首页|卵巢储备功能减退的不孕症患者辅助生殖前的中医药预处理经验

卵巢储备功能减退的不孕症患者辅助生殖前的中医药预处理经验

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卵巢储备功能减退(DOR)患者由于卵母细胞的数量减少和/或质量下降,导致生育能力下降。近年来有生育需求并需借助辅助生殖技术(ART)来助孕的DOR患者越来越多,这类患者在接受辅助生殖治疗时,常常不能获得满意的助孕结局。为了提高其临床妊娠率和活产率,目前中西医生殖领域内的研究者们尝试着采用各种预处理方案来增加获卵数及提高卵子质量。赵俐主任对DOR不孕患者ART前中医药预处理积累了丰富的临床经验,临证中衷中参西、优势互补;注重心理疏导,身心同调;辨证首重肝肾,兼调心脾;治疗分期用药,因势利导;倡导针药并用,内外合治。为DOR患者接受辅助生殖治疗时,减少卵巢低反应(POR)的发生,改善ART的临床妊娠结局提供了重要思路。
Experience of Chinese Medicine Pretreatment before Assisted Reproduction in Patients with Infertility Due to Diminished Ovarian Reserve
The patients with diminished ovarian reserve(DOR)have compromised fertility due the decreased number and/or quality of oocytes.In recent years,more and more DOR patients have reproduction demand and need assisted reproductive technology(ART).These patients,however,often fail to obtain satisfactory pregnancy outcomes when receiving assisted reproductive treatment.To improve the clinical pregnancy rate and live birth rate,researchers in the field of reproduction of Chinese and Western medicine have developed various pretreatment schemes to increase the number and improve the quality of eggs obtained.Director Zhao Li has accumulated rich clinical experience in Chinese medicine pretreatment for the patients with infertility due to DOR before ART by integrating Chinese and Western medicine.Director Zhao emphasizes psychological counseling and advocates regulating both physical and mental health.The syndrome differentiation focuses on the liver and kidney,with consideration to the heart and spleen.Director Zhao adopts staged treatment according to the patient conditions and advocates the combination of acupuncture and medicine for both internal and external treatment.This article provides an idea for reducing the occurrence of ovarian hyporesponsiveness and improve the clinical pregnancy outcomes of the DOR patients receiving ART.

diminished ovarian reserveinfertilityassisted reproductionTraditional Chinese medicine

钟春洪、蔡倩冰、赵俐

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东莞市妇幼保健院妇孺国医堂(广东 东莞 523000)

卵巢储备功能减退 不孕症 辅助生殖 中医药

东莞市名中医药专家传承工作室建设项目

2024

基层中医药
中国中医科学院中医研究所

基层中医药

ISSN:2097-1222
年,卷(期):2024.3(10)