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排卵障碍性不孕中医外治法研究进展

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排卵障碍性不孕是妇科临床常见病、多发病,排卵障碍包括持续性不排卵、稀发排卵、不恰当排卵(包括小卵泡排卵)、多囊卵巢综合征、高泌乳素血症、早发性卵巢功能不全、高雄激素血症、黄素化卵泡未破裂综合征、黄体功能不足和卵巢早衰,这些均可导致不孕.近年来,排卵障碍性不孕的发病率有明显上升的趋势,受到广泛关注,西医治疗主要是使用促排卵药物,促排卵药物除了具有排卵率高、妊娠率低的特点,大部分还能发挥替代外源性激素的作用,但不能从根本上调节体内的生殖内分泌紊乱,具有一定的局限性.而长期排卵障碍不仅增加了育龄期女性的受孕难度,而且严重影响怀孕.中医外治法在治疗排卵障碍性不孕方面,在个性化、辨证论治上占据独特优势,有多种治疗手法可供患者选择,患者易于接受,既可减少患者每日服药量,又不易产生依赖性、耐药性等不良反应,还能避免药物对肝肾等脏器的损害,减轻患者的心理负担,存在显著的优势,确有成效.文章主要探讨针刺疗法、艾灸疗法及综合疗法治疗排卵障碍性不孕患者的疗效,也包括中药保留灌肠、穴位注射、耳穴压豆等中医外治法的运用,以期为排卵障碍性不孕的临床研究及相关科研提供参考.
A review on TCM external therapy for ovulation dysfunction infertility
Ovulation dysfunction infertility is a common and frequently-occurring disease in gynecology.Ovulation dysfunction includes persistent non-ovulation,rare ovulation,inappropriate ovulation(including small follicle ovulation),polycystic ovary syndrome,hyperprolactinemia,prermature ovarian dysfunction,hyperandrogenemia,luteinized follicle unruptured syndrome,luteal insufficiency and premature ovarian failure,all of which can lead to infertility.In recent years,the incidence of infertility due to ovulation dysfunction has been increasing significantly,which has been widely concerned.In Western medicine,the main method is to use ovulation-inducing drugs,in addition to the characteristics of high ovulation rate and low pregnancy rate,most of the ovulation-inducing drugs can also be substitutes for exogenous hormones,but they can not fundamentally regulate the reproductive endocrine disorders in the body,which is with certain limitations.Long-term ovulation dysfunction not only increases the difficulty of conception for women of childbearing age,but also seriously affects pregnancy.In the treatment of ovulation dysfunction infertility,TCM external treatment has unique advantages in personalized and syndrome differentiation.With its diversified treatment techniques,it can be selected by patients and is easy to be accepted.It can not only reduce the daily dosage of patients,but also avoid the damage of drugs on liver,kidney and other organs and reduce the psychological burden,which has significant advantages.The paper discuss the efficacy of acupuncture therapy,moxibustion therapy and comprehensive therapy in the treatment of infertility patients with ovulation dysfunction,at the same time,it also includes the application of traditional Chinese medicine retention enema,acupoint injection,ear point pressure bean,etc.,in order to provide reference for the clinical research and related scientific research on infertility with ovulation dysfunction.

Ovulation dysfunction infertilityTCM external therapyReview

梁鸿、言彩蝶、郑慧、胡红芳、杨莉

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广西中医药大学第一附属医院,广西 南宁,530023

排卵障碍性不孕 中医外治法 综述

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(15)