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中药圣愈汤治疗早发性卵巢功能不全的临床观察

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目的 探讨中药圣愈汤治疗早发性卵巢功能不全(premature ovarian insufficiency,POI)患者的临床疗效.方法 选取2023年7月1日至2024年4月30日上海交通大学医学院附属仁济医院浦南分院妇科门诊收治的40例早发性卵巢功能不全患者,采用随机法将所有患者分为对照组、研究组,每组各20例.对照组用雌孕激素序贯疗法治疗,研究组用圣愈汤治疗,比较两组临床疗效、中医症状积分及性激素水平.结果 研究组治疗总有效率为95.0%,高于对照组的75.0%,差异有统计学意义(P<0.05).治疗前,两组中医症状各项积分比较,差异无统计学意义(P>0.05).治疗后,研究组各项中医证状积分低于对照组,差异有统计学意义(P<0.05).治疗前,两组血清卵泡生成激素(follicle-stimulating hormone,FSH)、雌二醇(estradiol,E2)、促黄体生成激素(luteinizing hormone,LH)及抗缪勒氏管激素(anti-mullerian hormone,AMH)水平比较,差异无统计学意义(P>0.05).两组治疗后,FSH和LH水平下降,E2和AMH水平有上升,有统计学意义(P<0.05);治疗后研究组FSH、LH、AMH、E2水平与对照组无明显差异,差异无统计学意义(P>0.05).结论 圣愈汤应用于治疗早发性卵巢功能不全(POI)治疗效果明显,有利于改善患者临床症状及调节性激素水平.值得在临床上应用.
Clincal effects of Shengyu Decoction in treatment of premature ovarian insufficiency
Objective To observe the clincal effects of Shengyu Decoction in the treatment of premature ovarian insuffi-ciency,(P0I).Methods A total of 50 patients with premature ovarian insufficiency who were admitted to the gynecolo-gy outpatient department of RuiJin Hospital Affiliated to Shanghai Jiaotong University School of Medicine were selected from July 1st,2023 to April 30th,2024.All patients were randomly divided into a study group and a control group with 25 patients in each group.For the control group,estrogen and progesterone sequential therapy was used as the treatment method;the study group received Shengyu Decoction treatment.During the treatment process,strictly follow medical ethics and norms,and make a comprehensive evaluation of the efficacy of the two treatment methods.The clinical effica-cy,traditional Chinese medicine(TCM)symptom score,and serum hormone levels of the two groups were carefully compared after treatment.Results Statistical analysis showed that the study group had a total effective rate of treatment as high as 92%,There is a significant difference compared to the control group at 76%(P<0.05).Before treatment,there was no significant difference in the TCM symptom scores be-tween the two groups,which was not statistically significant(P>0.05).After treatment,the levels of follicle-stimulating hormone(FSH)and luteinizing hormone(LH)in both groups decreased,while the levels of estradiol(E2)and anti-mullerian hormone(AMH)increased,and these changes were statistically significant(P<0.05).Further comparison of serum hormone levels before and after treatment between the two groups showed that there was no significant difference in serum follicle-stimulating hormone(FSH),estradiol(E2),luteinizing hormone(LH),and anti-Mullerian hormone(AMH)levels between the two groups before treat-ment,which was not statistically significant(P>0.05).After treatment,both groups showed a decrease in FSH and LH levels and an increase in E2 and AMH levels.These changes were statistically significant(P<0.05).However,there was no significant difference between the two groups in terms of hormone levels after treatment(P>0.05).Con-clusion Shengyu Decoction shows significant therapeutic effect in the treatment of premature ovarian insufficiency(POI),which can effectively alleviate clinical symptoms and regulate hormone levels in patients,thus having high clini-cal application value.

Qi and blood theoryShengyu decoctionPremature ovarian insufficiencyHormone levels

张保华、聂启勤、周小莉、胡明珠、张俊伟、雷撼

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上海交通大学医学院附属仁济医院浦南分院妇产科,上海 200125

上海交通大学医学院附属仁济医院浦南分院呼吸科,上海 200125

气血理论 圣愈汤 早发性卵巢功能不全 性激素水平

2021年上海市综合医院中西结合专项基金

ZHYY-ZXYJHZX-202108

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(17)
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