首页|益补肾助卵汤联合西药治疗肾虚型排卵障碍性不孕的临床疗效

益补肾助卵汤联合西药治疗肾虚型排卵障碍性不孕的临床疗效

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目的 探讨益补肾助卵汤联合西药治疗肾虚型排卵障碍性不孕(ODI)的临床疗效.方法 选取2019年10月至2022年10月于安庆市中医医院就诊的120例肾虚型ODI患者作为研究对象,采用随机数字表法分为西药组(n=60)和中药组(n=60).西药组采用枸橼酸氯米芬治疗,中药组采用益补肾助卵汤联合枸橼酸氯米芬治疗.比较两组患者治疗效果及治疗前后黄体生成素(LH)、雌二醇(E2)、卵泡刺激素(FSH)、最大卵泡直径和子宫内膜厚度,记录治疗后半年内患者妊娠情况及治疗期间的安全性.结果 与西药组比较,中药组总有效率更高(P<0.05).治疗后,两组LH和FSH水平均下降,E2水平均升高;且与西药组比较,中药组变化幅度更大(P<0.05).治疗后,两组最大卵泡直径和子宫内膜厚度均增加;且与西药组比较,中药组变化幅度更大(P<0.05).治疗后,与西药组比较,中药组妊娠率更高(P<0.05).治疗期间,两组恶心呕吐、头痛头晕、乳房不适、失眠等情况比较,差异无统计学意义(P>0.05).结论 益补肾助卵汤联合西药治疗肾虚型ODI,可提升治疗效果,改善性激素水平,促进卵泡和子宫内膜发育,提高妊娠率,且安全性好.
Clinical curative effect of Yibushen Zhuluan Decoction combined with western medicine on ovulatory disorder infertility of kidney deficiency type
Objective To explore the clinical curative effect of Yibushen Zhuluan Decoction combined with western medicine on ovulatory disorder infertility(ODI)of kidney deficiency type.Methods A total of 120 patients with ODI of kidney deficiency type treated in Anqing Hospital of Traditional Chinese Medicine from October 2019 to October 2022 were enrolled as the research objects.According to random number table method,they were divided into western medicine group(n=60)and traditional Chinese medicine(TCM)group(n=60).The western medicine group was treated with clomiphene citrate,and the TCM group was treated with Yibushen Zhuluan Decoction combined with clomiphene citrate.The curative effect,luteinizing hormone(LH),estradiol(E2),follicle stimulating hormone(FSH),the maximum follicle diameter and endometrial thickness before and after treatment in the two groups were compared.The pregnancy status of patients within half a year after treatment and safety during treatment were recorded.Results Compared with western medicine group,total effective rate was higher in TCM group(P<0.05).After treatment,LH and FSH levels decreased,while E2 levels increased in both groups,and change amplitude of the three indexes was greater in TCM group than western medicine group(P<0.05).After treatment,the maximum follicle diameter and endometrial thickness in both groups increased,and change amplitude of the two indexes was greater in TCM group than western medicine group(P<0.05).After treatment,pregnancy rate in TCM group was higher than that in western medicine group(P<0.05).During treatment,there were no significant differences in nausea and vomiting,headache and dizziness,breast discomfort or insomnia between the two groups(P>0.05).Conclusions Yibushen Zhuluan Decoction combined with western medicine can improve curative effect and levels of sex hormones,promote follicles and endometrium development,and increase pregnancy rate in treatment of kidney deficiency type ODI,with good safety.

Yibushen Zhuluan DecoctionWestern medicineKidney deficiency typeOvulatory disorder infertilityCurative effectFollicleEndometriumPregnancy outcome

汪丹、王娟、王红梅

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安庆市中医医院妇科,安徽安庆 246004

安庆高等医药专科学校,安徽安庆 246052

益补肾助卵汤 西药 肾虚型 排卵障碍性不孕 疗效 卵泡 子宫内膜 妊娠结局

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(5)
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