Tian Ye, Fu Zhujing, Lan Huizhen, Ma Xian, Wu Shuangyu, Zhou Xuanle, Shen Wendi, Lou Yiyun
Zhejiang Chinese Medical University, No.548, Binwen Road, Hangzhou 310053, China.
Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, No.453, Tiyuchang Road, Hangzhou 310006, China.
Heliyon. 2023 Jan 23;9(2):e13120. doi: 10.1016/j.heliyon.2023.e13120. eCollection 2023 Feb.
Thrombophilia is an important cause of recurrent spontaneous abortion (RSA). The treatment of thrombophilia is beneficial to the prevention of RSA. Therefore, we explored the clinical effect of Chinese traditional herbs with the effects of invigorating the blood, tonifying the kidney and calming the fetus in the treatment of RSA complicated with thrombophilia. We retrospectively analyzed the clinical outcomes of 190 RSA patients combined with thrombophilia using different treatment methods. The traditional Chinese medicine group was treated with kidney-invigorating, blood-activating and fetus-soothing herbs and the western medicine group was treated with low molecular weight heparin (LMWH), and the traditional Chinese medicine combined with western medicine group was treated with LMWH plus Chinese traditional herbs with the effects of kidney tonifying, blood activating and fetus stabilizing. After treatments, platelet aggregation rate, plasma D-dimer and uterine artery blood flow resistance were significantly reduced in the LMWH plus herbs compared to the simple herbs and LMWH group ( < 0.0167). The LMWH plus herbs group significantly accelerated the growth of fetal bud compared with other groups ( < 0.0167). Moreover, the LMWH plus herbs group improved traditional Chinese medicine syndrome scores ( < 0.0167), showing a better clinical efficacy. Adverse reactions occurred in five patients in the LMWH group but not in the simple herbs and LMWH plus herbs group during the treatment period. Therefore, our study shows that for the treatment of RSA complicated with thrombophilia, Chinese traditional herbs plus LMWH can improve the blood supply of the uterus during pregnancy and contribute to a favorable environment for the growth of the fetus. Chinese traditional herbs exert a good curative effect with few adverse reactions.
易栓症是复发性自然流产(RSA)的重要原因。易栓症的治疗有助于预防RSA。因此,我们探讨了具有活血化瘀、补肾安胎作用的中药在治疗合并易栓症的RSA中的临床效果。我们回顾性分析了190例合并易栓症的RSA患者采用不同治疗方法后的临床结局。中药组采用补肾活血安胎中药治疗,西药组采用低分子肝素(LMWH)治疗,中西医结合组采用LMWH加补肾活血安胎中药治疗。治疗后,与单纯中药组和LMWH组相比,LMWH加中药组的血小板聚集率、血浆D-二聚体和子宫动脉血流阻力显著降低(<0.0167)。与其他组相比,LMWH加中药组显著加速了胎芽的生长(<0.0167)。此外,LMWH加中药组改善了中医证候评分(<0.0167),显示出更好的临床疗效。LMWH组有5例患者在治疗期间出现不良反应,而单纯中药组和LMWH加中药组未出现不良反应。因此,我们的研究表明,对于合并易栓症的RSA的治疗,中药加LMWH可改善孕期子宫血供,为胎儿生长营造良好环境。中药疗效良好,不良反应少。