首页|蔡氏"育肾周期调治法"治疗排卵障碍性不孕症的临床观察

蔡氏"育肾周期调治法"治疗排卵障碍性不孕症的临床观察

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目的:观察蔡氏妇科的"育肾周期调治法"即孕Ⅰ方和孕Ⅱ方治疗排卵障碍性不孕症的临床疗效.方法:将排卵障碍性不孕症患者80例随机分成两组,研究组40例,服用孕Ⅰ方和孕Ⅱ方;对照组40例,服用中成药河车大造胶囊,1个月经周期为一个疗程,连续治疗6个疗程.观察患者的排卵率、妊娠率、血清激素水平的变化,对比观察两组的疗效.结果:①治疗6个月经周期后,研究组的总有效率为87.5%,对照组总有效率为77.5%,研究组的总有效率高于对照组,差异有统计学意义(P<0.05);②两组患者治疗后血清卵泡刺激素(Follicle Stimulating Hormone,FSH)、促黄体生成素(Luteinizing Hormone,LH)水平较治疗前有下降趋势,但差异没有统计学意义(P>0.05).雌二醇(Estrogen,E2)水平较治疗前明显升高,差异均有统计学意义(P<0.05),但两组之间差异无统计学意义.③通过彩超监测发现,治疗后两组优势卵泡直径均较治疗前增大,差异均有统计学意义(P<0.05),且研究组优于对照组,差异有统计学意义(P<0.05).两组治疗后子宫内膜厚度大于治疗前,差异均有统计学意义(P<0.05),且研究组优于对照组,差异有统计学意义(P<0.05).结论:蔡氏育肾周期调治法治疗排卵障碍性不孕症的临床疗效良好,能够改善患者的FSH、LH、E2等生殖激素水平,改善子宫内膜厚度和卵泡直径,提高妊娠和排卵率.
Clinical observation of CAI's"Menstrual cycle regulation therapy for nourishing kidney"in the treatment of ovulatory infertility
Objective:To observe the clinical effect of CAI's gynecological"Menstrual cycle regulation therapy for nourishing kidney',i.e,Pregnancy Formula I and Pregnancy Formula Ⅱ,in the treatment of ovulatory infertility.Methods:A total of 80 patients with anovulatory infertility were randomly divided into two groups.Forty patients in the study group were given Pregnancy Formula I and Pregnancy Formula Ⅱ.Forty cases in the control group were treated with Chinese patent medicine Heche Dazao capsules(河车大造胶囊).One menstrual cycle was a course of treatment,and 6 courses were erformed continuously.The curative effects in the two groups were compared through the changes of ovulation rate,pregnancy rate and serum hormone level.Results:① After 6 menstrual cycles of treatment,the total effective rate in the study group was 87.5%,and that in the control group was 77.5%,the total effective rate in the study group was higher than the control group,the difference was statistically significant(P<0.05).② The serum FSH and LH levels in the two groups after treatment had a downward trend compared with those before treatment,but the difference was not statistically significant(P>0.05).The level of E2 was significantly higher than that before treatment,the difference was statistically significant(P<0.05),but there was no statistically significant difference between the two groups.③ Color ultrasound monitoring showed that the dominant follicle diameter in both groups were increased after treatment compared with that before treatment,the difference was statistically significant(P<0.05);the study group was better than the control group,and the difference was statistically significant(P<0.05).The endometrial thickness in the two groups after treatment was greater than that before treatment,the difference was statistically significant(P<0.05);the study group was better than the control group,and the difference was statistically significant(P<0.05).Conclusion:CAI's"Menstrual cycle regulation therapy for nourishing kidney"has a good clinical effect in the treatment of ovulation dysfunction infertility,which can improve the reproductive hormone levels of FSH,LH and E2,endometrial thickness and follicle diameter,and increase the pregnancy and ovulation rates.

InfertilityOvulation dysfunctionCAI's gynecologyMenstrual cycle regulation therapy for nourishing kidney

董丽君、沈萍

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上海市黄浦区香山中医医院,上海,200020

不孕症 排卵障碍 蔡氏妇科 育肾周期调治法

上海市黄浦区卫生健康系统扶植项目

2019fzxm07

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)