首页|益气补肾方联合黄体酮治疗先兆流产(肾虚证)的效果及对sHLA-G、IL-17水平的影响

益气补肾方联合黄体酮治疗先兆流产(肾虚证)的效果及对sHLA-G、IL-17水平的影响

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目的 探究益气补肾方联合黄体酮治疗先兆流产(肾虚证)的效果及对可溶性人类白细胞抗原-G(sHLA-G)、白细胞介素-17(IL-17)水平的影响。方法 选取2020年1月至2022年10月收治的80例先兆流产(肾虚证)孕妇作为研究对象,按照随机数字表法将其分为对照组、观察组,每组40例。对照组给予黄体酮治疗,观察组在对照组基础上加施益气补肾方。比较两组的治疗效果。结果 观察组的治疗总有效率为95。00%,高于对照组的80。00%,差异具有统计学意义(P<0。05)。治疗后,观察组的sHLA-G水平高于对照组,IL-17水平低于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的β-人绒毛膜促性腺激素(β-HCG)、孕酮(P)、雌二醇(E2)水平高于对照组,差异具有统计学意义(P<0。05)。观察组的阴道出血停止时间、腰痛缓解时间及腹痛停止时间短于对照组,足月分娩率高于对照组,差异具有统计学意义(P<0。05)。结论 益气补肾方联合黄体酮治疗先兆流产(肾虚证)孕妇可调节sHLA-G、IL-17及激素水平,缩短阴道出血停止时间、腰痛缓解时间及腹痛停止时间,提高保胎效果及足月分娩率,值得推广。
Effect of Yiqi Bushen prescription combined with progesterone in the treatment of threatened abortion(kidney deficiency syndrome)and its influences on sHLA-G and IL-17 levels
Objective To explore the effect of Yiqi Bushen prescription combined with progesterone in the treatment of threatened abortion(kidney deficiency syndrome)and its influences on the levels of soluble human leukocyte antigen-G(sHLA-G)and interleukin-17(IL-17).Methods A total of 80 pregnant women with threatened abortion(kidney deficiency syndrome)admitted from January 2020 to October 2022 were selected as the research objects.According to the random number table method,the pregnant women were divided into control group and observation group,with 40 cases in each group.The control group was treated with progesterone,and the observation group was treated with Yiqi Bushen prescription on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was 95.00%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the level of sHLA-G in the observation group was higher than that in the control group,and the level of IL-17 was lower than that in the control group,and the differences were statistically significant(P<0.05).After treatment,the levels of β-human chorionic gonadotropin(β-HCG),progesterone(P)and estradiol(E2)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The vaginal bleeding stop time,lumbago relief time and abdominal pain stop time in the observation group were shorter than those in the control group,and the full-term delivery rate was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Yiqi Bushen prescription combined with progesterone in the treatment of threatened abortion(kidney deficiency syndrome)pregnant women can regulate sHLA-G,IL-17 and hormone levels,shorten the vaginal bleeding stop time,lumbago relief time and abdominal pain stop time,improve the effect of fetal protection and full-term delivery rate,which is worthy of promotion.

Yiqi Bushen prescriptionprogesteronethreatened abortionkidney deficiency syndrome

刘晓倩、陈蕾

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西安市高陵区医院,陕西西安,710200

西安市高陵区妇幼保健院,陕西西安,710200

益气补肾方 黄体酮 先兆流产 肾虚证

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)