补肾养精汤和活血汤周期疗法治疗多囊卵巢综合征临床研究
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R711.5

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Clinical Study on Cycle Therapy of Bushen Yangjing Tang and Huoxue Tang for Polycystic Ovary Syndrome
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    摘要:

    目的:观察补肾养精汤和活血汤周期疗法对多囊卵巢综合征患者血清激素、内生殖器形态的影响。方法:选取多囊卵巢综合征患者98 例,按随机数字表法分为对照组和观察组各49 例。对照组给予克罗米芬治疗,观察组在对照组基础上加用补 肾养精汤和活血汤周期疗法治疗。比较2 组治疗后的临床疗效,检测治疗前后性激素水平、卵巢体积和子宫内膜厚度。结果:观察组总有效率为89.80%,高于对照组73.47%,差异有统计学意义(P<0.05)。治疗前,2 组卵巢体积、子宫内膜厚度比较,差异无统计学意义(P>0.05)。治疗后,2 组卵巢体积较治疗前降低,子宫内膜厚度较治疗前升高;且观察组卵巢体积低于对照组,子宫内膜厚度高于对照组;差异均有统计学意义(P<0.05)。治疗前,2 组单核细胞趋化蛋白-1(MCP-1)、热休克蛋白70(HSP70) 水平比较,差异无统计学意义(P>0.05)。治疗后,2 组MCP-1、HSP70 水平较治疗前降低,且观察组MCP-1、HSP70 水平低于对照组(P<0.05)。治疗前,2 组血清激素水平比较,差异无统计学意义(P>0.05)。治疗后,2 组促卵泡激素(FSH)、雌二醇(E2) 较治疗前升高,促黄体激素(LH)、睾酮(T) 较治疗前降低;且观察组FSH、E2 高于对照组,LH、T 低于对照组;差异均有统计学意义(P<0.05)。结论:补肾养精汤和活血汤周期疗法可调节多囊卵巢综合征患者血清相关因子水平,降低MCP-1、HSP70 的表达,改善内生殖器形态。

    Abstract:

    Abstract:Objective:To observe the effect of cycle therapy of Bushen Yangjing tang and Huoxue tang on hormones in serum and internal genital morphology in patients with polycystic ovary syndrome. Methods: A total of 98 patients with polycystic ovary syndrome(PCOS) were selected and divided into the control group and the observation group according to the random number table method,49 cases in each group. The control group was treated with clomiphene,and the observation group was additionally treated with cycle therapy of Bushen Yangjing tang and Huoxue tang based on the treatment of control group. The clinical effect after treatment was compared between the two groups, and the sex hormone levels, ovarian volume and endometrial thickness were measured before and after treatment. Results:The total effective rate was 89.80% in the observation group,higher than that of 73.47% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference in the comparison of ovarian volume and endometrial thickness between the two groups(P>0.05). After treatment,the ovarian volume in the two groups was decreased and endometrial thickness was increased; the ovarian volume in the observation group was smaller than that in the control group, and the endometrial thickness was bigger than that in the control group;differences were significant(P<0.05). Before treatment,there was no significant difference in the comparison of the levels of monocyte chemotactic protein- 1(MCP-1) and heat shock protein 70 (HSP70) between the two groups(P>0.05). After treatment, the levels of MCP- 1 and HSP70 in the two groups were decreased when compared with those before treatment,and the levels of MCP-1 and HSP70 in the observation group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference in the comparison of hormone levels in serum between the two groups(P>0.05). After treatment,the levels of follicle-stimulating hormone(FSH) and estradiol(E2) were increased,while levels of luteinizing hormone(LH) and testosterone(T) were decreased;and FSH and E2 levels in the observation group were higher than those in the control group,while LH and T levels were lower than those in the control group;differences were significant(P<0.05). Conclusion:The cycle therapy of Bushen Yangjing tang and Huoxue tang can regulate the level of related factors in serum in PCOS patients,reduce the expression of MCP-1 and HSP70,and improve the morphology of internal genitals.

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郝艳云,常文艺,黄芳芳.补肾养精汤和活血汤周期疗法治疗多囊卵巢综合征临床研究[J].新中医,2021,53(6):74-78

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  • 在线发布日期: 2021-03-25
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