首页|自拟益肾安胎方联合黄体酮治疗复发性流产患者的效果及对妊娠结局、封闭抗体的影响

自拟益肾安胎方联合黄体酮治疗复发性流产患者的效果及对妊娠结局、封闭抗体的影响

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目的 探讨自拟益肾安胎方联合黄体酮治疗复发性流产(RSA)的疗效及对患者妊娠结局、封闭抗体的影响.方法 100例复发性流产患者随机分为观察组与对照组,各50例.对照组采取黄体酮治疗,观察组在对照组基础上联合自拟益肾安胎方治疗,均干预至妊娠12周,评价疗效.结果 观察组治疗总有效率、妊娠成功率、封闭抗体(BA)阳性率均显著高于对照组(P<0.05);观察组治疗后中医症候总积分、血清白介素-2(IL-2)、干扰素-γ(IFN-γ)水平均显著低于对照组(P<0.05),白介素-10(IL-10)水平显著高于对照组(P<0.05);2组均无严重不良反应发生.结论 自拟益肾安胎方联合黄体酮治疗RSA安全有效,能显著提高妊娠成功率及BA阳性率,这可能与其调节IL-2、IL-10、IFN-γ水平有关.
Effects of self-made Yishen Antai Decoction combined with progesterone in the treatment of patients with recurrent spontaneous abortion and the effect on pregnancy outcomes and blocking antibodies
Objective To investigate the effects of self-made Yishen Antai Decoction combined with progesterone in the treatment of recurrent spontaneous abortion (RSA) and the effect on pregnancy outcomes and blocking antibodies (BA). Methods 100 cases of patients with RSA were randomly divided into the observation group and the control group, 50 cases in each group. The control group was treated with progesterone and on the basis, the observation group was additionally treated with self-made Yishen Antai Decoction. Both groups were intervened till 12 weeks of gestation, and the clinical curative effect was evaluated. Results The total effective rate of treatment, the success rate of pregnancy and the positive rate of blocking antibody (BA) showed significant differences between the observation group and the control group (P< 0.05). After treatment, the total TCM symptom score and serum levels of interleukin-2 (IL-2) and interferon-γ (IFN-γ) were significantly lower while interleukin-10 (IL-10) level was significantly higher in the observation group than the control group (P< 0.05). There were no serious adverse reactions in the two groups. Conclusion Self-made Yishen Antai Decoction is effective and safe in the treatment of RSA. It can significantly improve the success rate of pregnancy and the positive rate of BA, which may be associated with the regulation of IL-2, IL-10 and IFN-γ levels.

recurrent spontaneous abortionself-made Yishen Antai decoctionprogesteronepregnancy outcomeblocking antibodyinflammatory factor

刘侠

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天津北辰医院 中医科,天津 300400

复发性流产 自拟益肾安胎方 黄体酮 妊娠结局 封闭抗体 炎性因子

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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