深圳中西医结合杂志2024,Vol.34Issue(13) :30-33.DOI:10.16458/j.cnki.1007-0893.2024.13.009

益经护巢汤联合GnRH-a治疗卵巢功能减退性不孕症的效果

The Effect of Yijing Huchao Decoction Combined with GnRH-a in the Treatment of Ovarian Dysfunction Infertility

李静 郑佳丽 黑向书 陈文群
深圳中西医结合杂志2024,Vol.34Issue(13) :30-33.DOI:10.16458/j.cnki.1007-0893.2024.13.009

益经护巢汤联合GnRH-a治疗卵巢功能减退性不孕症的效果

The Effect of Yijing Huchao Decoction Combined with GnRH-a in the Treatment of Ovarian Dysfunction Infertility

李静 1郑佳丽 1黑向书 1陈文群2
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作者信息

  • 1. 安顺市中医院,贵州 安顺 561000
  • 2. 安顺市人民医院,贵州 安顺 561000
  • 折叠

摘要

目的:分析益经护巢汤联合促性腺激素释放激素激动剂(GnRH-a)治疗卵巢功能减退性不孕症的效果及对卵巢功能、妊娠结局的影响.方法:选取安顺市中医院于 2020 年 1 月至 2022 年 11 月收治的 102 例卵巢功能减退性不孕症患者为研究对象,根据治疗方法不同分为对照组(51 例,给予GnRH-a治疗)与观察组(51 例,给予益经护巢汤联合GnRH-a治疗),比较两组患者临床疗效、中医症状积分、卵巢功能、子宫内膜厚度、窦卵泡数、妊娠结局及不良反应.结果:观察组患者治疗总有效率高于对照组;治疗后,观察组患者主要症状、次要症状、伴随症状积分均低于对照组;观察组患者血清黄体生成素、卵泡刺激素、睾酮水平均低于对照组,雌二醇水平高于对照组;观察组患者子宫内膜厚度、窦卵泡数高于对照组;观察组患者的妊娠率高于对照组;观察组患者不良反应发生率低于对照组.以上差异均具有统计学意义(P<0.05).结论:益经护巢汤联合GnRH-a治疗卵巢功能减退性不孕症可改善卵巢功能及妊娠结局,降低不良反应发生率.

Abstract

Objective To analyze the effect of Yijing Huchao decoction combined with gonadotropin-releasing hormone agonistst(GnRH-a)in the treatment of ovarian dysfunction infertility and its impact on ovarian function and pregnancy outcomes.Methods A total of 102 patients with ovarian insufficiency infertility admitted to Anshun Traditional Chinese Medicine Hospital from January 2020 to November 2022 as the research subjects.According to the treatment method,they were divided into a control group(51 cases,treated with GnRH-a)and an observation group(51 cases,treated with Yijing Huchao decoction combined with GnRH-a).The clinical efficacy,traditional Chinese medicine symptom score,ovarian function,endometrial thickness,number of antral follicles,pregnancy outcome,and adverse reactions of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group;After treatment,the scores of main symptoms,secondary symptoms,and accompanying symptoms in the observation group were lower than those in the control group;The serum levels of luteinizing hormone,follicle stimulating hormone,and testosterone in the observation group were lower than those in the control group,while the level of estradiol was higher than that in the control group;The thickness of the endometrium and the number of antral follicles in the observation group were higher than those in the control group;The pregnancy rate of the observation group was higher than that of the control group;The incidence of adverse reactions in the observation group was lower than that in the control group.The above differences are statistically significant(P<0.05).Conclusion The combination of Yijing Huchao decoction and GnRH-a can improve ovarian function and pregnancy outcomes,and reduce the incidence of adverse reactions in the treatment of ovarian dysfunction infertility.

关键词

卵巢功能减退/不孕症/益经护巢汤/GnRH-a/妊娠结局

Key words

Ovarian insufficiency/Infertility/YiJing Huchao decoction/GnRH-a/Pregnancy outcome

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出版年

2024
深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
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