首页|女性内分泌及免疫紊乱在复发性流产中的作用研究

女性内分泌及免疫紊乱在复发性流产中的作用研究

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目的:探讨女性内分泌及免疫紊乱在复发性流产中的作用。方法回顾性分析2009年6月至2012年6月186例复发性流产病例作为观察组,并选同期180例正常产妇作为对照组,研究两组内分泌(卵泡生成激素,黄体生成激素,雌二醇,孕酮,睾酮,催乳激素)及免疫相关检测(抗精子抗体、抗子宫内膜抗体、抗心磷脂抗体、抗磷脂抗体综合症(APS)的检查结果。结果观察组中内分泌检测项目中卵泡生成激素(FSH),黄体生成激素(LH),雌二醇(E2),孕酮(P),睾酮(T),催乳激素(PRL)和免疫项目抗精子抗体(AsAb)、抗子宫内膜抗体(EMAb)、抗心磷脂抗体(AcL),抗磷脂抗体综合症(APS)检测结果显示,复发性流产病例中内分泌激素检查结果异常率89.78%,免疫相关检查异常率43.01%,远高于正常对照组中内分泌激素检查结果异常率7.22%,免疫相关检查异常率1.67%,两组数据对比分析分别具有统计学差异性意义(X2=16.87,P<0.05;X2=21.26,P<0.05)。结论女性内分泌及免疫紊乱是复发性流产的主要原因之一,其导致复发流产的作用不容忽视,对复发性流产患者应注重检测内分泌激素和相关免疫项目,是减少复发流产出现的有效诊疗措施,调整内分泌和免疫功能是促进受孕及保胎的治疗方法。
Female Endocrine and Immune Disorder in the role of Recurrent Miscarriage
Objective To investigate the female endocrine and immune disorder in the role of recurrent miscarriage .Methods A retrospective analysis in June 2009 to June 2009 as observation group,186 cases of recurrent abortion and selected during the same period 180 cases of normal women as control group,the two groups of en-docrine,follicle generate hormone,luteinizing hormone generated,estradiol,progesterone,testosterone,the hormone prolactin)and immune related detection(antisperm an-tibody,endometrial antibody resistance,anti cardiolipin antibody,for antiphospholipid antibody syndrome(APS)of the examination results.Results The observation group in follicular endocrine detection of luteinizing hormone(FSH),luteinizing hormone(LH),estradiol(E2),progesterone(P),testosterone(T),prolactin(PRL)and immune project anti sperm antibody(AsAb),anti endometrial antibody(EMAb),anti cardiolipin antibody(AcL),antiphospholipid syndrome(APS)test results showed,recurrent abortion cases endocrine hormone examination results in the abnormal rate was 89.78%,immune related abnormal rate of 43.01%,far higher than that of normal control group in endocrine hormone examination results in the abnormal rate was 7.22%,related immune abnormality rate 1.67%,two groups of data analysis are significant sta-tistical difference(X2 =16.87,P<0.05;X2 =21.26,P<0.05).Conclu sion Female endocrine and immune dysfunction is one of the main causes of recurrent miscar-riage,which causes recurrent miscarriage role can not be ignored,should be timely detection of endocrine hormone and immune related projects in pregnancy ,reduce the effective treatment of recurrent miscarriage appears,adjust endocrine hormone and improve immune function is to promote the treatment of pregnancy and miscarriage .

Recurrent abortionEndocrine and immune disorders

赵晓英、高美华

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青岛大学,山东 青岛 266000

复发性 流产 内分泌 免疫 紊乱

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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