首页|绒毛膜促性腺激素联合枸橼酸氯米芬治疗内分泌失调性不孕症效果及对血清性激素水平、妊娠率的影响

绒毛膜促性腺激素联合枸橼酸氯米芬治疗内分泌失调性不孕症效果及对血清性激素水平、妊娠率的影响

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目的 探讨对内分泌失调性不孕症患者使用绒毛膜促性腺激素、枸橼酸氯米芬联合治疗的具体影响.方法 选取 2021 年1 月—2022年 1 月就诊于巨野县人民医院的 80 例内分泌失调性不孕症患者为研究对象,使用随机数字表法将其分为对照组与观察组,每组 40 例.对照组采用枸橼酸氯米芬治疗,观察组在对照组基础上联合绒毛膜促性腺激素治疗.对比两组患者的临床疗效、血清性激素水平、妊娠情况及不良反应发生情况.结果 观察组治疗总有效率为 95.00%,高于对照组的 75.00%,妊娠率为 95.00%,高于对照组的 70.00%,组间差异有统计学意义(P<0.05).治疗后,观察组孕酮水平为(49.56±7.23)nmol/L,卵泡刺激素水平为(20.34±1.53)mIU/mL,黄体生成素水平为(76.13±9.33)mIU/mL,雌二醇水平为(456.56±14.26)pmol/mL,均高于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 对内分泌失调性不孕症患者采用绒毛膜促性腺激素、枸橼酸氯米芬联合治疗,可有效调节性激素水平,提高妊娠率,且安全性良好.
Effect of Chorionic Gonadotropin Assisted Clomiphene Citrate in the Treatment of Endocrine Dysfunctional Infertility and Its Impact on Serum Sex Hormone Levels and Pregnancy Rate
Objective To explore the specific effects of combined treatment with chorionic gonadotropin and clomiphene citrate on patients with endocrine dysfunctional infertility.Methods 80 patients with endocrine disorder infertility who were admitted to Juye County People's Hospital from January 2021 to January 2022 were selected as the research objects,and were divided into a control group and an observation group using random number table method,with 40 cases in each group.The control group was treated with clomiphene citrate,and the observation group was treated with chorionic gonadotropin based on the control group.The clinical efficacy,serum sex hormone levels,pregnancy and adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 95.00%,higher than 75.00%of the control group,and the pregnancy rate was 95.00%,higher than 70.00%of the control group,with statistical significance(P<0.05).After treatment,progesterone level in observation group was(49.56±7.23)nmol/L,follicle-stimulating hormone level was(20.34±1.53)mIU/mL,luteinization hormone level was(76.13±9.33)mIU/mL,estradiol level was(456.56±14.26)pmol/mL,all of which were higher than those in control group,the differences between groups were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combined treatment of chorionic gonadotropin and clomiphene citrate can effectively regulate sex hormone levels,improve pregnancy rates,and have good safety for patients with endocrine dysfunctional infertility.

Endocrine dysfunctional infertilityChorionic gonadotropinClomiphene citrateSerum sex hormone levelsPregnahcy

王慧

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巨野县人民医院内分泌科,山东菏泽 274900

内分泌失调性不孕症 绒毛膜促性腺激素 枸橼酸氯米芬 血清性激素水平 妊娠

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(7)