基于滋养层细胞角度探讨中药防治自然流产的研究进展OA
A review on traditional Chinese medicine in the prevention and treatment of spontaneous abortion from the perspective of the trophoblast cells
自然流产是妊娠早期常见的并发症,滋养细胞功能异常是其重要病因之一.自然流产发生率较高,严重损害了妇女的生殖健康和家庭幸福,也带来了沉重的经济负担,并对产妇心理造成严重影响.中医学认为,根据自然流产的类型和发生时间的不同,本病可归属于"胎漏""胎动不安""胎动欲坠""堕胎""滑胎""数堕胎"等范畴,冲任损伤、胎元不固是本病的基本病机.中医积累多年来各种医家的宝贵经验,通过辨证论治对自然流产具有十分丰富的临床经验和独到的疗效,但目前其作用机制尚未完全明确.近年来,随着中医药现代化研究的深入,中药在调节滋养细胞功能、防治自然流产方面展现出独到优势.中药复方及其活性成分在调控滋养细胞功能、干预自然流产过程中展现出多靶点、整体调节的独到优势,日益成为生殖医学领域的研究热点.文章综述了滋养层细胞与自然流产的关系,探讨中药通过调节滋养层细胞功能失调、血管生成、免疫微环境、自噬及凋亡、氧化应激,减轻脂质过氧化及铁死亡等,以及表观遗传修饰等机制防治自然流产的研究进展,为临床治疗提供理论依据.
Spontaneous abortion is a common complication in early pregnancy,and trophoblast dysfunction is one of its important causes.The incidence of spontaneous abortion is so high that it has seriously damaged women's reproductive health and family happiness,and brought not only a heavy economic burden but also a serious impact on maternal mental health.Traditional Chinese medicine(TCM)holds that according to the different types and occurrence time of spontaneous abortion,this disease can belong to the categories of"fetal leakage","fetal restlessness","fetal falling",etc.The basic pathogenesis of these diseases lie in impairment of Chong and Ren channels and fetal origin instability.In recent years,with the in-depth study of the development of TCM modernization,TCM has shown its unique advantages in regulating trophoblast function and preventing spontaneous abortion.TCM compound and its active ingredients have shown unique advantages in multi-target and overall regulation in the modulation of trophoblast function and the intervention of spontaneous abortion,and have increasingly become a research hotspot in the field of reproductive medicine.This paper reviews the relationship between trophoblast cells and spontaneous abortion,and discusses the research progress of TCM in the prevention and treatment of spontaneous abortion by regulating trophoblast cell dysfunction,angiogenesis,immune microenvironment,epigenetic modification,and other factors,aiming to provide a theoretical basis for clinical treatment.
梁宝尹;沈洁;秦明春
广西中医药大学,广西 南宁,530001广西中医药大学,广西 南宁,530001广西中医药大学附属瑞康医院,广西 南宁,530011
医药卫生
滋养层细胞自然流产中药免疫调节自噬
Trophoblast cellSpontaneous abortionTraditional Chinese medicineImmune regulationAutophagy
《中医临床研究》 2026 (3)
80-85,6
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