助孕汤对排卵障碍性不孕患者卵泡发育及子宫血流的影响

发布时间：2018-05-30 10:03

本文选题：排卵障碍性不孕 + 克罗米芬　；参考：《辽宁中医杂志》2017年05期

【摘要】：目的:探讨助孕汤对排卵障碍性不孕患者卵泡发育及子宫血流的影响。方法:选取排卵障碍性不孕症患者102例,随机分为治疗组和对照组,各51例。对照组给予克罗米芬治疗,治疗组给予助孕汤进行治疗,均治疗3个疗程,每个疗程3个月。比较两组卵泡发育情况、子宫血流动力学指标、促排卵疗效及妊娠率。结果:治疗组总有效率为82.4%,妊娠率为21.6%;对照组总有效率为74.5%,妊娠率为17.6%,两组疗效和妊娠率比较,差异不显著,均无统计学意义(P0.05)。治疗前后,两组正常排卵和无排卵比较差异均有统计学意义,治疗组正常排卵优于对照组,P0.05。治疗后,治疗组和对照组子宫动脉搏动指数PI、阻力指数RI对比,差异显著,治疗组子宫血流动力学指标优于对照组,P0.05。结论:助孕汤与临床首选药克罗米芬在治疗排卵障碍性不孕症的疗效和妊娠成功率方面的作用是相似的,但助孕汤可促进卵泡的生长发育;可促进子宫和微循环血流增加,组织器官血流灌注量充盈,进而促进卵泡生长发育,从而达到助孕作用,疗效优于克罗米芬。
[Abstract]:Objective: to study the effect of Zhuyong decoction on follicle development and uterine blood flow in infertile patients with ovulatory disorder. Methods: 102 infertile patients with ovulatory disorder were randomly divided into treatment group and control group with 51 cases each. The control group was treated with clomiphene and the treatment group was treated with Zhuyong decoction. Follicular development, uterine hemodynamics, ovulation promotion and pregnancy rate were compared between the two groups. Results: the total effective rate of the treatment group was 82.4 and the pregnancy rate was 21.6.The total effective rate of the control group was 74.5and the pregnancy rate was 17.6. There was no significant difference in the curative effect and pregnancy rate between the two groups (P 0.05). The difference of normal ovulation and anovulation between the two groups was statistically significant before and after treatment, and the normal ovulation in the treatment group was better than that in the control group (P 0.05). After treatment, the uterine artery pulsatility index (Pi) and resistance index (RI) in the treatment group and the control group were significantly different, and the uterine hemodynamic index in the treatment group was better than that in the control group (P 0.05). Conclusion: the effect of ZYT is similar to that of clomiphene in the treatment of ovulatory infertility, but it can promote the growth of follicle and increase the blood flow of uterus and microcirculation. The blood perfusion of tissue and organ was filled, and the follicle growth and development were promoted, and the effect was better than that of clomiphene.
【作者单位】：大连医科大学附属第一医院妇产科;大连医科大学附属第一医院中医科;
【基金】：辽宁省科学技术计划项目(2007225007)
【分类号】：R271.14

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