摘要
目的 本文通过黄体功能不全所致复发性流产患者的治疗，分析应用滋肾育胎丸联合地屈孕酮片治疗的临床疗效。方法 选择我院（2025年1月-2025年6月）治疗的80例，依据随机抽签法将其分为40例一组，对照组给予患者地屈孕酮治疗，观察组滋肾育胎丸联合地屈孕酮治疗。就两种药物联合应用与单一用药方案的疗效进行统计，系统评估治疗方案在激素水平、维持妊娠等方面的临床效果。结果 观察组保胎成功率高于对照组（P＜0.05），患者的激素水平也好于对照组（P＜0.05）。结论 滋肾育胎丸联合地屈孕酮治疗黄体功能不全复发性流产疗效显著，能有效改善患者的血清激素水平，推动患者的进程，该联合治疗方法值得进一步推广。
关键词： 地屈孕酮；滋肾育胎丸；先兆流产
Abstract
Objective This study evaluated the clinical efficacy of Zishen Yutai Pills combined with dydrogesterone tablets in treating recurrent miscarriage caused by luteal phase insufficiency. Methods Eighty patients (2025.1-2025.6) treated at our hospital were randomly divided into four groups using a lottery system. The control group received dydrogesterone therapy, while the observation group received Zishen Yutai Pills combined with dydrogesterone. Statistical analysis compared the efficacy of combined therapy versus monotherapy, with systematic evaluation of clinical outcomes including hormonal levels and pregnancy maintenance. Results The observation group demonstrated higher pregnancy preservation success rates (P <0.05) and better serum hormone levels than the control group (P <0.05). Conclusion The combination therapy of Zishen Yutai Pills and dydrogesterone significantly improves serum hormone levels and advances disease progression in patients with luteal phase insufficiency-related recurrent miscarriage. This integrated approach warrants further promotion.
Key words： Dydrogesterone; Zishen Yutai pills; Threatened abortion
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