首页|补肾养荣方对系统性红斑狼疮女性患者卵巢功能的影响

补肾养荣方对系统性红斑狼疮女性患者卵巢功能的影响

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目的:分析系统性红斑狼疮(SLE)女性患者卵巢功能特点,探讨补肾养荣方对系统性红斑狼疮女性患者卵巢功能的干预作用.方法:选择符合纳入标准的60例系统性红斑狼疮育龄期女性患者,依据随机数字表随机分为试验组和对照组,每组各30例,同时纳入20例健康育龄期女性健康志愿者.对照组接受西医常规治疗方案,试验组在常规治疗基础上口服补肾养荣方,共服用3个月.记录并比较系统性红斑狼疮育龄期女性患者和健康志愿者卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、抗苗勒管激素(AMH)和抑制素B(INHB)水平.比较治疗前后试验组和对照组中医证候积分、SLE疾病活动指数(SLEDAI)评分、血清补体C3、C4水平,以及子宫内膜厚度,血清性激素(FSH、LH、E2、AMH、INHB)水平的变化情况,并比较临床疗效.结果:与健康志愿者比较,SLE女性患者AMH、INHB、E2水平显著降低,FSH、LH水平显著升高,差异具有统计学意义(P<0.05,P<0.01).治疗后,与对照组比较,试验组AMH、INHB水平及子宫内膜厚度显著增加(P<0.01),FSH水平显著降低(P<0.01);中医证候积分、SLEDAI评分显著降低,补体C3水平显著升高(P<0.01);两组间LH、E2、补体C4水平比较,差异无统计学意义(P>0.05).试验组临床总有效率86.67%(26/30),显著高于对照组43.33%(13/30)(P<0.01).结论:系统性红斑狼疮育龄期女性患者存在卵巢储备功能下降的问题.补肾养荣方能有效改善系统性红斑狼疮育龄期女性性激素水平、月经情况及卵巢功能,提升患者的生活质量.
Effect of the Bushen Yangrong Formula on Ovarian Function in Women with Systemic Lupus Erythematosus
Objective:To analyze the characteristics of ovarian function in women with systemic lupus erythematosus(SLE)and to investigate the intervention effect of the Bushen Yangrong Formula on ovarian function in these patients.Methods:Sixty women with SLE of childbearing age who met the inclusion criteria were randomly divided into an experimental group and a control group,with 30 patients in each group,using a random number table.Additionally,20 healthy women of childbearing age were included as a healthy control group.The control group received conventional Western medical treatment,while the experimental group received the Bushen Yangrong Formula in addition to the treatment in control group,for a duration of 3 months.Follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),anti-Müllerian hormone(AMH),and inhibin B(INHB)levels were recorded and compared between SLE patients and healthy volunteers.The changes in traditional Chinese medicine(TCM)syndrome scores,SLE Disease Activity Index(SLEDAI)scores,serum complement C3 and C4 levels,endometrial thickness,and serum sex hormone levels(FSH,LH,E2,AMH,INHB)before and after treatment were compared between the experimental and control groups,along with clinical efficacy.Results:Compared with healthy volunteers,SLE women had significantly lower levels of AMH,INHB,and E2,and significantly higher levels of FSH and LH,with statistical significance(P<0.05,P<0.01).After treatment,compared to the control group,the experimental group showed a significant increase in AMH,INHB levels,and endometrial thickness(P<0.01)and a significant decrease in FSH levels(P<0.01).TCM syndrome scores and SLEDAI scores significantly decreased,and complement C3 levels significantly increased(P<0.01).There were no statistically significant differences between the two groups regarding LH,E2,and complement C4 levels(P>0.05).The clinical total effective rate in the experimental group was 86.67%(26/30),significantly higher than that in the control group,which was 43.33%(13/30)(P<0.01).Conclusion:Women with SLE of childbearing age experience decreased ovarian reserve function.The Bushen Yangrong Formula can effectively improve hormone levels,menstrual conditions,and ovarian function in these patients,thereby enhancing their quality of life.

Systemic lupus erythematosusMenstruationOvarian functionAnti-Müllerian hormoneBushen Yangrong Formula

张雨歌、李雄、程联英、荣晓凤

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重庆医科大学附属第一医院,重庆 400016

系统性红斑狼疮 月经 卵巢功能 抗苗勒管激素 补肾养荣方

国家中医药管理局中西医结合临床重点学科专项项目国家中医药管理局老年病重点专科专项项目

国中医药发[2009]30号国中医药发[2007]57号

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(9)