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目的:探讨中西医结合治疗卵巢储备功能低下不孕患者的临床疗效。方法:选取南海妇幼保健院2012年3月至2015年3月卵巢储备功能低下的不孕患者92例,采用随机数表法均分为两组,每组46例。观察组采用中西医结合(戊酸雌二醇+黄体酮胶囊+滋阴疏肝汤)治疗,对照组采取西药(戊酸雌二醇+黄体酮胶囊)治疗,比较治疗前后两组患者的性激素水平。结果:两组患者治疗前各项激素水平比较,差异均无统计学意义(P>0.05),治疗后1个月,观察组血清孕酮(0.95±0.33)nmol/L、卵泡刺激素(FSH)(25.54±18.12)IU/L、雌激素(153.54±58.45)pg/m L、黄体生成素(LH)(20.45±16.41)IU/L浓度与治疗前和对照组相比下降,差异具有统计学意义(P<0.05);对照组患者FSH、孕酮、雌激素、LH浓度均有下降,但差异均无统计学意义(P>0.05)。治疗后观察组成功妊娠85例,对照组成功妊娠62例,两组比较,差异具有统计学意义(P<0.05)。结论:中西医结合治疗可以改善卵巢功能,对卵巢储备功能低下引起的不孕有明显疗效,可提高妊娠率。
Objective: To explore the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of ovarian reserve dysfunction in patients with infertility. Methods: Forty-two infertile women with poor ovarian reserve from March 2012 to March 2015 in Nanhai Maternal and Child Health Hospital were randomly divided into two groups with 46 cases in each group. The observation group was treated with combination of Chinese and Western medicine (estradiol valerate + progesterone capsules + Ziyin Shugan soup), while the control group was treated with western medicine (estradiol valerate + progesterone capsules). The sex hormones of two groups were compared before and after treatment Level. Results: There was no significant difference in the levels of hormones between the two groups before treatment (P> 0.05). One month after treatment, serum progesterone (0.95 ± 0.33) nmol / L, follicle stimulating hormone (25.54 ± 18.12) IU / L, estrogen (153.54 ± 58.45) pg / m L, luteinizing hormone (LH) (20.45 ± 16.41) IU / L decreased compared with those before treatment and in the control group (P <0.05). The concentrations of FSH, progesterone, estrogen and LH in the control group decreased, but the differences were not statistically significant (P> 0.05). After treatment, 85 cases of successful pregnancy in observation group, 62 cases of pregnancy in control group, the difference between the two groups was statistically significant (P <0.05). Conclusion: Integrative Chinese and Western medicine can improve ovarian function, ovarian reserve dysfunction caused by significant effect of infertility, can improve the pregnancy rate.