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不明原因复发性流产发病机制及治疗方法的研究进展

陆冬媛 金建峰 罗伟伟 钱柒雷 温晓雅

中国药房2024,Vol.35Issue(17):2188-2192,5.
中国药房2024,Vol.35Issue(17):2188-2192,5.DOI:10.6039/j.issn.1001-0408.2024.17.23

不明原因复发性流产发病机制及治疗方法的研究进展

Research advances on the pathogenesis and treatment of unexplained recurrent spontaneous abortion

陆冬媛 1金建峰 1罗伟伟 1钱柒雷 2温晓雅2

作者信息

  • 1. 宁波市第六医院药学部,浙江 宁波 315040
  • 2. 贵阳市第四人民医院药剂科,贵阳 550007
  • 折叠

摘要

Abstract

Spontaneous abortion is one of the most common complications of pregnancy,and two or more spontaneous abortions in a row are defined as recurrent spontaneous abortion(RSA),of which about half of patients have unknown etiology.However,the pathogenesis of unexplained RSA(URSA)has not been elucidated,and the lack of effective treatment has made it one of the key and difficult points in the field of obstetrics and gynecology.This article conducts a literature review of recent research on URSA and finds that the pathogenesis of URSA is related to the imbalance of immune tolerance at the maternal-fetal interface,apoptosis of trophoblast cells,inhibition of angiogenesis,and activation of immune responses.Immunotherapy(including cell therapy,cytokine therapy,and immunosuppressive intervention),hormone drugs,anticoagulant regimens,and traditional Chinese medicine therapies are commonly used in clinical practice to intervene in URSA,but the safety and effectiveness of some therapies are still controversial.

关键词

不明原因复发性流产/发病机制/治疗方法/免疫

Key words

unexplained recurrent spontaneous abortion/pathogenesis/therapies/immune

分类

医药卫生

引用本文复制引用

陆冬媛,金建峰,罗伟伟,钱柒雷,温晓雅..不明原因复发性流产发病机制及治疗方法的研究进展[J].中国药房,2024,35(17):2188-2192,5.

基金项目

2023年宁波市鄞州区卫生健康科技计划项目(No.2023Y20) (No.2023Y20)

中国药房

OA北大核心CSTPCD

1001-0408

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