中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
32期
10-11
,共2页
免疫性%反复自然流产%中医药疗法
免疫性%反複自然流產%中醫藥療法
면역성%반복자연유산%중의약요법
Immunity%Recurrent spontaneous abortion%TCM medicine therapy
目的：观察加味寿胎丸对免疫性反复性早期流产（ERSA）患者血清抗子宫内膜抗体（EmAb）转阴率的影响。方法：将60例EmAb 阳性的ERSA患者随机分为两组，中药治疗组30例，采用加味寿胎丸治疗，连续用药3个月，确定宫内妊娠后服法同前，连续用药至妊娠12周停药；西药对照组30例，非孕期给予阿司匹林及泼尼松治疗，连续用药3个月，确定宫内妊娠后给予人绒毛膜促性腺激素与黄体酮治疗，连续用药至妊娠12周停药。观察治疗前后患者血清 EmAb 的转阴率。结果：治疗后治疗组EmAb转阴率是83.3%，优于对照组60.0%（P<0.05）。结论：加味寿胎丸对免疫性ERSA患者EmAb消除有显著临床疗效，有利于改善妊娠结局。
目的：觀察加味壽胎汍對免疫性反複性早期流產（ERSA）患者血清抗子宮內膜抗體（EmAb）轉陰率的影響。方法：將60例EmAb 暘性的ERSA患者隨機分為兩組，中藥治療組30例，採用加味壽胎汍治療，連續用藥3箇月，確定宮內妊娠後服法同前，連續用藥至妊娠12週停藥；西藥對照組30例，非孕期給予阿司匹林及潑尼鬆治療，連續用藥3箇月，確定宮內妊娠後給予人絨毛膜促性腺激素與黃體酮治療，連續用藥至妊娠12週停藥。觀察治療前後患者血清 EmAb 的轉陰率。結果：治療後治療組EmAb轉陰率是83.3%，優于對照組60.0%（P<0.05）。結論：加味壽胎汍對免疫性ERSA患者EmAb消除有顯著臨床療效，有利于改善妊娠結跼。
목적：관찰가미수태환대면역성반복성조기유산（ERSA）환자혈청항자궁내막항체（EmAb）전음솔적영향。방법：장60례EmAb 양성적ERSA환자수궤분위량조，중약치료조30례，채용가미수태환치료，련속용약3개월，학정궁내임신후복법동전，련속용약지임신12주정약；서약대조조30례，비잉기급여아사필림급발니송치료，련속용약3개월，학정궁내임신후급여인융모막촉성선격소여황체동치료，련속용약지임신12주정약。관찰치료전후환자혈청 EmAb 적전음솔。결과：치료후치료조EmAb전음솔시83.3%，우우대조조60.0%（P<0.05）。결론：가미수태환대면역성ERSA환자EmAb소제유현저림상료효，유리우개선임신결국。
Objective:To observe clinical effects of Shoutai Wan on EmAb negative rate in patients with ERSA. Methods:10 patients with EmAb positive were randomly divided into two groups, 30 patients in the treatment were given Shoutai Wan for 3 months, the same treatment was accepted after intrauterine pregnancy, all stopped in 12 weeks of pregnancy;30 patients in the control were given aspirin and prednisone, lasting for 3 months, chorionic gonadotropin and progesterone were accepted after intrauterine pregnancy, all stopped in 12 weeks of pregnancy. Results:EmAb negative rate in the treatment was 83.3%, better than 60.0%in the control (P<0.05). Conclusion:The Shoutai Wan showed obvious effects on eliminating EmAb in ERSA patients, and was better for improving pregnancy results.
