中医三联疗法对肾虚肝郁型多囊卵巢综合征不孕患者促排卵的临床观察  

Clinical analysis of triple therapy of TCM on ovulation induction in infertile patients with kidney-deficiency and liver-depression type of polycystic ovary syndrome

作　　者：朱鸿秋[1] 刘皎洁[2] 张路[2] 曹婷[2] 韩姣姣[2] 

机构地区：[1]成都中医药大学临床医学院妇科,四川成都610072 [2]成都中医药大学

出　　处：《河北中医》2016年第3期360-363,372,共5页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察中医三联疗法对肾虚肝郁型多囊卵巢综合征(PCOS)不孕患者促排卵的疗效。方法将58例PCOS患者随机分为2组,治疗组30例进行中药内服、灌肠配合耳穴贴压中医三联疗法治疗。对照组28例只行中药内服治疗。2组均治疗3个月经周期后,比较双相基础体温(BBT)率及排卵率、妊娠率、临床总有效率,统计2组治疗前后中医证候积分变化。结果治疗组双相BBT率、排卵率、妊娠率及临床总有效率均高于对照组,比较差异均有统计学意义(P<0.05)。治疗组治疗后各中医证候积分及总分均较本组治疗前降低,且治疗组月经周期、腰膝痠软、烦燥易怒及总分低于对照组,比较差异有统计学意义(P<0.05)。结论中医三联疗法能改善PCOS不孕患者临床症状,提高排卵率及受孕率,疗效确切。Objective To observe the curative effects of triple therapy of traditional Chinese medicine on ovulation induction in infertile patients with kidney- deficiency and liver- depression type of polycystic ovary syndrome（ PCOS）. Methods 58 PCOS subjects were randomly divided into two groups. 30 subjects in treatment group were treated by triple therapy of oral administration and edema Chinese herbs decoction combined with auricular application. 28 subjects in control group were treated by Chinese herbs decoction. The treatment course last three menstrual cycles. The two- way rate of basal body temperature（ BBT）,ovulation rate,pregnancy rate,total effective rate and the changes of TCM symptom score before and after treatment were compared between two groups. Results The two- way rate of BBT,ovulation rate,pregnancy rate and total effective rate in treatment group were higher than those in control group,with statistical differences（ P〈0. 05）. The TCM symptom score after treatment was decreased in two groups,and the decrease of menstrual cycle,soreness and weakness of waist and knees,irritability and total score in treatment group were lower than those in control group（ P〈0. 05）. Conclusion Triple therapy of TCM can improve the clinical symptom of PCOS,enhance ovulation rate and pregnancy rate,has exact effect.

关 键 词：多囊卵巢综合征 中医疗法 投药 直肠 耳穴贴压 

分 类 号：R711.605.31[医药卫生—妇产科学]