Objective To observe the clinical effect of traditional Chinese medicine adjuvant therapy on early threatened abortion, discuss pregnancy outcomes, and analyze prevention and treatment measures. Methods Totally 116 cases of early threatened abortion were selected in Second People’ s Hospital of Haining from October 2013 to March 2014, and they were randomly divided into control group and observation group with 58 cases in each group. The observation group accepted adjuvant therapy of traditional Chinese medicine additionally, while the control group only received western medicine treatment. Treatment effect, complication, delivery mode and perinatal outcomes were observed. Results The recovery rate of the observation group was 94. 83% (55/58), which was higher than the control group (86. 21%, 50/58). The inefficient rate of the observation group was 5. 27% (3/58), which was lower than the control group (13. 79%, 8/58), and the difference was significant (χ2 =9. 896,P<0. 05). The incidence of complications in the observation group was 1. 82% (1/55) and it was lower than the control group (10. 00%, 5/50). The difference was statistically significant (χ2 =8. 912, P<0. 05). There were differences in labor mode, incidence of neonatal asphyxia and premature birth between two groups (χ2 value was 11. 081, 10. 146 and 8. 912, respectively, all P<0. 05). Neonatal body quality and Apgar score of the observation group were 3 170. 84 ± 186. 37g and 7. 53 ± 0. 86, respectively, which were higher than the control group (3 014. 25 ± 163. 51g, 6. 92 ± 0. 30). The differences were significant (t value was 16. 292 and 10. 673, respectively, both P <0. 05). Conclusion Adjuvant therapy of traditional Chinese medicine has good clinical curative effect on early threatened abortion. It can reduce complications and improve maternal and neonatal outcomes.%目的：观察早期先兆流产的中医辅助治疗临床疗效,探讨其妊娠结局,并分析其防治措施。方法选择2013年10月至2014年3月在浙江省海宁市第二人民医院保胎的早期妊娠先兆流产患者116例,随机分为对照组和观察组,各58例。观察组应用中西医辅助治疗；对照组应用西医进行治疗,主要观察治疗效果、并发症、生产方式和围生儿结局。结果观察组病愈率为94.83%(55/58),高于对照组的86.21%(50/58),观察组无效率为5.27%(3/58),低于对照组的13.79%(8/58),差异有统计学意义(χ2=9.896,P<0.05)。观察组患者并发症为1.82%(1/55),低于对照组的10.00%(5/50),差异具有统计学意义(χ2=8.912,P<0.05)；观察组产式、新生儿窒息率和早产率与对照组比较,差异均具有统计学意义(χ2值分别为11.081、10.146、8.912,均P<0.05)；观察组新生儿体质量和Apgar评分分别为(3170.84±186.37) g和(7.53±0.86)分,高于对照组(3014.25±163.51)g和(6.92±0.30)分,差异均具有统计学意义(t值分别为16.292、10.673,均P<0.05)。结论中医辅助治疗早期先兆流产有着良好的临床疗效,可降低并发症,提高母婴结局。
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