益肾疏肝汤联合艾灸关元穴治疗卵泡不成熟性不孕症临床研究
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R271.14

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Clinical Study of Yishen Shugan Tang Combined with Moxibustion at Guanyuan Point for Follicular Immature Infertility
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    摘要:

    目的:观察益肾疏肝汤联合艾灸关元穴治疗卵泡不成熟性不孕症的临床疗效。方法:将120例肾阴虚兼肝郁气滞型卵泡不成熟性不孕症患者随机分为2组各60例,对照组于月经结束后的第4天开始服用益肾疏肝汤,联合组以益肾疏肝汤联合艾灸关元穴治疗。共治疗3个月经周期。治疗3个月经周期后对比2组患者治疗后的子宫内膜厚度、宫颈Insler评分、成熟卵泡数,排卵率及妊娠率,治疗前后的性激素[卵泡刺激素(F S H)、雌二醇、孕酮、促黄体生成素(L H)]水平。结果:联合组排卵率、妊娠率均高于对照组(P<0.05)。联合组成熟卵泡数多于对照组,Insler评分和子宫内膜厚度均优于对照组,差异均有统计学意义(P<0.05)。联合组血清F S H、雌二醇、孕酮、L H水平均低于治疗前,差异均有统计学意义(P<0.01);联合组各项指标水平均低于对照组(P<0.01,P<0.05)。结论:采用益肾疏肝汤联合艾灸关元穴治疗肾阴虚兼肝郁气滞型卵泡不成熟性不孕症患者,可有效调节患者的性激素水平,提高卵泡成熟率与妊娠率,临床疗效确切。

    Abstract:

    Objective:To observe the clinical effect of Yishen Shugan tang combined with moxibustion at Guanyuan point for follicular immature infertility.M e th o d s:Divided 120 cases of patients with follicular immature infertility of kidney-yin deficiency and stagnation of liver-qi type into the control group and the combination group randomly,60 cases in each group.The control group was given Yishen Shugan tang for treatment at the fourth day after menstruation,while the combination group was given Yishen Shugan tang combined with moxibustion at Guanyuan point for treatment.The treatment of both groups lasted for three menstrual cycles.After that,compared the endometrial thickness,cervical Insler score,number of mature follicles,ovulation rate and pregnancy rate of patients after treatment and sex hormone[follicle stimulating hormone(FSH),estradiol,progesterone and luteinizing hormone(LH)]levels before and after treatment in the two groups.Results:The ovulation rate and pregnancy rate in the combination group were both higher than those in the control group(P<0.05).The number of mature follicles in the combination group was more than that in the control group,and Insler score and endometrial thickness in the combination group were both better than those in the control group,differences being significant(P<0.05).FSH in serum,estradiol,progesterone and LH level in the combination group were all lower than those before treatment,differences being significant(P<0.01).The level of each index in the combination group was lower than that in the control group(P<0.01,P<0.05).Conclusion:The application of Yishen Shugan tang combined with moxibustion in treating follicular immature infertility of kidney-yin deficiency and stagnation of liver-qi type can effectively regulate the sex hormone levels of patients,increase the follicle maturation rate and pregnancy rate,and has a significant clinical effect.

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梅玉萍.益肾疏肝汤联合艾灸关元穴治疗卵泡不成熟性不孕症临床研究[J].新中医,2018,50(6):124-126

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  • 在线发布日期: 2018-06-05
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