首页|益肾促排卵汤联合来曲唑治疗对PCOS不孕症患者内分泌水平、卵巢功能及血清Ghrelin、AMH、NF-κB的影响

益肾促排卵汤联合来曲唑治疗对PCOS不孕症患者内分泌水平、卵巢功能及血清Ghrelin、AMH、NF-κB的影响

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目的:探讨多囊卵巢综合征(PCOS)不孕症采用来曲唑、益肾促排卵汤联合治疗后,对患者卵巢功能、内分泌水平、血清生长激素释放肽(Ghrelin)、抗苗勒管激素(AMH)、核转录因子κB(NF-κB)的影响。方法:将我院PCOS不孕症患者(132例)随机分为对照组(66例,来曲唑治疗)和试验组(66例,来曲唑、益肾促排卵汤联合治疗)。对比两组内分泌指标、卵巢功能指标、血清Ghre-lin、AMH、NF-κB水平、排卵及妊娠情况。结果:与对照组治疗后相比,试验组基础促黄体生成素(LH)、搏动指数、阻力指数、NF-κB、AMH更低,黄体中期雌二醇(E2)、黄体中期孕酮(P)、子宫内膜厚度、Ghrelin更高(P<0。05)。随访六个月后,试验组的排卵率、妊娠率高于对照组(P<0。05)。结论:PCOS不孕症采用来曲唑、益肾促排卵汤联合治疗后,可有效改善患者内分泌水平、卵巢功能及血清Ghrelin、AMH、NF-κB水平,提高妊娠率和排卵率。
Effect of Yishen Ovulation-Promoting Decoction Combined with Letrozole on Endocrine Level,Ovarian Function and Serum Ghrelin,AMH and NF-κB in Patients with PCOS Infertility
Objective:To investigate the effects of letrozole combined with yishen ovulation-promoting decoction on ovarian function,endocrine level,serum growth hormone releasing peptide(Ghrelin),anti-Mullerian hormone(AMH)and nuclear transcription factor-KB(NF-κB)in patients with polycystic ovary syndrome(PCOS)infertility.Methods:Patients with PCOS infertility(132 cases)in our hospital were randomly divided into control group(66 cases,letrozole treatment)and experimental group(66 cases,letrozole,yishen ovulation-promoting decoction combined treatment).Endocrine indexes,ovarian function indexes,serum Ghrelin,AMH,NF-κB levels,ovulation and pregnancy were compared between two groups.Results:Compared with control group after treatment,basic luteinizing hormone(LH),pulsatility index,resistance index,NF-κB,AMH in experimental group were lower,and mid-luteal estradiol(E2),mid-luteal progesterone(P),endometrial thickness,Ghrelin were higher(P<0.05).Six months after follow-up,the ovulation rate and pregnancy rate in experimental group were higher than those in control group(P<0.05).Conclusion:Letrozole combined with yishen ovulation-promoting decoction in the treatment of PCOS infertility patients,which can effectively improve the endocrine level,ovarian function,serum Ghrelin,AMH and NF-κB levels,and improve the pregnancy rate and ovulation rate.

Yishen ovulation-promoting decoctionLetrozolePolycystic ovary syndrome infertilityEndocrine levelOvarian func-tionGhrelinAMHNF-κB

李静静、李若涵、马函琳、李志芳、钱麟

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上海中医药大学曙光临床医学院 上海 200120

上海中医药大学附属曙光医院妇科 上海 200120

上海市浦东新区公利医院中医科 上海 200135

益肾促排卵汤 来曲唑 多囊卵巢综合征不孕症 内分泌水平 卵巢功能 Ghrelin AMH NF-κB

2024

现代生物医学进展
黑龙江省森工总医院 哈尔滨医科大学附属第四医院

现代生物医学进展

CSTPCD
影响因子:0.755
ISSN:1673-6273
年,卷(期):2024.24(22)