|
|
Clinical effect of Low Molecular Weight Heparin in the treatment of recurrent spontaneous abortion and its influence on immune function and hormone levels |
LIN Zhi-jin YANG Xiu-zhen ZHANG Jiong-lan CHEN Jian-ying LIN Xiao-tao CHEN Liang-wan |
Department of Gynecology,Maternal and Child Health Hospital of Yangjiang City in Guangdong Province,Yangjiang 529500,China |
|
|
Abstract Objective To explore the clinical effects of Low Molecular Weight Heparin combined with traditional placenta therapy in the treatment of patients with recurrent spontaneous abortion and its influence on immune function and hormone levels.Methods A total of 204 patients with recurrent spontaneous abortion who admitted to our hospital from February 2016 to March 2017 were selected as the research objects.According to the random number table method,the patients were divided into the control group(102 cases)and the study group(102 cases).The control group was treated with traditional placenta therapy,while the study group was treated with Low Molecular Weight Heparin as adjuvant therapy on the basis of the control group.Pregnancy outcomes,the level of serum estradiol(E2),human chorionic gonadotropin(HCG),progesterone(P),interleukin-4(IL-4),interferon-γ (IFN-γ),IFN-gamma/IL-4 and adverse reactions were compared between the two groups.Results The success rate of fetal protection in the study group was 88.24%,which was higher than that in the control group(59.80%),and the difference was statistically significant(P<0.05).The level of IFN-γ and IFN-γ/IL-4 in the study group after intervention were lower than those in the control group,and the difference was statistically significant(P<0.05).The levels of IL-4,HCG,P,and E2in the study group after intervention were higher than those in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion Recurrent abortion with traditional placenta therapy combined with Low Molecular Weight Heparin treatment can significantly improve the success rate of fetal protection,improve the body hormone level and immune function,and the incidence of adverse reactions is low.
|
|
|
|
|
[1] |
阮祥燕,宋菁华.妇科内分泌疾病与复发性流产[J].实用妇产科杂志,2016,32(2):83-85.
|
[2] |
尹燕,张迎春,高亚萍,等.补肾活血中药联合低分子肝素治疗复发性流产临床观察[J].湖北中医药大学学报,2016,18(6):76-79.
|
[3] |
张高,程玲慧.低分子肝素与小剂量阿司匹林联合可有效治疗复发性流产[J].基因组学与应用生物学,2017,9(4):87-93.
|
[4] |
周薇,雷磊.寿胎丸联合低分子肝素钠对复发性流产患者封闭抗体和再次妊娠结局的影响[J].中国临床研究,2016,29(5):693-695.
|
[5] |
中华医学会妇产科学分会产科学组.复发性流产诊治的专家共识[J].中华妇产科杂志,2016,51(1):3-9.
|
[6] |
徐婉妍,林朝凤,徐小凤.低分子肝素联合阿司匹林对复发性流产血栓前状态的临床价值[J].中国当代医药,2017,24(4):123-124.
|
[7] |
汪杰,黄官友,叶贵丹,等.低分子肝素钠治疗复发性流产对前置胎盘及早产的影响[J].实用妇产科杂志,2017,33(6):56-58.
|
[8] |
刘育,赵烨.低分子肝素对复发性流产伴抗磷脂抗体阳性孕妇治疗的 Meta 分析[J].中国药物与临床,2016,16(6):874-876.
|
[9] |
高媛,乔宠.低分子肝素治疗复发性流产对肝功能的影响[J].中国医科大学学报,2016,45(6):535-537.
|
[10] |
薛红艳,王敬敏,吴明媛.小剂量低分子肝素钙用于原因不明复发性流产的疗效观察[J].临床医学,2017,37(7):50-52.
|
[11] |
王红源.低分子肝素治疗不明原因复发性流产43例[J].北方药学,2018,15(1):95.
|
[12] |
郭春艳.复发性流产患者血液流变学及血清CC型趋化因子配体2、白介素-10、干扰素-γ水平变化及意义[J].中国临床医生杂志,2017,45(8):94-96.
|
[13] |
王丹,潘长青,邓艳梅,等.叶酸联合低分子肝素和小剂量阿司匹林治疗复发性流产的临床研究[J].现代药物与临床,2017,32(9):215-216.
|
[14] |
宫剑,邢超,李倩.复发性流产女性内分泌和免疫学因素分析[J].中国卫生检验杂志,2016,26(3):381-383.
|
[15] |
崔英,江渭洁,李芳.低分子肝素钙对复发性流产子宫动脉血流的影响[J].江西中医药大学学报,2016,28(6):120-120.
|
|
|
|