Abstract:Objective: To analyze the effect of progesterone combined with Yunkang oral liquid on habitual abortion and its effects on transforming growth factor-beta 1 (TGF-beta 1), endometrial antibody (EmAb), progesterone-induced blocking factor (PIBF) and anticardiolipin antibody (ACA). Methods: 86 cases of habitual abortion patients from December 2013 to December 2016 in our hospital were divided into control group and experimental group according to random number method, 43 cases in each group. The control group was treated with progesterone, and the experimental group was treated with Yunkang oral liquid based on the control group. The curative effect, clinical symptom score, TGF-beta 1, EmAb, PIBF, ACA and adverse reactions were observed and compared between the two groups. Results: Total effective rate of experimental group was higher than the control group, the difference was statistically significant (P<0.05). One week and two weeks after treatment, the scores of clinical symptoms, serum EmAb and ACA levels in the two groups were significantly lower than those before treatment. The above indexes in the experimental group were lower than those in the control group. The levels of serum TGF-beta 1 and PIBF in the two groups were significantly higher than those before treatment. The above indexes in the experimental group were higher than those in the control group. The scores of clinical symptoms, TGF-beta 1, EmAb, PIBF and ACA were in the two groups. There were significant differences in different treatment methods and treatment time (P < 0.05). There was no significant difference in adverse reactions between the two groups (P > 0.05). Conclusion: Progesterone combined with Yunkang oral liquid is better than progesterone in the treatment of habitual abortion. It can promote the expression of TGF-beta 1 and PIBF, reduce the levels of EmAb and ACA, and play a role in fetal protection.
郑敏, 于峰, 肖瑶. 黄体酮联合孕康口服液治疗习惯性流产的疗效评价及对TGF-β1 EmAb PIBF ACA影响的研究[J]. 河北医学, 2019, 25(9): 1434-1438.
ZHENG Min, YU Feng, et al. Progesterone combined with Yunkang Oral Liquid in the Treatment of Habitual Abortion and its Effects on TGF-beta 1 EmAb PIBF and ACA. HeBei Med, 2019, 25(9): 1434-1438.
[1] Ismail AM, Abbas AM, Ali MK, et al. Peri-conceptional progesterone treatment in women with unexplained recurrent miscarriage: a randomized double-blind placebo-controlled trial[J].Matern Fetal Neonatal Med,2018,31(3):388~394. [2] Coccia ME, Rizzello F, Cozzolino M, et al. The effect of low-dose ovarian stimulation with HMG plus progesterone on pregnancy outcome in women with history of recurrent pregnancy loss and secondary infertility: a retrospective cohort study[J]. Gynecol Endocrinol,2018,34(6):528~531. [3] 苌凤锦,梁杰,彭代银,等.生化糖浆对药物致不完全流产早孕大鼠子宫内膜血管新生及作用机制研究[J].安徽医学,2015,36(12):1447~1451. [4] Bahia W, Finan RR, Al-Mutawa M, et al. Genetic variation in the progesterone receptor gene and susceptibility to recurrent pregnancy loss: a case-control study[J]. BJOG,2018,125(6):729~735. [5] 姚小东,宁美英.黄体酮给药系统的研究进展[J].中国计划生育学杂志,2014,22(12):855~858. [6] 林曼丽,黎小芳,冯亚妮.孕康口服液联合保胎灵胶囊治疗早期先兆流产的疗效观察[J].现代药物与临床,2017,32(8):1508~1511. [7] 李周源,曹毅.孕康口服液治疗先兆性流产和习惯性流产临床观察[J].中国性科学,2016,25(2):122~124. [8] 江雪娟,汤卫红,管敏昌,等.习惯性流产患者血清血管内皮生长因子、转化生长因子-β1水平变化及临床意义[J].中国卫生检验杂志,2017,27(22):3255~3256,3259. [9] 马娟.地屈孕酮对习惯性流产孕妇血清PIBF及妊娠结局的影响[J].中国临床研究,2015,28(4):494~496.