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抗心磷脂抗体可使子宫内膜呈分泌不足状态,干扰受精卵着床以致不孕或自然流产,是导致复发性流产原因之一。肾虚导致冲任不固,系胎无力;脾虚则气血不足,胎元失养。肾虚元气不足或脾虚中气不足则运血无力,瘀血内阻,胎失所养而胎元不固。西医口服小剂量阿司匹林、皮下注射小剂量低分子肝素、口服小剂量阿司匹林联合强的松、口服小剂量阿司匹林合并低分子肝素皮下注射治疗。中医辨证论治,脾肾两脏虚损为本,血瘀、热毒为标,补肾、健脾、活血、清热、解毒,补肾益气方可明显提高活产率,大补元煎明显降低流产率,参芪归芍汤可使抗心磷脂抗体阳性全部转阴,消抗地黄汤促进体液免疫,提高免疫球蛋白含量,降低血小板聚粘附性,抗凝血,改善微循环,恢复胎盘血运以充分供血供氧,补肾消抗汤补益脾肾,活血化瘀,清热解毒,标本兼顾。中西医治疗各有优势,亦存在一定局限性,中西医结合治疗既可降低西药所产生的不良反应,又具备中医辨证论治思想,还需从基础理论及药理学方面深入研究。
Anticardiolipin antibodies can endometrial secretion of inadequate state, interfere with the fertilized egg implantation infertility or spontaneous abortion, is one of the causes of recurrent spontaneous abortion. Renal deficiency leads to irresolute, Department of tire weakness; spleen deficiency is lack of blood, fetal dystrophy. Deficiency of kidney deficiency or deficiency of spleen deficiency is the lack of blood transfusion, blood stasis resistance, loss of fetal birth and the fetus yuan not solid. Western medicine oral low-dose aspirin, subcutaneous injection of low-dose low molecular weight heparin, oral low-dose aspirin combined with prednisone, oral low-dose aspirin combined with low molecular weight heparin subcutaneous injection therapy. TCM Syndrome Differentiation, spleen and kidney two visceral wasting-based, blood stasis, heat toxicity as the standard, kidney, spleen, blood circulation, heat, detoxification, Bushenyiqi can significantly improve the live birth rate, Dabu Yuan fried significantly reduce the abortion rate , Shen Qi Gui Shao Tang anti-cardiolipin antibodies can make all the negative, anti-Dihuang Decoction promote humoral immunity, increase immunoglobulin content, reduce platelet adhesion, anticoagulant, improve microcirculation and restore placental blood supply In order to fully supply oxygen, invigorating the kidney decoction soup spleen and kidney, blood circulation, detoxification, both specimens. Chinese and Western medicine has its own advantages, there are some limitations, the combination of traditional Chinese and Western medicine can reduce the adverse reactions of Western medicine, but also have the TCM syndrome differentiation theory, but also from the basic theory and pharmacology in-depth study.