【摘要】 目的 分析中和医派脾肾相滋汤干预脾肾两虚型早期先兆流产(ETA)的临床疗效。方法 选取2023年5月—2024年5月上饶市立医院收治的脾肾两虚型黄体功能不全ETA患者150例，随机分为对照组、治疗组，各75例。对照组予以地屈孕酮片，治疗组在此基础上联合脾肾相滋汤。观察2组中医证候积分、临床疗效、血清孕激素绒毛膜促性腺激素(β-HCG)和孕酮(P)水平、孕囊胎芽发育情况和安全性指标。结果 治疗组中医证候积分低于对照组(P<0.05)。总有效率、β-HCG和P水平、孕囊和胎芽发育正常比例均高于对照组(P<0.05);2组不良反应总发生率比较，差异无统计学意义(P>0.05)。结论 脾肾相滋汤可提高脾肾两虚型ETA的临床疗效。更多还原

【Abstract】 Objective To analyze the clinical efficacy of Pishen Xiangzi decoction in the intervention of early threatened abortion(ETA) with deficiency of spleen and kidney based on Zhonghe Medical School. Methods A total of 150 ETA patients with deficiency of spleen and kidney were randomly divided into control group and treatment group, with 75 cases in each group. The control group was given dydrogesterone tablets, and the healing group was given Pishen Xiangzi decoction based on dydrogesterone. Traditional Chinese medicine(TCM) syndrome score, curative effect, serum β-HCG and P levels, fetal bud development and safety indexes were observed. Results The TCM syndrome score, curative effect, β-HCG and P levels, the proportion of normal development of gestational sac and fetal bud in treatment group were higher than control group(P<0.05). There was no difference in comparison of iotal incidence of adverse reactions between two groups(P>0.05). Conclusion Pishen Xiangzi decoction can improve the curative effect of ETA with deficiency of spleen and kidney.更多还原