首页|三补助卵方联合麒麟针治疗早发性卵巢功能不全临床研究

三补助卵方联合麒麟针治疗早发性卵巢功能不全临床研究

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目的 探讨三补助卵方联合麒麟针治疗早发性卵巢功能不全(premature ovarian insuffi-ciency,POI)的临床疗效.方法 选取2021年12月-2023年6月在本院诊治的POI患者80例,按照随机数字表法分为治疗组和对照组,每组40例.对照组患者予以雌二醇片/雌二醇地屈孕酮片复合包装口服,治疗组患者在对照组治疗基础上予以三补助卵方联合麒麟针治疗.28 d为1个疗程,2组患者均连续治疗3个疗程.比较2组患者临床疗效及治疗前后中医证候积分、血清卵泡刺激素(follicle-stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E2)、抗缪勒管激素(anti-Müllerian hormone,AMH)和卵巢基础窦卵泡计数(antral follicle count,AFC).结果 治疗后,治疗组患者总有效率显著高于对照组(P<0.05).治疗组中医证候积分明显低于对照组(P<0.05).治疗组血清FSH、LH水平明显低于对照组(P<0.05),血清E2、AMH水平明显高于对照组(P<0.05).治疗组卵巢基础AFC明显高于对照组(P<0.05).结论 三补助卵方联合麒麟针可明显缓解P OI患者临床症状,增加卵泡数量,调节性激素水平,提高临床疗效.
Clinical Study on Sanbu Zhuluan Formula Combined with Qilin Needle in the Treatment of Premature Ovarian Insufficiency
Objective To explore the clinical efficacy of Sanbu Zhuluan formula combined with Qilin needle in the treatment of premature ovarian insufficiency(POI).Methods Eighty POI patients who were treated in our hospital from December 2021 to June 2023 were divided into the treatment group and the control group according to the random number table method,with 40 cases in each group.Patients in the control group were treated with com-plex packing estradiol tablets/estradiol dydrogesterone tablets for oral administration,while patients in the treat-ment group were treated with Sanbu Zhuluan formula combined with Qilin needle on the basis of the treatment in the control group.Twenty-eight days were regarded as one course of treatment,and both groups of patients re-ceived continuous treatment for three courses.The clinical efficacy of the two groups of patients,the traditional Chinese medicine syndrome score,serum follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),anti-Müllerian hormone(AMH),and ovarian basal antral follicle count(AFC)between two groups of patients before and after treatment were compared.Results After treatment,the total effective rate of patients in the treat-ment group was significantly higher than that in the control group(P<0.05).The traditional Chinese medicine syndrome scores in the treatment group were significantly lower than those in the control group(P<0.05).The se-rum levels of FSH and LH in the treatment group were significantly lower than those in the control group(P<0.05),and the serum levels of E2 and AMH levels were significantly higher than those in the control group(P<0.05).The ovarian basal AFC in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion Sanbu Zhuluan formula combined with Qilin needle could significantly alleviate clinical symp-toms of POI patients,increase the number of follicles,regulate the level of sex hormones,and improve the clinical efficacy.

premature ovarian insufficiencySanbu Zhuluan formulaQilin needlehormone replacement therapy

李淑毅、黄艳辉

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湖北中医药大学中医学院,武汉 430061

湖北中医药大学附属国医医院(武汉市中医医院)妇科,武汉 430014

早发性卵巢功能不全 三补助卵方 麒麟针 激素替代治疗

武汉市卫生健康委员会医学科研项目国家中医药管理局第五批全国中医临床优秀人才研修项目

MZ20M02国中医药人教函[2022]1号

2024

中西医结合研究
华中科技大学

中西医结合研究

影响因子:0.649
ISSN:1674-4616
年,卷(期):2024.16(2)
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