Effect of Buzhong Yiqi Tang in Treating 38 Cases of Spleen and Kidney Deficiency Type Recurrent Spontaneous Abortion Caused by Negative Blocking Antibody
TIAN Dan, DAI Hai-qing, LI Zhao-ping, et al. Effect of Buzhong Yiqi Tang in Treating 38 Cases of Spleen and Kidney Deficiency Type Recurrent Spontaneous Abortion Caused by Negative Blocking Antibody[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(18): 167-170.
TIAN Dan, DAI Hai-qing, LI Zhao-ping, et al. Effect of Buzhong Yiqi Tang in Treating 38 Cases of Spleen and Kidney Deficiency Type Recurrent Spontaneous Abortion Caused by Negative Blocking Antibody[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(18): 167-170. DOI: 10.13422/j.cnki.syfjx.2015180167.
Objective: To observe the clinical effect of modified Buzhong Yiqi Tang in treating recurrent spontaneous abortion (spleen kidney deficiency type) caused by negative closed antibody and its effect on levels of serum interleukin-6 (IL-6)
tumor necrosis factor-α (TNF-α)
γ-interferon (IFN-γ)
interleukin-10 (IL-10). Method: Seventy-three patients were randomly divided into the experimental group (38 cases) and control group (35 cases) according to the number table method. For control group
patients took spouse in vitro lymphocyte-induce immune therapy. In addition to the therapy of control group
experimental group was given Buzhong Yiqi Tang from the 3rd month before preganecy to the 16 weeks of gestation. For the two groups
they were all followed up until delivery. Conception
the number of weeks exceeding the original gestational weeks
gestational age up to 12 weeks and term birth were recorded. The spleen kidney deficiency syndrome before and after treatment were scored. The conversion of three negative closed antibody (anti-CD3-BE
anti-CD4-BE and anti-CD8-BE) to positive were detected. The levels of serum IL-6
TNF-α
IFN-γ and IL-10 before and after treatment were tested. Result: There was no statistical significance in difference between pregnancy rate and the number of weeks exceeding the original gestational weeks in two groups. The gestational age up to 12 weeks and the rate of term birth in experimental group were superior to these data in control group (P<0.05). After treatment
positive conversion rate of anti-CD3-BE and anti-CD8-BE in experimental group were higher than these data in control group (P<0.05). Levels of TNF-α and IFN-γ in experimental group were superior to these in control group
while the IL-6 and IL-10 were higher than the standards in control group (P<0.01). The total effective rate was 89.47% in experimental group
which was better than 71.43% in control group (P<0.05). Conclusion: Modified Buzhong Yiqi Tang combined with in vitro spouse lymphocyte-induce immune therapy can treat recurrent spontaneous abortion caused by negative closed antibody
promote the positive conversion of closed antibodies
enhance the rate of childbirth pregnancy and relieve clinical symptoms. It has distinct clinical curative effect.