中西医结合治疗妊娠中毒症117例

作者	单位
杨赛梅	中国福利会国际和平妇幼保健院
李国维	中国福利会国际和平妇幼保健院
马梅英	中国福利会国际和平妇幼保健院
王金芳	中国福利会国际和平妇幼保健院

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中文摘要:

本文分析中西医结合治疗妊娠中毒症117例。中医中药控制症状较为满意,对降压、退肿、蛋白尿治疗有一定疗效,未发现对胎动有影响,尿 E_值上升,子宫增长正常,妊毒症合并胎儿宫内生长受阻改善。提示中医中药辨证论治,初步观察能改善胎儿—胎盘功能,从而降低妊毒症的围产儿死亡率。

英文摘要:

From Jan.1979 to Sept.1980,one hundred and seventeen cases of toxemia of pregnancy were treated with traditional Chinese and western medicine combined.The patients were classified into 4 types:(1)Liver-kidney"Yin"deficiency with liver"Yang"hyperactivity type.Plan of treatment: nourishing the liver and kidney and suppressing liver hyperactivity.(2)Liver"Yang"hyperactivity and spleen deficiency with accumulation of abnormal lluid type.Plan of treatment:tonifying the spleen and facilitating fluid excretion.(3)Qi and fluid stagnation type.Plan of treatment:regulating the spleen and lung function and facilitating fluid excretion.(4)Spleen-kidney"Yang"insufficiency.Plan of treatment:warming.up"Yang"and facilitating fluid excretion. According to the standards stated in the paper good results were obtained in 34.19% of the 127 cases studied and fair results in 47.01%,while 18.80% failed to improve.It is shown by the results that TCM is effective in the treatment of toxemia of pregnancy.The herbs used had no adverse effects on the fetus.On the contrary the urinary estriol level had a general tendency to rise,the height of the uterine fundus increased,IUGR associated with toxemia of pregnancy improved.Chinese traditional medicine with its principle of symptom-sign differentiation seems to be able to improve fetal-placental function and thus reduce perinatal mortality due to toxemia of pregnancy.

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