补肾活血调肝治疗多囊卵巢综合征无排卵性不孕证临床探究.doc

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补肾活血调肝治疗多囊卵巢综合征无排卵性不孕证临床探究

1补肾活血调肝治疗多囊卵巢综合征无排卵性不孕证临床探究补肾活血调肝治疗多囊卵巢综合征无排卵性不孕证临床探究【摘要】目的:探讨中医补肾活血调肝治疗多囊卵巢综合征PCOS无排卵性不孕证临床研究。

方法：

将60例PCOS无排卵性不孕证者随机分为治疗组、对照组各30例。

治疗组予以自拟中药补肾活血调肝汤；对照组以口服氯米芬治疗。

观察治疗前及治疗停药后3个月、6个月患者体内相关的激素及临床症状体征的变化。

结果：

停药后治疗组患者的总有效率优于对照组；停药后3个月两组患者的激素水平、卵巢体积、排卵率、受孕率、月经情况较治疗前明显改善；停药6个月对照组又回到治疗前的水平；而治疗组的激素水平、卵巢体积、排卵率、受孕率、月经情况仍保持较好的状态。

结论：

中医补肾活血调肝治疗肾虚肝郁型PCOS无排卵性不孕证近远期疗效优于对照组。

【关键词】多囊卵巢综合征；肾虚肝郁型；补肾活血调肝法；无排卵性不孕证Treatmentonanovulatoryinfertilityinducedbypolycysticovarysyndrome?throughsupplementingkidneyandpromotingbloodcirculationXIAXiaojing2ShundeHospitalofIntegratedChineseandWesternMedicine,Foshan,Guangdong528000【Abstract】Objectives:ToinvestigatethetherapeuticeffectofChinesemedicinesforinvigoratingkidneyandactivatingbloodandregulatingliverintreatingthepatientswithanovulatorysterilityofPCOS(polycysticovarysyndrome).Methods：

60casesofpatientswithanovulatorysterilityofPCOSweredividedintotwogroupsrandomly,30casesinthetreatmentgroupand30casesinthecontrolgroup.Patientsintreatmentgroupweregivenbushentiaogandecoction,andthoseincontrolgroupweregivenclomifene.Thechangeoftherelativehormonesandtheclinicalsymptomsandthesignswereobservedbeforethetreatmentandat3monthsand6monthsafterstoppingthetreatment.Result：

Thetotaltherapeuticeffectiverateinthetreatmentgroupwasbetterthanthatinthecontrolgroupafterstoppingthetreatment.Theindicatorsincludingthelevelofhormones,thevolumeoftheovary,therateofovulation,therateofpregnancyandthemenstruatestateat3monthsafterstoppingthetreatmentinthetwogroup3wereobviouslybetterthanthosebeforethetreatment.Thelevelsoftheindicatorsat6monthsafterstoppingthetreatmentweresimilartothosebeforethetreatmentinthecontrolgroup,