首页|健脾补肾助卵方与来曲唑、尿促性素联合治疗脾肾两虚型排卵障碍性不孕症的效果

健脾补肾助卵方与来曲唑、尿促性素联合治疗脾肾两虚型排卵障碍性不孕症的效果

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目的:探讨健脾补肾助卵方与来曲唑、尿促性素联合治疗在脾肾两虚型排卵障碍性不孕症患者中的应用价值.方法:选取 2021 年 1 月—2022 年 12 月黔东南苗族侗族自治州中医医院收治的 94 例排卵障碍性不孕症患者,均符合脾肾两虚型的诊断标准,采用随机数字表法分为两组,各 47 例.对照组采用来曲唑、尿促性素治疗,观察组增用健脾补肾助卵方.比较两组性激素指标[雌二醇(E2)、卵泡刺激素(FSH)、黄体生成素(LH)]的检测结果,卵巢血流动力学指标[动脉血流收缩期峰值流速(PSV)、舒张末期血流速度(EDV)]与hCG日子宫内膜厚度,中医症候积分,妊娠情况及用药期间的安全性.结果:观察组E2、FSH、LH水平均高于对照组,hCG日子宫内膜厚度、EDV、PSV均大于对照组,主症、次症的中医症候积分均低于对照组,排卵率与妊娠率均高于对照组,差异均有统计学意义(P<0.05).两组早期自然流产率、不良反应发生率差异均无统计学意义(P>0.05).结论:在脾肾两虚型排卵障碍性不孕症患者接受常规药物治疗的基础上,应用健脾补肾助卵方进行辅助治疗,有助于提升其卵巢血流动力学指标、子宫内膜厚度及性激素水平,提高排卵率与妊娠率,且对脾肾两虚型相关主症、次症有一定的改善作用.
Effect of Jianpi Bushen Zhuluan Recipe with Letrozole and Menotrophins in the Treatment of Ovulatory Dysfunction Infertility with Deficiency of Spleen and Kidney
Objective:To investigate the application value of Jianpi Bushen Zhuluan Recipe combined with Letrozole and Menotrophins in the treatment of ovulation disorder infertility patients with spleen and kidney deficiency.Method:Ninety-four patients with ovulatory disorders of infertility admitted to Qiandongnan Miao and Dong Autonomous Prefecture Traditional Chinese Medicine Hospital from January 2021 to December 2022 were selected,all of whom met the diagnostic criteria of spleen and kidney deficiency type,they were divided into two groups with 47 cases each by random number table method.The control group was treated with Letrozole and Menotrophins,and the observation group was treated with Jianpi Bushen Zhuluan Recipe.The sex hormone indexes[estradiol(E2),follicular estrogen(FSH),luteinizing hormone(LH)],the ovarian hemodynamic indexes[arterial peak systolic flow velocity(PSV),end-diastolic flow velocity(EDV)],endometriumthickness on the hCG day,the TCM symptom score,pregnancy and safety during drug administration in both groups were compared.Result:The E2,FSH and LH levels of the observation group were higher than those of the control group,endometriumthickness on the hCG day,EDV and PSV were higher than those of the control group,the TCM symptom scores of the primary and secondary symptoms were lower than those of the control group,and the ovulation rate and pregnancy rate were higher than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the early spontaneous abortion rate and the incidence of adverse reactions between the two groups(P>0.05).Conclusion:On the basis of the conventional drug treatment for patients with ovulation disorder infertility with spleen and kidney deficiency,the application of Jianpi Bushen Zhuluan Recipe for adjuvant treatment is helpful to improve the ovarian hemodynamic indexes,endometrial thickness and sex hormone levels,improve the ovulation rate and pregnancy rate,and has a certain improvement effect on the main and secondary diseases related to spleen and kidney deficiency type.

InfertilityObstruction of ovulationJianpi Bushen Zhuluan RecipeSpleen and kidney deficiency type

李婷、欧玲、杨倩

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黔东南苗族侗族自治州中医医院生殖中心 贵州 凯里 556000

不孕症 排卵障碍 健脾补肾助卵方 脾肾两虚型

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(14)
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