摘要
目的 分析淋巴细胞主动免疫治疗对封闭抗体阴性复发性流产患者妊娠结局的影响。方法 选取2015年7月-2016年3 月我院70例确诊并给予治疗的封闭抗体阴性复发性流产患者,将所有患者随机分为两组,各35例。对照组采用免 疫球蛋白被动免疫治疗与常规治疗相结合,观察组采用淋巴细胞主动免疫治疗,比较两组间经过治疗后封闭抗体 阳性情况、治疗后成功妊娠率及封闭抗体阳性与阴性妊娠成功率。结果 观察组患者治疗后封闭抗体阳性率明显高 于对照组,差异显著(P<0.05);观察组患者治疗后妊娠成功率为82.86%,明显高于对照组60.00%,差异显著(P <0.05)。结论 采用淋巴细胞主动免疫治疗封闭抗体阴性复发性流产效果明显,增加了母体中封闭抗体阳性率,提 高了妊娠成功率,在临床应用中值得推广。
Objective To analyze the effect of lymphocyte active immunotherapy on pregnancy outcome of patients with recurrent and negative abortion of closed antibody. Methods A total of 70 patients with recurrent spontaneous abortion with closed antibody diagnosed and treated in our hospital from July 2015 to March 2016 were randomly divided into two groups of 35 patients. Control group using immunoglobulin passive immunization therapy combined with conventional treatment, observation group with lymphocytes active immunotherapy, comparison between the two groups after treatment of closed antibody positive situation, the successful pregnancy rates after treatment and closed antibody positive and negative pregnancy success rate. Results The positive rate of closed antibody was significantly higher in the observation group than in the control group (P<0.05). After treatment, the pregnancy success rate of the observation group was 82.86%, which was significantly higher than that of the control group (P<0.05). Conclusion Active immunotherapy using lymphocytes closed antibody negative effect of recurrent miscarriage, increased the rate of positive of antibody of matrix closed, improves the success rate of pregnancy, is worth popularization in clinical application.
【关键词】淋巴细胞;主动免疫治疗;封闭抗体阴性;复发性流产
【中图分类号】R714.21
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.04.016
前言
妊娠不足28周、胎儿体重不足1000g而终止者, 称为流产,而复发性流产指与同一性伴侣经历3次或 3次以上的流产,且流产时表现为停经后阴道出血及 腹痛等临床症状[1]。医学研究表明[2],对复发性流产 患者能够识别具体致病因的仅占50%,主要包括生殖 道异常、内分泌异常、胎儿染色体异常、免疫功能异 常、感染及其他因素。其中免疫功能异常中封闭抗体 阴性是最常见的表现形式,当封闭抗体缺乏时,造 成胚胎容易受到母体的排斥,增加流产的风险。目前,临床上针对该病症主要采用淋巴细胞主动免疫治 疗,此种治疗方法安全可靠,在增加封闭抗体阳性浓 度的同时,提高妊娠成功率[3]。本研究选取2015年7 月-2016年3月我院70例确诊并给予治疗的复发性流产 患者,分析淋巴细胞主动免疫治疗对封闭抗体阴性复 发性流产患者妊娠结局的影响。报告如下。
罕少疾病杂志
第25卷, 第 4 期
2019年11月
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