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1、女性免疫性不孕症的检测及其中西医结合治疗王念1殷俊2谭文捷2许豪勤31.江苏大学附属医院妇产科江苏镇江212001；2.江苏大学附属医院康复医学科江苏镇江212001；c210009【摘要】目的：通过免疫学检测探讨女性不孕症的原因以及中丙医结合治疗的途径。资料与方法：对560例不孕症患者采用酶联免疫吸附（EUSA）法免疫学检测，筛选出免疫性不孕症，随机分为常规治疗（对照组）组和中丙结合治疗（治疗组）组。对照组行单纯丙医治疗，治疗组行中丙医结合治疗（丙医治疗+中医辨证治疗）。结果：560例不明原因的女性不孕症患者有238例免疫性抗体阳性、总阳性率为42.5%。238例免疫性抗体阳性中,As
2、Ab阳性135例，占56.7%。治疗组总有效率83.2%,对照组总有效率51.3%，x2=27.25、p<0.05；有39例妊娠怀孕，总治愈率为16.4%。对照组治愈率为11.8%，治疗组治愈率为21.0%,x2=9.86,p<0.05o结论：AsAb是女性不孕的主要免疫学因素，中西医结合治疗明显提高了受孕率。【关键词】不孕症；免疫性不孕症；抗精子抗体；中丙医结合治疗【中图分类号】R711【文献标识码】B【文章编号】1674-8999（2015）8-0053-02DetectionandcombinedtreatmentofTCMwithWesternMedicineforf
3、emaleimmuneinfertilityWangNianlYinJun2TanWenjie2XuHaoqin3（1.DepartmentofObstetricsandGynecology,AffiliatedHospitalofJiangsuUniversity,JiangsuZhenjiang212001;2.DepartmentofRehabilitationandphysiotherapy,AffiliatedHospitalofJiangsuUniversityJiangsuZhenjiang212001;3.Instituteoffamilyplanningsciencea
4、ndTechnologyResearchofJiangsuprovince,JiangsuNanjing210009)【Abstract】Objective:TheimmunologicaldetectiontoinvestigatethecausesoffemaleinfertilityandtreatmentwiththecombinetraditionalChineseandWesternmedicine.Materialsandmethods：560casesofinfertilitypatientsweredetectedbyenzyme-linkedimmunosorbent
5、(ELISA)methodforimmunologicaldetection,fund238casesofimmunologicalinfertilitythatwererandomlydividedintoconventionaltreatment(controlgroup)gtoupandcombinationtreatmentofintegratedtraditionalChineseandWestern(treatmentgroup)group,with119casesineachgroup.Thecontrolgroupwastreatedwithpurewesternmedi
6、cine,thetreatmentgroupunderwentcombinedtreatmentofTCMandWesternMedicine.Result：560casesofunknowncausesoffemaleinfertilitypatientstherewere238casesofantibodypositive,thepositiveratewas42.5%.In238casesofantibodypositive,135caseswereAsAbpositive,accountingfor56.7%.Treatmentgrouptotaleffectivenesswas
7、83.2%,andthecomparisongrouptotaleffectivenesswas51.3%(x2=27.25,p<0.05).Therewas39casesofpregnantpregnancy,thetotalcureratewas16.4%.Thecurerateofcontrolgroupwas11.8%,curerateoftreatmentgroupwas21%(x2=9.86,p<0.05).
