益肾养血活血方治疗肾虚血亏兼血瘀型卵巢储备功能下降性月经后期、过少临床探究.pdfVIP

提 要 目的：观察益肾养血活血方治疗肾虚血亏兼血瘀型卵巢储备功能下降性月经后 期、过少的疗效并探讨其机理。方法：选择 60 例肾虚血亏兼血瘀型卵巢储备功能下 降性月经后期、过少的患者，治疗组30例（服用益肾养血活血方），对照组30例（服 用还少胶囊），观察两组患者治疗前后月经周期、月经血量、经质三大主症及全身症 状的改善情况；治疗前后基础FSH、LH、FSH/LH值；卵巢最大面平均直径的变化。结 果：治疗组与对照组临床疗效分别为 86.67％、63.33％，两者相比有非常显著性差 异（P0.01）；治疗组治疗后在月经周期、月经血量、经质和其它临床症状方面与治 疗前相比均有非常显著性差异(P0.01)，且组间比较在月经延后、月经量少、色暗有 块方面有显著性差异(P0.05)。治疗组治疗后FSH、LH、FSH/LH值均下降与治疗前相 比有非常显著性差异(P0.01)，且组间比较有显著性差异(P0.05)。治疗组治疗后卵 巢最大面平均直径与治疗前相比有非常显著性差异(P0.01)，且组间比较有显著性差 异(P0.05)。 结论：益肾养血活血方治疗肾虚血亏兼血瘀型卵巢储备功能下降性月经后期、过 少疗效显著。其机理可能与益肾养血活血方可以提高卵巢中卵泡的数量及卵泡对促性 腺激素的敏感性，促使颗粒细胞产生更多的抑制素，从而降低FSH、LH、FSH/LH值； 另可以促使卵巢发育，增加卵巢体积，从而提高卵巢功能以达到调经及改善围绝经期 症状的疗效。 关键词 益肾养血活血方；卵巢储备功能下降；肾虚血亏兼血瘀；月经后期、过 少；临床研究 The clinical research on tonifying kidney and raise blood and activating blood decoction for treatment kidney deficiency associated with blood less and blood stasis type in ovarian reserve function descent leaded to menstruation delay and hypomenorrhea Speciality：Gynecology of Traditional Chinese Medicine Author ：LiuYingxia Tutor：Prof. YeQing Abstract Objective: to observe the curative effect of tonifying kidney and raise blood and activating blood decoction for treatment kidney deficiency associated with blood less and blood stasis type in ovarian reserve function descent leaded to menstruation delay and hypomenorrhea and to discuss its mechanism. Method: choose 60 cases whose deficiency of the kideney and hemophthisis to ovarian reserves delince leaded to menstruation delay and hypomenorrhea .The treatment group 30 cases (taking the tonifying kidney and raise blood and activating blood decoction ),30 cases (taking the huanshao capsule ).Observe the three cheif symptoms and systemic symptoms improve conditions before and after the