活血通络中药外敷促排卵作用的临床探析  

Clinical Analysis of the Effect of Promoting Blood Circulation and Dredging Collaterals on Ovulation Promotion

作　　者：傅荣 王翠花 方岚 FU Rong;WANG Cui-hua;FANG Lan(Department of Obstetrics and Gynecology,Wuxi Second Hospital of Traditional Chinese Medicine,Wuxi,Jiangsu Province,100191 China)

机构地区：[1]无锡市第二中医医院妇产科,江苏无锡100191

出　　处：《中外医疗》2021年第6期1-4,共4页China & Foreign Medical Treatment

摘　　要：目的研究活血通络中药外敷用于女性不孕症中对促排卵的干预作用。方法方便选取2018年1月—2020年1月该院接诊的不孕症患者56例,按照随机数表法原理均分4组。A组采取中药口服疗法,B组联用中药口服与HCG,C组联用中药口服与中药外敷疗法,D组联用中药口服、HCG与中药外敷疗法。对比临床妊娠率等指标。结果B组排卵率75.00%、C组排卵率79.31%、D组排卵率89.29%,都比A组56.67%高,差异有统计学意义(P<0.05)。B、C、D 3组排卵率对比差异无统计学意义(P>0.05)。4组异位妊娠率和生化妊娠率对比差异无统计学意义(P>0.05)。A组临床妊娠率28.57%,比B组64.29%、C组78.57%、D组85.71%低,差异有统计学意义(P<0.05)。B组、C组和D组的临床妊娠率对比差异无统计学意义(P>0.05)。A组血清P水平(13.28±9.76)ng/mL、E2水平(215.83±50.31)pg/mL比B组、C组和D组低,差异有统计学意义(P<0.05)。B、C、D 3组血清P与E2水平对比差异无统计学意义(P>0.05)。C组卵巢过度刺激综合征发生率7.14%比B组42.86%低,差异有统计学意义(P<0.05)。A组、B组和D组卵巢过度刺激综合征发生率对比差异无统计学意义(P>0.05)。4组卵巢未破裂黄素化综合征发生率对比差异无统计学意义(P>0.05)。结论选择活血通络中药外敷疗法对不孕症患者进行干预,可促进其排卵,提高临床妊娠率,且有助于降低卵巢过度刺激综合征等并发症的发生几率。Objective To study the effect of external application of Chinese medicine for promoting blood circulation and dredging collaterals on ovulation induction in female infertility.Methods Convenient select from January 2018 to January 2020,56 infertility patients in the hospital were divided into 4 groups according to the principle of random number table.Group A was treated with oral Chinese medicine,group B was treated with oral Chinese medicine and HCG,group C was treated with oral Chinese medicine and external application of Chinese medicine,and group D was treated with oral Chinese medicine,HCG and external application of Chinese medicine.Compare indexes such as clinical pregnancy rate.Results The ovulation rate in group B was 75.00%,the ovulation rate in group C was 79.31%,and the ovulation rate in group D was 89.29%,which were all higher than 56.67% in group A,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the ovulation rate between groups B,C and D(P>0.05).There was no statistically significant difference between the ectopic pregnancy rate and the biochemical pregnancy rate in the 4 groups(P>0.05).The clinical pregnancy rate in group A was 28.57%,which was lower than 64.29% in group B,78.57% in group C,and 85.71% in group D,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the clinical pregnancy rate of group B,group C and group D(P>0.05).The level of serum P in group A was(13.28±9.76)ng/mL,and the level of E2 was(215.83±50.31)pg/mL,which were lower than those in group B,C and D,and the difference was statistically significant(P<0.05).There was no statistically significant difference in serum P and E2 levels in the three groups B,C and D(P>0.05).The incidence of ovarian hyperstimulation syndrome in group C was 7.14%,which was lower than that in group B,42.86%,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of ova

关 键 词：促排卵 临床妊娠 中药外敷 并发症 

分 类 号：R271.14[医药卫生—中医妇科学]