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补肾养血汤治疗晚期育龄期妇女卵巢储备能力明显下降前不孕症患者的临床疗效(1)
http://www.100md.com 2020年5月5日 《中国现代医生》 202013
     [摘要] 目的 分析晚期育龄期妇女卵巢储备能力明显下降前应用补肾养血汤治疗不孕症的重要临床价值。 方法 选取我院于2016年4月~2017年12月期间收治的晚期育龄期妇女卵巢储备能力明显下降前的不孕症患者68例作为本文的研究对象,随机将所有患者分为对照组(34例)、观察组(34例),对照组行芬吗通片治疗,观察组行补肾养血汤治疗,观察两组患者的妊娠率、治疗前后性激素水平(FSH、FSH/LH、E2)、自评量表评分(月经周期、经期经量、宫颈评分、潮热汗出程度评分)。 结果 观察组患者的妊娠率为23.53%,明显高于对照组患者的妊娠率(14.71%),差异有统计学意义(P<0.05);治疗前,兩组患者的FSH、FSH/LH、E2等性激素水平比较,差异无统计学意义(P>0.05);治疗后,两组患者的FSH、FSH/LH、E2均明显降低,差异具有统计学意义(P<0.05),其中观察组FSH、FSH/LH、E2均明显低于对照组,差异具有统计学意义(P<0.05);治疗后,观察组患者的月经周期评分为(0.18±0.02)分、经期经量评分为(0.15±0.01)分、宫颈评分为(0.30±0.03)分、潮热汗出程度评分为(0.48±0.05)分,均明显低于对照组,差异具有统计学意义(P<0.05)。 结论 晚期育龄期卵巢储备能力明显下降前的不孕症患者接受补肾养血汤治疗,能够起到改善患者病情,恢复卵巢储备能力,提高妊娠率

    [关键词] 晚期育龄期;卵巢储备能力;补肾养血汤;妊娠率;性激素

    [中图分类号] R271.14 [文献标识码] B [文章编号] 1673-9701(2020)13-0143-04

    [Abstract] Objective To analyze the clinical value of Bushen Yangxue decoction in the treatment of infertility before the ovarian reserve capacity is significantly reduced in women of advanced childbearing age. Methods 68 infertility patients with decreased ovarian reserve of advanced childbearing age in our hospital from April 2016 to December 2017 were selected as the study subjects. All patients were randomly divided into two groups, including the control group(34 cases) and the observation group(34 cases). The control group was treated with Fenmatong tablets, and the observation group was treated with Bushen Yangxue decoction. The pregnancy rate, the sex hormone levels before and after treatment(FSH, FSH/LH, E2), self-rating scale(menstrual cycle, menstrual volume, cervical score, hot flashes degree score) between two groups were observed. Results The pregnancy rate of the observation group was 23.53%, which was significantly higher than that of the control group(14.71%). The difference was statistically significant(P<0.05). Before treatment, There was no significant difference in sex hormone levels such as FSH, FSH/LH, E2 between two groups(P>0.05). After treatment, FSH, FSH/LH and E2 were significantly lower in the two groups(P<0.05), and the FSH, FSH/LH, E2 in the observation group were significantly lower than those of the control group, and the difference was statistically significant(P<0.05). After treatment, the observation group had a menstrual cycle score of (0.18±0.02) and a menstrual volume score of (0.15±0.01), cervical score of (0.30±0.03), and the hot flashes scores of(0.48±0.05), which were significantly lower than those of the control group, and the difference was statistically significant(P<0.05). Conclusion Bushen Yangxue decoction treated in infertility patients with ovarian reserve capacity in the advanced childbearing period can improve the patient's condition, restore ovarian reserve capacity and improve pregnancy rate., http://www.100md.com(柯忠妹 刘晓霞)
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