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本文使用基础体温图作为检查不育病人卯巢夯能及其对卵巢刺激物反应的简易方法。作者从1971年到1973年对491例不育病人进行了观察。在治疗之前连续记录基础体温图,并根据图形将病人分为二组:(1)正常排卵组,其基础体温图存在突然的体温变动(呈双相),排卵后体温升高0.2一O。SOC,并稳定地持续12一14天;(2)卵巢功能障碍组,基础体温图虽呈双相,但持续不到10天且温度变动少于O。2“C又不持久,(3)无排卵组,基础体温图呈单相。然后开始用卵巢刺激剂(克罗米芬及CyclofeT、il等)治疗,并持续追踪基础体温图以判断治疗的效果。仅当这些治疗不能使基础体温图改进和致成妊娠时,才测定尿内的促性膝激素和卵巢性激素。结果表明,491例病人中有470例(占96%)均记录并保持了正确的基础体温图。根据图形有50例为正常排卵组,其中22例在随访过程中怀孕,其余多数系因其它原因(如输卵管病变、男方生育力低下及宫颐粘液对抗等)而致不育,3n例属于卵巢功能障碍组,其中173例经洽疗后有80例怀孕,而由于其它原因未能治疗的另138例中仅7例怀孕,109例无排卵病人,其中74例在治疗后有37例怀孕,而因故未治疗的另35例中仅3例怀孕。根据以上结果,作者认为,连续应用基础体锡图可以判断卵巢功能障碍,从而有可能在不育研究的早期即开始抬疗
This article uses the basal body temperature map as a simple way to check the infertility patient’s nesting energy and its response to ovarian stimuli. The author observed 491 infertile patients from 1971 to 1973. Before treatment, continuous recording of basal body temperature map, and according to the graph will be divided into two groups: (1) normal ovulation group, there is a sudden temperature change (biphasic) in the basal body temperature map, ovulation temperature increased 0.2-0. SOC, and stable for 12 to 14 days; (2) ovarian dysfunction group, although the basic body temperature diagram was biphasic, but lasted less than 10 days and the temperature changes less than O. (3) ovulation-free group, basal body temperature map was single-phase and then began to use ovarian stimulants (clomiphene citrate and CyclofeT, il, etc.) treatment, and continue to track the basis of the temperature map to determine the effect of treatment. Only those treatments that did not improve the basal body temperature map and lead to pregnancy were tested for urinary KO and ovarian hormones Results showed that 470 of 491 patients (96%) were recorded and maintained correctly According to the figure, 50 cases were normal ovulation group, of which 22 cases were pregnant during follow-up, and the rest were infertile due to other reasons (such as tubal disease, male fertility and Miyagi mucus confrontation) , 3n cases were ovarian dysfunction group, of which 173 cases after treatment 80 cases of pregnancy, and for other reasons failed to treat the other 138 cases, only 7 cases of pregnancy, 109 cases of anovulatory patients, of which 74 cases after treatment According to the above results, the authors believe that continuous application of the basal body tin can determine ovarian dysfunction and thus may start early in the infertility study Lift treatment