| 引用本文: |
刘奇英, 伍琴, 邱敏, 邱乐乐, 郑贵珍, 尤昭玲, 游卉.尤昭玲教授治疗轻中度宫腔粘连所致复发性流产经验[J].湖南中医药大学学报,2024,44(7):1231-1235[点击复制] |
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| 尤昭玲教授治疗轻中度宫腔粘连所致复发性流产经验 |
| 刘奇英,伍琴,邱敏,邱乐乐,郑贵珍,尤昭玲,游卉 |
| (长沙市妇幼保健院, 湖南 长沙 410007;湖南中医药大学第三附属医院, 湖南 株洲 412000;长沙江湾妇产医院, 湖南 长沙 410008;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 宫腔粘连是现代社会导致女性复发性流产的重要因素。尤昭玲教授从中西结合的角度出发，运用阴道三维超声对子宫内膜容受性的评估建立宫腔粘连的评分标准，通过判断宫腔粘连的不同程度决定治疗复发性流产的中西诊疗方案。对于轻中度宫腔粘连患者，提出带粘速孕，顺应月经的生理周期，从肾-天癸-冲任-胞宫轴学说论治宫腔粘连所致复发性流产，提出既需孕前调理助孕（月经期活血行气、清热化瘀；卵泡期补肾健脾、滋阴养血；排卵期温阳行气），同时也要注重孕后保胎，从而提高妊娠成功率。 |
| 关键词: 宫腔粘连 复发性流产 带粘速孕 肾-天癸-冲任-胞宫轴学说 助孕保胎 尤昭玲 |
| DOI：10.3969/j.issn.1674-070X.2024.07.012 |
| 投稿时间：2023-12-22 |
| 基金项目:国家中医药管理局“尤昭玲全国名中医传承工作室”建设项目（国中医药办人教函〔2022〕5号）；湖南省中医药管理局重点项目（C2022012）；湖南省中医药管理局一般项目（D2022039）；长沙市自然科学基金一般项目（kq2202038）。 |
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| Professor YOU Zhaoling's experience in treating recurrent abortion caused by mild to moderate intrauterine adhesion |
| LIU Qiying, WU Qin, QIU Min, QIU Lele, ZHENG Guizhen, YOU Zhaoling, YOU Hui |
| (Changsha Hospital for Maternal and Child Health Care, Changsha, Hunan 410007, China;The Third Hospital of Hunan University of Chinese Medicine, Zhuzhou, Hunan 412000, China;Changsha Jiangwan Maternity Hospital, Changsha, Hunan 410008, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Intrauterine adhesion (IUA) is an important factor leading to female recurrent abortion in modern society. From the perspective of integration of Chinese and western medicine, Professor YOU Zhaoling has established the scoring standard of IUA by evaluating endometrium receptivity with vaginal three-dimensional ultrasound. And she has put forward that the Chinese and western diagnosis and treatment plan for treating recurrent abortion can be determined by judging the different degree of IUA. For patients with mild to moderate IUAs, Professor YOU has proposed that treating recurrent abortion caused by IUA with the method of facilitating pregnancy in accordance with menstrual cycle, based on the theory of kidney-Tiangui-Chong and Ren meridians-womb axis. She has also suggested that not only pre-pregnancy conditioning (activating blood and qi, clearing heat and removing blood stasis during menstrual period; tonifying kidney and spleen, nourishing yin and blood in follicular phase; and warming yang qi and promoting qi circulation during ovulatory period), but also preventing miscarriages after conception are crucial for improving the success rate of pregnancy. |
| Key words: intrauterine adhesion recurrent abortion facilitating pregnancy in the condition of intrauterine adhesion the theory of kidney-Tiangui-Chong and Ren meridians-womb axis facilitating pregnancy and preventing miscarriage YOU Zhaoling |
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