冷针穿刺放液术后补肾祛瘀方合针刺治疗耐克罗米芬多囊卵巢综合征不孕症临床研究.doc

冷针穿刺放液术后补肾祛瘀方合针刺治疗耐克罗米芬多囊卵巢综合征不孕症临床研究 【摘要】目的:探讨冷针穿刺放液术后补肾祛瘀方合针刺治疗耐克罗米芬多囊卵巢综合征不孕症临床效果。方法：研究对象选取我院2011年3月-2013年10月收治耐克罗米芬多囊卵巢综合征不孕症患者共170例，以随机区组法分为对照组（85例）和观察组（85例），分别采用冷针穿刺放液术单用和在此基础上术后加用补肾祛瘀方合针刺辅助治疗；比较两组患者临床疗效，随访自发排卵率，随访妊娠率、治疗前后血清性激素和卵巢血流动力学指标水平等。结果：观察组患者临床疗效显著优于对照组，差异有统计学意义（p0.05）；观察组患者随访自发排卵率均显著高于对照组，差异有统计学意义（p0.05）；观察组患者随访总妊娠率显著高于对照组，差异有统计学意义（p0.05）；观察组患者治疗后性激素指标水平均显著优于对照组、治疗前，差异有统计学意义（p0.05）；观察组患者治疗后卵巢血流动力学指标水平均显著高于对照组、治疗前，差异有统计学意义（p0.05）。结论：冷针穿刺放液术后补肾祛瘀方合针刺治疗耐克罗米芬多囊卵巢综合征不孕症可有效促进月经恢复，提高妊娠成功几率，且有助于改善性激素和卵巢血流灌注水平。 【关键词】手术；中药；针刺；多囊卵巢综合征；不孕 Clinical study of Bushenquyu decoction combined with acupuncture in the treatment of patients for clomiphene-resistant polycystic ovary syndrome combined with infertility after cold needle puncture drainage operation Abstract：Objective To investigate the clinical effects of Bushenquyu decoction combined with?acupuncture in the treatment of patients for clomiphene-resistant polycystic ovary syndrome combined with infertility after cold needle puncture drainage operation. Methods 170 patients with clomiphene-resistant polycystic ovary syndrome combined with infertility were chosen in the period from March 2011 to October 2013 in our hospital and randomly divided into both group including control group (85 patients) with cold needle puncture drainage operation used alone and observation group (85 patients) with Bushenquyu decoction combined with ?acupuncture on the basis of control group; and the clinical effects, the spontaneous ovulation rate with follow-up, the pregnancy rate with follow-up, the levels of serum sex hormone and ovarian blood flow index before and after treatment?of both groups were compared. Results The clinical effects of observation group was significantly better than control group（p0.05）. The spontaneous ovulation rate with follow-up of observation group was significantly longer than control group（p0.05）. The pregnancy rate with follow-up of observation group was significantly longer than control group（p0.05）.