中西医促排卵的研究概况与进展

发布时间：2018-04-30 07:04

本文选题：促排卵 + 实验研究　；参考：《成都中医药大学》2005年硕士论文

【摘要】：无排卵是引起如不孕、闭经、功血等妇科常见病、疑难病的主要病因,因此,促进卵巢功能、诱发排卵是妇科工作者面临的一个重要课题。中医古籍无“无排卵”的称谓记载,但认为其病机与肾、肝、心、冲任功能失常及湿、痰、瘀有关,主要从辨病辨证论治、单方单药治疗、中药周期疗法、针灸治疗、针药联合、中西医结合等几个方面进行促排卵,并对中药促排卵的机理进行了大量的实验和临床研究。西医促排卵有一定的适应证,常用促排卵药物主要有CC、Gn、GnRH、GnRH类似物、多巴胺受体激动剂、TMX、糖皮质激素和促排卵辅助药物等8大类,它们促排卵的机理各不相同,且可引起一定的并发症。本文将中西医近20年来促排卵研究进展作一综述,包括导师对无排卵中医学病机的认识和促排卵临床用药经验,并提出了本病研究中存在的一些问题和展望。
[Abstract]:Anovulation is the main cause of gynecological diseases such as infertility, amenorrhea and dysfunctional diseases. Therefore, to promote ovarian function and induce ovulation is an important subject for gynecologists. There is no description of "no ovulation" in ancient Chinese medicine, but it is believed that its pathogenesis is related to kidney, liver, heart, dysfunction and dampness, phlegm and blood stasis. It is mainly treated by differentiation of disease and syndrome, single prescription and single drug treatment, periodic Chinese medicine therapy, and acupuncture treatment. The mechanism of promoting ovulation by TCM was studied in a large number of experiments and clinical studies on the combination of acupuncture and medicine and combination of traditional Chinese medicine and western medicine. Western medicine has some indications for promoting ovulation. The commonly used ovulatory agents are the GnRHH GnRH analogue, the dopamine receptor agonist TMX, glucocorticoid and ovulation stimulating adjuvant, etc. The mechanism of ovulation promotion is different among the eight main drugs, such as the dopamine receptor agonist (TMX), the glucocorticoid (glucocorticoid) and the adjuvant drugs for ovulation. And can cause certain complications. This article reviews the research progress of ovulation promotion in recent 20 years in traditional Chinese and western medicine, including the understanding of the pathogenesis of anovulation in traditional Chinese medicine and clinical experience in ovulation promotion, and puts forward some problems and prospects in the study of ovulation promotion.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2005
【分类号】：R711.6

【引证文献】