论文部分内容阅读
目的:采用中药汤剂联合主动免疫治疗ABO母儿血型不合并发复发性流产,探讨中西医结合治疗的临床疗效及作用机理。方法:A组30例采用中药汤剂(茵陈蒿汤合寿胎丸加减:茵陈15g,菟丝子15g,续断12g,桑寄生12g,栀子10g,柴胡10g,黄芩10g,白术10g,制大黄3g,甘草6g)口服联合主动免疫治疗;B组30例采用中药汤剂口服;C组30例采用单纯主动免疫治疗做对照。结果:A组、B组、C组总有效率分别占96.7%、66.7%、70.0%,三组间疗效对比,A组与B组、C组差别有显著统计学意义(P<0.01);治疗后血清抗体滴度比较:A组与B组、C组间差异有统计学意义(P<0.05);三组间新生儿黄疸情况比较:A组与B组、C组间差异有显著统计学意义(P<0.01)。结论:中西医结合治疗能显著降低Ig G血型抗体的滴度及新生儿黄疸率,有效抑制了Ig G血型抗体对胎儿的损害,降低了流产、新生儿溶血症及高胆红素血症的发生,且对患者无不良反应。
Objective: To study the clinical curative effect and mechanism of Integrative Chinese and Western medicine by using traditional Chinese medicine decoction combined with active immunotherapy ABO maternal and child non-recurrent spontaneous abortion. Methods: A group of 30 patients with Chinese medicine decoction (Yinchenhao Decoction and Shou fetal pill addition and subtraction: capillaris 15g, dodder 15g, severed 12g, Sang parasitic 12g, Gardenia 10g, Bupleurum 10g, Scutellaria 10g, Atractylodes 10g, system Rhubarb 3g, licorice 6g) combined oral active immunotherapy; B group of 30 cases of oral administration of Chinese medicine; C group of 30 patients with active immunotherapy alone as a control. Results: The total effective rates of group A, group B and group C were 96.7%, 66.7% and 70.0% respectively. There was significant difference between group A and group B and group C (P <0.01). After treatment, serum antibody titer comparison: A group and B group, C group difference was statistically significant (P <0.05); Comparison of neonatal jaundice between the three groups: A group and B group, C group significant difference Significance (P <0.01). Conclusion: The combination of traditional Chinese and Western medicine can significantly reduce the Ig G antibody titer and neonatal jaundice rate, effectively inhibit Ig G blood group antibody damage to the fetus and reduce miscarriage, neonatal hemolytic disease and hyperbilirubinemia Occurs, and no adverse reactions to the patient.