论文部分内容阅读
目的:观察针药治疗持续不排卵性不孕症的疗效.方法:将50例持续不排卵性不孕症患者随机分为观察组与对照组各25例.观察组给予中药汤剂加针灸治疗,中药汤剂根据月经周期分别给予促卵泡汤、促排卵汤、促黄体汤,针灸穴取关元、中极、卵巢穴等,予针刺治疗.对照组口服克罗米芬加肌肉注射绒毛膜促性腺激素(HCG),连续观察6个周期,分别统计排卵率及妊娠率.结果:两组在排卵率上差异无统计学意义(P〈0.05);观察组妊娠率为44.0%(11/25),明显高于对照组的16.0%(14/25)(P〈0.05).观察组黏液评分情况与子宫内膜厚度比较,均优于对照组(P〈0.05,P〈0.01).结论:针药的方法和口服克罗米芬加肌注HCG促排卵的方法均能提高排卵率,但在妊娠率上,前者高于后者.“,”Objective To observe the therapeutic effects on anovulatory infertility with acupuncture and Chinese herbal medicine.Methods Fifty patients with anovulatory infertility were divided randomly into 2 groups with 25 in the observation group and 25 in the control group.Both herbal decoctions and acupuncture treatment were applied to the observation group.For Chinese herbal medicine,according to different phases of menstrual cycle,Cu Luanpao Tang(促卵泡汤 follicle promote decoction),Cu Pailuan Tang(促排卵汤 ovulation induce decoction)and Cu Huangti Tang(促黄体汤 corpora luteum promote decoction)was given to the patients;and acupoints such as Guānyuán(关元 CV 4),Zhōngjí(中极 CV 3)and Luǎncháo Xué(卵巢穴 Extra point)were selected.The control group was asked to take Clomiphene as well as Chorionic Gonadotropin(HCG)injection.Observation is undertaken continuously for 6 cycles,and statistics of ovulation rate and pregnancy rate were collected.Results There were no statistical significance of difference of ovulation rate between the two groups(P0.05);the pregnancy rate of the observation group is 44.0%(11/25),which is obviously higher than 16.0%(4/25)of the control group(P0.05).Comparison was made on Insler score of the cervical mucus and thickness of the endomet-rium between the 2 groups,and the result showed that both of the indexes of the observation group were better than those of the control group(P0.05,P0.01).Conclusion Both of the methods,namely ovulation induction with acupuncture and herbal decoctions and with Clomiphene and HCG injection,are effective for enhancing the ovulation rate,while the former one is better than the later one in the pregnancy rate.