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复发性流产是育龄妇女临床上一种常见疾病,属于中医“滑胎”的范畴,其病因复杂,其中约20%是由于抗磷脂抗体阳性引起。随着社会医学模式的进步,抗心磷脂抗体阳性复发性流产患者的精神心理健康日益受到重视。现代医学多针对病因进行抗凝及免疫抑制治疗,同时根据患者的心理特征进行心理干预,疗效确切。然而抗凝类、激素类药物的副作用及并发症限制了其临床应用,对于心理疾患较重者,药物治疗安全性没有保证,中医治疗以补肾活血为基本大法,兼以健脾、益气、清热。导师在此基础上提出提出宁心安神法,疗效确切。中西医治疗各有优势,较西医治疗,中医药具有广泛性且毒副作用小,治愈率高,取得了显著成效。文章整理、分析近年来中西医治疗抗心磷脂抗体阳性复发性流产合并精神心理问题的治疗方法及疗效。
Recurrent spontaneous abortion is a common clinical disease in women of childbearing age, belonging to the category of traditional Chinese medicine “glomerulonephritis”. Its etiology is complicated, of which about 20% is due to the positive result of antiphospholipid antibodies. With the progress of social medical model, the mental and mental health of anti-cardiolipin antibody positive recurrent spontaneous abortion has received more and more attention. Modern medicine and more for the cause of anticoagulation and immunosuppressive therapy, at the same time according to the psychological characteristics of patients with psychological intervention, the exact effect. However, side effects and complications of anticoagulants and hormonal drugs limit their clinical application. For patients with severe mental disorders, there is no guarantee for the safety of drug treatment. Traditional Chinese medicine (TCM) Heat On the basis of this, the teacher proposes to put forward the method of soothing the nerves and soothe the nerves and has the exact curative effect. Chinese and Western medicine have their own advantages, compared with Western medicine, Chinese medicine has a wide range of side effects and small, high cure rate, and achieved remarkable results. Article sorting, analysis of Chinese and Western medicine in recent years, treatment of anticardiolipin antibody-positive recurrent spontaneous abortion and psychological problems and treatment.