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目的:分析和研究竹林寺女科养荣丸加减联合优思敏治疗卵巢低反应不孕症患者的疗效。方法:选取2012年1月—2014年12月卵巢低反应不孕症患者80例,根据随机数字表法随机分组,对照组患者给予优思敏预处理,观察组患者在优思敏预处理基础上给予竹林寺女科养荣丸加减汤。观察治疗前后月经第2~3天基础卵泡刺激素(b FSH)、基础卵泡刺激素与基础黄体生成素比值(b FSH/b LH)、雌二醇(E2)及窦卵泡数(AFC)的差异,促性腺激素用量、获卵数、妊娠率。结果:两组患者治疗前b FSH、b FSH/b LH、E2及AFC相似,两组间差异经t检验显示无统计学意义(P>0.05)。治疗后,观察组b FSH、b FSH/b LH明显低于对照组,E2及AFC明显高于对照组,两组间差异经t检验显示有统计学意义(P<0.05)。观察组促性腺激素用量明显低于对照组,获卵数明显高于对照组,两组间差异经t检验显示有统计学意义(P<0.05)。观察组妊娠率明显高于对照组,差异经χ2检验有统计学意义(P<0.05)。结论:竹林寺女科养荣丸加减联合优思敏预处理对卵巢低反应不孕症患者的疗效确切,可有效改善卵巢功能和雌激素水平,提升卵细胞数量和质量,减少促性腺激素用量,提高妊娠率,值得推广。
OBJECTIVE: To analyze and study the curative effect of treatment of infertility patients with low ovarian response with treatment of female Yinke Rongrong pills in Zhulin Temple. Methods: From January 2012 to December 2014, 80 patients with low ovarian response to infertility were selected and randomized according to the random number table. The patients in the control group were given Yasmin preconditioning. The patients in the observation group were treated with Yasmin pretreatment On the bamboo court to give Women’s Hospital Yang Rong pills plus soup. The levels of basal follicle stimulating hormone (b FSH), basal follicle stimulating hormone and basal body luteinizing hormone ratio (b FSH / b LH), estradiol (E2) and antral follicle number (AFC) Differences, gonadotrophin dosage, number of oocytes retrieved, pregnancy rate Results: The b FSH, b FSH / b LH, E2 and AFC were similar between the two groups before treatment, and there was no significant difference between the two groups by t test (P> 0.05). After treatment, the FSH and b FSH / b LH in the observation group were significantly lower than those in the control group, and E2 and AFC were significantly higher than those in the control group. The differences between the two groups were statistically significant by t test (P <0.05). The amount of gonadotropin in the observation group was significantly lower than that of the control group, and the number of oocytes retrieved was significantly higher than that of the control group. The difference between the two groups was statistically significant by t test (P <0.05). The pregnancy rate in the observation group was significantly higher than that in the control group, and the difference was statistically significant by χ2 test (P <0.05). Conclusion: Zhu Lin Temple female Ke Yang Rong Pills combined with You Simmin pretreatment of ovarian response to low response infertility patients with exact, can effectively improve ovarian function and estrogen levels, improve the number and quality of egg cells and reduce the amount of gonadotropin , Improve the pregnancy rate, it is worth promoting.