Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2012, Vol. 08 ›› Issue (03): 301 -303. doi: 10.3877/cma.j.issn.1673-5250.2012.03.014

Special Issue:

Original Article

Effect of Lymphocytes Active Immunotherapy on Recurrent Spontaneous Abortion and its Nursing Measures

Hua-ying HUANG1(), Hong-yan SUN1, Yun-mei LIAO1   

  1. 1. Department of Reproductive Center, Affiliated Hospital of Luzhou Medical College, Luzhou 646000, Sichuan Province, China
  • Received:2012-01-01 Revised:2012-04-19 Published:2012-06-01
  • Corresponding author: Hua-ying HUANG
  • About author:
    (Corresponding author: HUANG Hua-ying, Email: )
Objective

To investigate the effect of lymphocytes active immunotherapy on recurrent spontaneous abortion (RSA) and its nursing measures.

Methods

From April 2010 to September 2011, a total of 154 RSA cases who underwent lymphocytes active immunotherapy treatment were included into this study. The procedure of this treatment were the following, peripheral blood lymphocytes of husband (healthy individuals) were collected. If the spouse should not be used as immunogen, then selected unrelated healthy individuals lymphocytes. The standard of the efficacy was the maintenance of pregnancy to 20 gestation weeks. The nursing measures were: improve the registration and management system, good psychological counseling and strict care practices. All of the 154 patients completed the follow-up. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Affiliated Hospital of Luzhou Medical College. Informed consent was obtained from each participate.

Results

①After receiving two courses of immune therapy, positive for anti-phospholipid antibody (APLA) was 146 cases (94.81%), there had significant difference between before and after the treatment (P<0.01). ② Among 154 patients, 136 cases(88.31%) were re-pregnancy; pregnancy to 20 weeks after the 98 cases, 28 cases in the course of treatment in pregnancy.

Conclusions

Lymphocytes active immunotherapy is safe and effective. But whether it is worthy of clinical application, further studies are needed to confirm. The improvement of the registration and management system, good psychological counseling, strict care practices and timely guidance of the health care strategy can improve the quality of care to the patients.

[1]
Pandey MK, Agrawal S. Induction of MLR-Bf and protection of fetal loss: A current double blind randomized trial of paternal lymphocyteimmunization for women with recurrent spontaneous abortion[J]. Int Immunophamacol, 2004, 4(2):289-298.
[2]
Zhi ZQ, Huang XJ, Huang HP. High-dose immunoglobulin in blocking antibody-negative recurrent spontaneous abortion in pregnant women[J]. Guangzhou Med J, 2010, 41(3):33.
[3]
Lin QD. Basic and clinical research progress of unexplained recurrent spontaneous abortion[J]. Chin J Obstet Gynecol, 2003, 38(8):481.
[4]
Liu XQ, Peng GY, ed. Technical specification for clinical nursing: Basic nursing[M]. Guangzhou:Guangdong Science and Technology Publishing House, 2007, 218-220.
[5]
Zenclussen AC, Kortebani G, Mazzolli A. Interleukin-6 and soluble interleukin-6 receptor serum levels in recurrent spontaneous abortions women immunized with paternal white cells[J]. Am J Reprod Immunol, 2000, 44(1):22.
[6]
Carp JA, Iass Y, Dolicky M, et al. The effect of semum follicular phase luteinizing homone concent ranions in habitual abortion: Conelationg with results of patemal leukocyte immunization[J]. Hum Reprod, 1995, 10(7):1702-1705.
[1] Bohui Shi, Xiping Ding, Lian Wang, Rong Li, Pingli Guo, Jing Qi, Yao Chen, Na Hao, Yu Ren. Summary of best evidences for prevention and treatment of subcutaneous seroma after breast cancer surgery[J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(05): 277-284.
[2] Roumei Cai, Jiemei Zeng, Weili Huang, Wenmin Xie, Yandan Liu, Manjun Wu, Chuyan Cai. Clinical research of QC circle intervention to reduce the incidence of catheter related infection during femoral vein catheterization in burn wounds[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(05): 399-404.
[3] Xue Li, Wenting Liu, Liting Dou, Yehong Liu. Effect analysis of combined nursing in laparoscopic hiatal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 750-754.
[4] Hongyan Wang, Yanli Ma, Jiecan Zheng. The effectiveness of comprehensive nursing in the operating room for inguinal hernia surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 755-758.
[5] Gege Dai, Li Yang, Yuanyuan Hu, Wenting Zhou. Application effect of comprehensive intervention in operating room in elderly patients with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 759-763.
[6] Lei Wang, Shaohua Wang, Haizhen Niu, Tengfei Yin. Application of early warning intervention based on risk assessment in perioperative nursing of children with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 768-772.
[7] Qingqing Zhu, Zhenqi Wei. Application value of self-efficacy management during perioperative period in patients with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 773-777.
[8] Wei Dai, Guilin Jiang, Zhaoping Che, Jiao Zhang, Xingxing Wang, Haitao Zhao. Application effect of seamless surgical nursing in perioperative period of laparoscopic surgery for inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 778-781.
[9] Mei Li, Shanshan Kong. Application of Robocare nursing mode combined with high-frequency chest wall oscillation in laparoscopic abdominal incision hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 619-624.
[10] Hongyan Fang, Xiaochang Liu, Jiaxu Fang. Application effect of abdominal compression combined with comprehensive nursing for patients with abdominal parastomal hernia undergoing colonoscopy[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 625-629.
[11] Di Zhu, Fan Ouyang, Dan Yang, Min Hua, Qian Wu. Application of dual track nursing in the perioperative period of tension-free inguinal hernia repair in the elderly[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 630-634.
[12] Wang Zhang, Shuying Xu, Aihua Zhang, Fenrong Xia, Lu Wang. Application effect of operating room body temperature nursing combined with detailed nursing intervention in perioperative period of elderly patients with inguinal hernia[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 635-638.
[13] Yidan Chen, Xiaonan Liu, Jing Li, Shuo Zhang, Dan Liu. Application effect of operating room nursing based on continuous quality improvement in open inguinal hernia repair[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(05): 639-642.
[14] Lijiao Jiang, Feng Zhang, Yuping Zhou. Clinical efficacy observation of treating elderly patients with acute non-variceal upper gastrointestinal hemorrhage using the MDT model[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 520-524.
[15] Meisha Fu, Yuhua Zhou, Hui Li, Chunyan Xue. Effect of lymphocyte immunotherapy on T lymphocyte subset distribution and PD1/PD-L1 expression in patients with recurrent miscarriage[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(06): 726-730.
Viewed
Full text


Abstract