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Immunotherapy Clinical Efficacy of Recurrent Spontaneous Abortion:A Meta-analysis

Author: HeRuiZhi
Tutor: LuShiYan
School: Hebei Medical University
Course: Obstetrics and Gynaecology
Keywords: Abortion immune Abortion immunoglobulin abortion randomised clinical trials Intravenous immunoglobulin / IVIG meta -analysis lymphocyte immunization immunotherapy
CLC: R714.21
Type: Master's thesis
Year: 2010
Downloads: 135
Quote: 0
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Abstract


Objective: To evaluate the clinical efficacy of immunotherapy in recurrent spontaneous abortion . Methods: We searched PubMed , Highwire , free medical journals , the Western biomedical database , Chinese Biomedical Database , China Academic Journal , VIP database . As of March 2009 , included in the randomized controlled trials all RSA patients with active immunization or immune globulin treatment of recurrent miscarriage . And according to the random allocation method , random concealment , blinding and exit description included in the review of the quality of research . Meta-analysis method comprehensive quantitative data . RESULTS: Of the 27 studies , the parent group pregnancy rate higher than that in control group [OR = 2.55, CI (1.44 ~ 4.51), P = 0.001]; donating group pregnancy rate higher than that in the control group [ OR = 1.49 CI : ( 0.77 to 2.89 ) , P = 0.24 ] ; the immunoglobulin group of pregnancy success rate higher than that of the control group [ OR = 1.38 CI : ( 0.67 to 2.83 ) P = 0.38 ] . Conclusion : Father lymphocyte immune therapy of recurrent spontaneous abortion improve the success rate of their pregnancy . Other methods no significant placebo-controlled . But still a need for more high-quality , large sample quantitative research to further explore .

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CLC: > Medicine, health > Obstetrics and Gynaecology > Obstetrics > Pathological pregnancy ( abnormal pregnancy ) > Miscarriage, premature labor and prolonged pregnancy
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