首页|补肾活血调经汤联合常规西药治疗多囊卵巢综合征的效果

补肾活血调经汤联合常规西药治疗多囊卵巢综合征的效果

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目的:探究补肾活血调经汤联合常规西药治疗多囊卵巢综合征(PCOS)的效果。方法:选取 2019 年 1 月—2022 年 1 月福建中医药大学附属福州中医院收治的 86 例PCOS患者。根据随机数表法将其分为对照组及观察组,各 43 例。对照组接受常规西药治疗,观察组在对照组基础上给予补肾活血调经汤。比较两组治疗后临床疗效,妊娠情况,治疗前后性激素、子宫内膜容受性指标、卵泡发育情况。结果:观察组治疗总有效率及妊娠率均高于对照组,差异有统计学意义(P<0。05)。治疗后,两组促卵泡生成素(FSH)、雌二醇(E2)升高、睾酮(T)、促黄体生成素(LH)、LH/FSH均降低,观察组FSH、E2 均高于对照组,T、LH、LH/FSH均低于对照组,差异有统计学意义(P<0。05)。治疗后,两组子宫内膜厚度增加,子宫螺旋动脉搏动指数及子宫螺旋动脉阻力指数均下降,观察组子宫内膜厚度高于对照组,子宫螺旋动脉搏动指数及子宫螺旋动脉阻力指数均低于对照组,差异有统计学意义(P<0。05)。治疗后,两组卵泡直径、优势卵泡数均升高,观察组卵泡直径、优势卵泡数均高于对照组,差异有统计学意义(P<0。05)。结论:补肾活血调经汤联合常规西药治疗PCOS效果显著,可降低性激素水平,提高子宫内膜容受性,促进卵泡发育,提高妊娠率。
Effect of Bushen Huoxue Tiaojing Decoction Combined with Conventional Western Medicine in the Treatment of Polycystic Ovary Syndrome
Objective:To investigate the effect of Bushen Huoxue Tiaojing Decoction combined with conventional western medicine in the treatment of polycystic ovary syndrome(PCOS).Method:A total of 86 patients with PCOS admitted to Fujian University of Traditional Chinese Medicine Affiliated Fuzhou Traditional Chinese Medicine Hospital from January 2019 to January 2022 were selected.They were divided into control group and observation group according to random number table method,with 43 cases in each group.The control group received conventional western medicine treatment and the observation group received Bushen Huoxue Tiaojing Decoction on the basis of the control group.The clinical efficacy after treatment,pregnancy condition,sex hormones,endometrial receptivity and follicle development condition before and after treatment were compared between the two groups.Result:The total effective rate and pregnancy rate of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After treatment,both groups showed an increase in follicle stimulating hormone(FSH)and estradiol(E2),while testosterone(T),luteinizing hormone(LH),and LH/FSH decreased,the observation group had higher FSH and E2 levels than the control group,while T,LH,and LH/FSH levels were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the endometrial thickness increased in both groups,and the uterine spiral artery pulsatility index and uterine spiral artery resistance index decreased,the endometrial thickness in the observation group was higher than that in the control group,while the uterine spiral artery pulsatility index and uterine spiral artery resistance index were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the diameter and number of dominant follicles in both groups increased,the observation group had a higher diameter and number of dominant follicles than the control group,the differences were statistically significant(P<0.05).Conclusion:Bushen Huoxue Tiaojing Decoction combined with conventional western medicine has remarkable effect in the treatment of PCOS,which can reduce the level of sex hormone,improve the receptivity of endometrium,promote follicle development and increase the pregnancy rate.

Polycystic ovary syndromeBushen Huoxue Tiaojing DecoctionSex hormoneEndometrial toleranceFollicle

吴翠玉、练菲艳、廖燕凤、周丽春

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福建中医药大学附属福州中医院 福建 福州 350000

多囊卵巢综合征 补肾活血调经汤 性激素 子宫内膜容受性 卵泡

福州市中医药传承创新平台项目

2021-S-wp3

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(26)