右归丸加五子衍宗丸联合西药治疗薄型子宫内膜不孕症临床研究
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R271.14

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金华市科学技术项目(2021-3-141)


Clinical Study on Yougui Pills and Wuzi Yanzong Pills Combined with Western Medicine for Thin Endometrial Infertility
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    摘要:

    目的:观察右归丸加五子衍宗丸联合西药治疗薄型子宫内膜不孕症(TEI) 肾虚证的临床疗效。方 法:选择2021年7月—2023年12月在金华市妇幼保健院妇科治疗的90例TEI肾虚证患者,按随机数字表法分 为对照组与观察组各45例。对照组采用戊酸雌二醇片和黄体酮胶囊治疗,观察组在对照组基础上联合右归丸 加五子衍宗丸治疗。2组疗程均为2个月经周期。比较2组临床疗效及妊娠结局。比较2组治疗前后子宫内膜厚 度、子宫动脉血流动力学、血清雌二醇(E2) 和孕酮(P) 水平。结果:治疗后,观察组总有效率88.89%(40/ 45),高于对照组68.89%(31/45)(P<0.05)。2组子宫内膜厚度均较治疗前增厚(P<0.05),观察组子宫内膜 厚度厚于对照组(P<0.05)。2组阻力指数(RI)、波动指数(PI) 均较治疗前降低(P<0.05),观察组RI、PI 均低于对照组(P<0.05)。2组血清E2和P水平均较治疗前升高(P<0.05),观察组血清E2和P水平均高于对 照组(P<0.05)。观察组分娩成功率高于对照组(P<0.05)。结论:右归丸加五子衍宗丸联合西药治疗TEI肾 虚证疗效好,可增加子宫内膜厚度,改善子宫动脉血流动力学,改善性激素水平,改善患者妊娠结局,提高分 娩成功率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of Yougui Pills and Wuzi Yanzong Pills and western medicine on thin endometrial infertility (TEI) of kidney deficiency syndrome. Methods:A total of 90 TEI with kidney deficiency syndrome patients treated in the Department of Gynecology of Jinhua Maternal&Child Health Care Hospital were selected and divided into the control group and the observation group according to the random number table method,with 45 cases in each group. The control group was treated with Estradiol Valerate Tablets and Progesterone Capsules. The observation group was treated with Yougui Pills and Wuzi Yanzong Pills based on the treatment in the control group. Both groups were treated for two menstrual cycles. The clinical effects and pregnancy outcome,and the changes in endometrial thickness,uterine artery hemodynamics,and levels of serum estradiol (E2) and progesterone (P) before and after treatment were compared between the two groups. Results:After treatment,the total effective rate was 88.89% (40/45) in the observation group, higher than that of 68.89% (31/45) in the control group (P<0.05). The endometrial thickness in the two groups was elevated when compared with that before treatment (P<0.05), and the endometrial thickness in the observation group was higher than that in the control group (P<0.05). The resistance index (RI) and prefusion index (PI) in the two groups were reduced when compared with those before treatment (P<0.05),and the RI and PI in the observation group were lower than those in the control group (P<0.05). The levels of serum E2 and P in the two groups were increased when compared with those before treatment (P<0.05),and the levels of serum E2 and P in the observation group were higher than those in the control group (P<0.05). The success rate of delivery in the observation group was higher than that in the control group (P< 0.05). Conclusion: The combination use of Yougui Pills and Wuzi Yanzong Pills and western medicine has a great curative effect on TEI of kidney deficiency syndrome,which can increase the endometrial thickness,and improve the uterine artery hemodynamics,levels of sex homone,and pregnancy outcome,enhance the success rate of delivery.

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蒲晓纯,周晓红,苏爱芳,程琳.右归丸加五子衍宗丸联合西药治疗薄型子宫内膜不孕症临床研究[J].新中医,2025,57(9):24-28

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  • 在线发布日期: 2025-05-12
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