加味毓麟珠汤联合克罗米芬治疗排卵障碍性不孕症的临床视察.pdfVIP

提 要 目的：观察加味毓麟珠汤联合克罗米芬（CC）治疗排卵障碍性不孕症（肾气虚型） 的临床疗效，并初步探讨其作用机制。方法：将排卵障碍性不孕症的患者 70 例随机 分为治疗组35例(口服加味毓麟珠汤及克罗米芬)，对照组35例(口服克罗米芬)。观 察两组患者治疗前后临床症状、中医症候及基础体温的改善情况。通过两组组间对比， 对两组患者促排卵后卵泡的发育情况、子宫内膜的厚度、血清E2、FSH、LH的含量、 宫颈粘液的结晶类型及有效妊娠率等方面进行比较。结果：治疗后治疗组的临床疗效 优于对照组，比较有显著性差异(P0.05)。治疗后治疗组的中医症候疗效优于对照组， 比较有显著性差异(P0.05)。治疗后治疗组的血清E2、LH、FSH均高于对照组，相比 有显著性差异(P0.05)。治疗后治疗组子宫内膜的厚度、宫颈粘液的结晶类型及成熟 卵泡的大小均优于对照组，相比有显著性差异(P0.05)。治疗组妊娠率60%，对照组 妊娠率为 28.6%,两组比较有显著性差异(P0.05)。结论：加味毓麟珠汤能协同克罗 米芬促进卵泡的发育及成熟，进而提高妊娠率。 关键词 排卵障碍性不孕；加味毓麟珠汤； 克罗米芬； 肾气虚型； Clinical Research on the Effect of the Therapy combined Jia -Wei –Yu-Lin-Zhu Decoction with Clomiphere Citrate on Infertility of Ovalution Dysfunction Speciality：Gynecology of TCM Author ：ZhuYingJie Tutor：LvMei Abstract Objective: To observe Clinical Research on the Effect of the therapy combined Jia-Wei –Yu-Lin-Zhu Decoction with clomiphere citrate on Infertility of Ovalution Dysfunction and explore explore its function mechanism. Methods: 70 patients were divided into two groups randomly:the treatment group (35cases treated with Jia-Wei-Yu-Lin-Zhu Decoction and clomiphere citrate)and the control group(35cases treated with clomiphere citrate) Observe both groups of patients before and after treatment TCM clinical symptoms, sickness and basal body temperature improvement situation.Through the comparison between the two groups of patients, after promoting the follicle ovulation development conditions, the thickness of the endometrium, serum E2, FSH and LH content, cervical mucus crystallization type and effective pregnancy rate by comparison. Results: The treatment group is better than control group,in th