扶正促孕汤治疗抗精子抗体不孕症45例临床观察.pdfVIP

第16卷 第6期 中莲为导般 2010年 6月 V01．16 No．6 GuidingJournalofTraditionalChineseMedicineandPharmacy June．2009 扶正促孕汤治疗抗精子抗体不孕症45例 临 床 观 察冰 王忠轩 ，黄惠娟 ，丘业健 (清远市中医院，广东 清远 511500) 摘【要】 目的：观察 自拟中药扶正促孕汤治疗抗精子抗体阳性不孕症的临床疗效。方法：将86例血清抗精子抗体(AsAb)阳 性不孕患者随机分为治疗组和对照组，治疗组454~0采用扶正促孕汤中药13服 ，对照组4l例采用免疫抑制剂疗法，予强的松 口 服。观察每个疗程后AsAb的转阴率及抗体转阴后的妊娠率。结果：治疗组总有效率为80．0％；服药l疗程后转阴者141~4，2-3疗程 转阴者22例。对照组总有效率为53．2％；服药1疗程后转阴者8例 ，2-3疗程转阴者l4例 ，两组比较 ，差异均有统计学意义(P 0．05)。结论：中药扶正促孕汤治疗抗精子抗体阳性不孕症抗体转阴率及转阴后妊娠率高，对AsAb所致的免疫性不孕疗效可 靠。 关【键词] 不孕症；抗精子抗体阳性；扶正促孕汤；中药治疗 [中图分类号】R271．14 [文献标识码] A [文章编号】 1672—951X(2010)06—0017—02 TreatmentofpregnantFuzheng promoteanti-sperm antibodiesclinicalobservation of 45 casesofinfertility WangZhongxuan，HuangHuijuan，QiuYeping ChinesemedicinehospitalinQingyuanCitY,GuangdongQingyuan511500 A【bstract】 Objective：ToobservetheselfpromotingpregnancyFuzhenganti—sperm antibodiesTreatmentofinfertility therapy．Methods：86patientswithserum anti—sperm antibodies fAsAb)一positiveinfertilepatientswererandomlydividedinto treatmentgroup and controlgroup．45 patientswere treated with oralmedicine Fuzheng FPL soup．controlgroup 41 patients with immunosuppressivetherapy，tothe strong Song ora1．Observed aftereach treatmentAsAb the negative rate and pregnancy rate afterantibodynegative．Results：The totaleffective ratewas8O．0％：taking acourse oftreatmentwasnegative in 14 cas— esafterthe 2-3 courses．22 casesnegative．The totaleffectiverateofthe controlgroup 53．2％：taking a course oftreatment wasnegativein8cases，2-3courses，negative14cases，thetwogroups，thedifferenceswerestatisticallysignificant(P0．05)． Conclusion：TreatmentofpregnantFuzheng promoting anti—spemr antibodiesantibody negative rate ofinfertility afternegative pregna