatment, the curative effect in observation group was significantly better than that in control group (P <0.05). Conclusion Magnesium sulfate with traditional Chinese medicine syndrome differentiation is one of the effective ways to treat FGR.