从“肝”论治甲状腺自身抗体阳性复发性流产

Teating Recurrent Miscarriage Caused by Positive Thyroid Autoantibodies from “liver”

复发性流产是育龄期女性临床上一种好发疾病,是生殖医学中最令人沮丧和困难的领域之一,它属于中医'滑胎'的范畴,病因复杂,约17%是由于甲状腺自身抗体阳性所引起。随着当前社会医学模式的发展,反复自然流产患者甲状腺自身抗体阳性的心理问题日益受到重视。现代医学大多采用甲状腺激素替代疗法、免疫抑制疗法和抗凝治疗,并根据患者的心理特点进行心理干预,疗效确切。然而目前临床上没有特效药使甲状腺自身抗体转阴,同时对于心理疾患较重者,无法保证药物治疗安全性,中医治疗是补肾活血为根本,辅以健脾、益气、清热。在此基础上,导师从'肝'提出治疗,疏肝宁心,疗效颇好。中西医治疗各有长处,与西医相较,中药具有广泛的优势,不良反应小,治愈率高,临床疗效颇佳。

Recurrent abortion is a clinically prevalent disease in women.It belongs to the category of'slippery'in Chinese medicine.The cause is complex and about 17%is due to the thyroid itself.With the development of the current social medical model,the psychological problem of thyroid autoantibodies positive in patients with recurrent spontaneous abortion has received increasing attention.According to the psychological characteristics of patients,modern medicine mostly uses thyroid hormone replacement therapy,immunosuppressive therapy and anticoagulant therapy,and psychological intervention.The treatment of traditional Chinese medicine is the basis of tonifying kidney and promoting blood circulation,supplemented by spleen,qi and heat.On this basis,the instructor proposed treatment from the'liver',Shugan Ningxin,and the effect is quite good.Compared with western medicine,traditional Chinese medicine has a wide range of advantages,with few side effects and high cure rate.The clinical effect is quite good.