【摘要】 目的 从临床研究的角度研究和探讨中药离子导入治疗排卵障碍的作用及机理。方法 采用临床观察、随机对照的方法，选择排卵障碍(LUFS)的患者，随机分为治疗组和对照组，治疗组在B超监测卵泡生长达到1.6cm时，给予具有养血、活血化瘀作用的加减桃红四物汤水煎剂，用离子导入仪将中药水煎剂导入有优势卵泡的一侧少腹部，连续治疗4～8时天，同时连续监测卵泡排出情况。对照组在B超监测卵泡达到1.8cm时，开始采用HCG10000U肌注，连续B超监测卵泡排出情况。评价两组排卵率及受孕率，同时在月经周期的第16～22天抽血查FSH、LH、E2、P。结果 运用离子导入的方法将具有促排卵作用的加减桃红四物汤水煎剂导入有优势卵泡的一侧附件，其促排卵的作用优于用HCG肌注促排卵，而且受孕率高，无卵巢过激综合征之虞。结论 中药离子导入具有显著的促排卵作用，其治疗排卵障碍的靶向作用确切，排卵率及受孕率高。

    【关键词】 中药离子导入；不孕症；排卵障碍

    Clinical study of Chinese herbs ion conduction for ovulatory obstacle therapy

    QIN Jing.Department of Obstetrics and Gynecology,The Affiliated First Hospital of Guangxi TCM College,Naning 530023,China

    【Abstract】 Objective We start with clinical research to explore the ability and mechanism of ion conduction with Chinese herbs to curing ovulatory obstacle.Methods Adopting the methods of clinical observation random contrast.Select the cases of ovulatory obstacle dividing randomly into two groups:therapeutic group and control group,the patients of therapeutic group using ion conduction with Chinese herbs with act’on nourishing blood and promoting blood circulation to dissipate blood stasis when follicle grow up to 1.4cm.We take the decoction of Jia Jian Tao Hong Si Wu Tang conducting the unilateral lower abdomen which has the dominant follicle,treating continuously for 4～8 days and observing ovulation.The patients of control group inject HCG 10000unit when follicle grow up to 1.8cm and observing ovulation.Appraising two groups ovulated rate and pregnancy rate,and detect FSH、LH、E2、P at sixteen to eighteen days of menstrual cycle.Results Ion conduction with chinese herbs can significantly inspires ovulation and its effection is evidently higher than control group and has a higher pregnancy rate,no side effect of ovarian hyperstimulation syndrome.Conclusion Ion conduction with Chinese herbs has significant function on inspiring ovulation.The target effection of treating ovulatory obstacle is exact.This method has a ovulated rate and higher pregnancy rate. ......