Effect of Shoutaiwan and Shaoyao Gancao Tang on Recurrent Spontaneous Abortion
10.13422/j.cnki.syfjx.20190727
- VernacularTitle: 寿胎丸合芍药甘草汤加味对复发性流产患者的影响
- Author:
Yan-li SONG
1
;
Ai-wu WEI
2
;
Zi-xue SUN
1
;
Bo MEN
1
;
Hua ZHANG
1
Author Information
1. Henan Province Hospital of Traditional Chinese Medicine(TCM), Zhengzhou 450002, China
2. The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450009, China
- Publication Type:Research Article
- Keywords:
Shoutaiwan and Shaoyao Gancao Tang;
lymphocyte immune;
recurrent spontaneous abortion;
spleen and kidney Qi deficiency
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2019;25(7):36-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the effect of Shoutaiwan and Shaoyao Gancao Tang on recurrent spontaneous abortion due to spleen and kidney Qi deficiency. Method: Totally 80 eligible patients were randomly divided into the control group and the treatment group, with 90 cases in each group. The control group was treated with lymphocyte immune; the Shoutaiwan and Shaoyao Gancao Tang combined with lymphocyte immune was applied in the treatment group. Coagulation function[the part plasminogen activator inhibitor-1 (PAI-1), fibrinogen (FIB), type plasminogen activator (t-PA), prothrombin time (PT), D-dimer (D-D) and tissue factor (TF), fibrin peptide A (FPA), fibrinogen (Fig), Plasminase-antifibrinolytic complex (PAP), glycoprotein platelet particle-140 (GMP-140), thrombin-antithrombin complex (TAT)], serum closed antibody (CD3+,CD4+,CD8+,CD4+/CD8+), inflammatory factor interferon-γ (IFN-γ), tumor necrosis factor-α (TNF-α), Interleukin-1β (IL-1β), interleukin-10 (IL-10)]were scored after the treatment. The rates of birth and adverse reactions in each group were compared. The traditional Chinese medicine(TCM) syndrome differentiation of abortion spleen and kidney Qi deficiency was scored. Result: 5 cases were lost during the study period. The term delivery rate was 92.0%in the treatment group, which was higher than 73.6%in control group (P<0.05). The total effective rate was 97.7%in the treatment group, which was higher than 81.6%in control group (P<0.05). The coagulation function indexes (PAI-1, FIB, t-PA,D-D, PAP, GMP-140, TAT), closed antibodies (CD3+, CD4+, CD4+/CD8+), inflammatory factors (IFN-γ,TNF-α,IL-1β) and TCM syndrome scores were significantly lower in the treatment group than that in control group (P<0.05). Coagulation function indexes (PT,TF,FPA,Fig), serum blocking antibodies (CD8+), inflammatory factors IL-10 were significantly increased compared with the control group (P<0.05). The incidence of adverse reactions in treatment group was 10.3%(9/87), which was lower than 22.7%in control group (20/88) (P<0.05). Conclusion: Shoutaiwan and Shaoyao Gancao Tang have a remarkable effect on recurrent spontaneous abortion case by spleen and kidney Yang deficiency.