首页|调心补肾促排卵汤联合戊酸雌二醇+克罗米芬对排卵障碍性不孕症患者子宫内膜容受性及子宫动脉血流的影响

调心补肾促排卵汤联合戊酸雌二醇+克罗米芬对排卵障碍性不孕症患者子宫内膜容受性及子宫动脉血流的影响

扫码查看
目的 探究调心补肾促排卵汤联合戊酸雌二醇+克罗米芬对排卵障碍性不孕症患者子宫内膜容受性及子宫动脉血流的影响.方法 选取2019年6月至2022年8月江阴市中医院收治的120例排卵障碍性不孕症患者作为研究对象.采用随机数字表法分为对照组和联合组,每组60例.对照组采用戊酸雌二醇+克罗米芬治疗,联合组在对照组基础上联合调心补肾促排卵汤治疗.比较两组的疗效、排卵率、妊娠率、A型内膜率、子宫内膜厚度、子宫动脉阻力指数(RI)和搏动指数(PI).结果 与对照组比较,联合组治疗总有效率、排卵率、妊娠率和A型内膜率显著升高,差异具有统计学意义(P<0.05).治疗后,两组子宫内膜厚度均显著大于治疗前,RI、PI水平均显著低于治疗前,且联合组上述指标优于对照组,差异具有统计学意义(P<0.05).结论 调心补肾促排卵汤联合戊酸雌二醇+克罗米芬可以改善排卵障碍性不孕症患者的子宫内膜厚度、子宫内膜分型和子宫动脉血流指数,提高排卵率和妊娠率.
Impacts of Tiaoxin Bushen Cupailuan Decoction combined with estradiol valerate+clomiphene on endometrial receptivity and uterine artery blood flow in patients with ovulatory disorder infertility
Objective To investigate the impacts of Tiaoxin Bushen Cupailuan Decoction combined with estradiol valerate+clomiphene on endometrial receptivity and uterine artery blood flow in patients with ovulatory disorder infertility.Methods A total of 120 cases ovulatory disorder infertility patients admitted to Jiangyin Traditional Chinese Medicine Hospital from June 2019 to August 2022 were selected as the study subjects.Randomized numerical table method was used to divide them into control group and combined group,with 60 cases in each group.The control group was treated with estradiol valerate+clomiphene,and the combined group was treated with Tiaoxin Bushen Cupailuan Decoction on the basis of the control group.The efficacy,ovulation rate,pregnancy rate,A-type endometrial rate,endometrial thickness,uterine artery resistance index(RI)and pulsatility index(PI)of the two groups were compared.Results Compared with the control group,the total effective rate of treatment,ovulation rate,pregnancy rate and A-type endometrial rate were significantly higher in the combined group,and the difference was statistically significant(P<0.05).After treatment,the endometrial thickness of both groups was significantly greater than that before treatment,and the levels of RI and PI were significantly lower than those before treatment,and the above indexes of the combined group were better than those of the control group,with statistically significant differences(P<0.05).Conclusions Tiaoxin Bushen Cupailuan Decoction combined with estradiol valerate+clomiphene can improve endometrial thickness,endometrial typing and uterine artery blood flow index,and increase ovulation rate and pregnancy rate in patients with ovulation disorder infertility.

Tiaoxin Bushen Cupailuan DecoctionEstradiol valerateClomipheneOvulation disorder infertilityEndometrial receptivityUterine artery blood flow

吴昆、崔婷、夏亚芳、王进进、高娟、陈正平

展开 >

江阴市中医院妇产科,江苏无锡 214400

江阴市中医院名医堂,江苏无锡 214400

调心补肾促排卵汤 戊酸雌二醇 克罗米芬 排卵障碍性不孕症 子宫内膜容受性 子宫动脉血流

江苏省中医药科技发展项目

YB2020045

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(1)
  • 16