中药治疗自然流产对封闭抗体、β-hCG、孕酮、雌二醇的影响

目的：探讨中药治疗自然流产对异常母胎免疫及内分泌的影响，方法；采用补肾益气清热法，治疗２４例先兆流产（ｔｈｒｅａｔｅｎｄａｂｏｒｔｉｏｎ，ＴＡ）和６８例反复自然流产（ｒｅｃｕｒｒｅｎｔｓｐｏｎｔａｎｅｏｕｓａｂｏｒｔｉｏｎ，ＲＳＡ）观察其对封闭抗体，血绒毛膜促性腺激素β亚单位（β－ｈＣＧ），孕酮（Ｐ），雌二醇（Ｅ２）水平的影响。结果：９２例封闭效率，抗独特型抗体，细胞毒抗体缺乏发生率分别为６０．８

Effect of traditional Chinese medicine treatment on levels of blocking antibody, beta-hCG, progesterone and estradiol in spontaneous abortion]

OBJECTIVE: To explore the effect of traditional Chinese medicine (TCM) on abnormal maternal-fetal immune and endocrine in 24 cases of threatened abortion (TA) and 68 cases of recurrent spontaneous abortion (RSA). METHODS: The levels of blocking effect (BE), antiidiotype antibody (AIA), cytotoxin antibody (CTA), beta-human chorionic gonadotropin (beta-hCG), progesterone (P), estradiol (E2) were measured in all 92 patients. RESULTS: Incidence rates of the lack of BE, AIA and CTA in 92 cases were 60.87%, 57.61% and 72.83% respectively. The lower levels of BE, AIA and CTA were elevated significantly (P < 0.05-0.01), and the serial levels of beta-hCG, P and E2 were markedly increasing (P < 0.01) in all successful pregnant patients. The rate of the successful pregnancy of 92 cases was 89.13% (to TA 91.67%, to RSA 88.24% respectively). CONCLUSIONS: It suggests that the lack of blocking antibody (BA) and endocrine hormone deficiency may result in spontaneous abortion during early pregnancy. The therapeutic mechanism of those herbs in treating spontaneous abortion was associated with the growing levels of BA and hormone by regulating the maternal-fetal immunity and endocrine.