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中药复方通过抑制氧化应激在调控复发性自然流产中的重要作用

The Essential Role of Traditional Chinese Medicine Compounds in Regulating Recurrent Spontaneous Abortion by Inhibiting Oxidative Stress.

作者信息

Jin Yi, Dang Huimin, Li Meihe

机构信息

Department of Renal Transplantation, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.

Department of Traditional Chinese Medicine, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.

出版信息

Endocr Metab Immune Disord Drug Targets. 2025;25(5):353-363. doi: 10.2174/0118715303302424240724070133.

Abstract

Due to the lack of accurate registration of RSA and miscarriages, many early miscarriages are overlooked and not diagnosed or treated promptly in hospitals. This uncertainty in pathogenesis prevents clinicians from taking targeted therapeutic measures, leading to unsatisfactory treatment outcomes and placing a heavy burden on the patient's family and the healthcare system. Oxidative stress is present in embryonic development and affects the regulation of oxidative stress in pregnancy and the reproductive endocrine system. Oxidative stress injury is a significant pathogenesis of RSA, so improving the body's ability to resist oxidative stress injury is crucial in treating RSA. For patients with RSA, there is an urgent need for safe, efficient, and cost-effective anti-oxidative stress drugs, and there is growing evidence that treatment with Traditional Chinese medicine (TCM) can improve pregnancy success with fewer adverse effects. Many active ingredients for treating RSA are mainly derived from certain components of TCM, including flavonoids, phenols, and other compounds, which have been shown to treat RSA directly or indirectly by targeting anti-oxidative stress-related pathways. This article summarizes the experimental and clinical evidence of several common TCM compounds for treating RSA. It provides ideas and perspectives for further exploring the pathogenesis of RSA and TCM compounds for treating RSA.

摘要

由于复发性流产(RSA)和流产缺乏准确登记,许多早期流产被忽视,在医院未得到及时诊断和治疗。这种发病机制的不确定性使临床医生无法采取有针对性的治疗措施,导致治疗效果不理想,给患者家庭和医疗系统带来沉重负担。氧化应激存在于胚胎发育过程中,并影响妊娠和生殖内分泌系统中氧化应激的调节。氧化应激损伤是RSA的一个重要发病机制,因此提高机体抵抗氧化应激损伤的能力对治疗RSA至关重要。对于RSA患者,迫切需要安全、高效且经济有效的抗氧化应激药物,越来越多的证据表明,中医药(TCM)治疗能提高妊娠成功率且副作用较少。许多治疗RSA的活性成分主要源自中药的某些成分,包括黄酮类、酚类和其他化合物,这些成分已被证明可通过靶向抗氧化应激相关途径直接或间接治疗RSA。本文总结了几种常见中药化合物治疗RSA的实验和临床证据。它为进一步探索RSA的发病机制以及治疗RSA的中药化合物提供了思路和观点。

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