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目的:观察安胎疏肝汤联合黄体酮注射液治疗肝郁肾虚型多囊卵巢综合征(PCOS)早期先兆流产的临床疗效。方法:回顾115例肝郁肾虚型PCOS早期先兆流产患者的病历资料,按不同治疗方式分为观察组80例和对照组35例。对照组给予黄体酮注射液治疗,观察组在对照组的基础上加用安胎疏肝汤。观察2组临床症状的改善情况,以及2组治疗前后血清人绒毛膜促性腺激素(β-HCG)水平和孕酮(P)值的变化。结果:治疗总有效率观察组为90.00%,高于对照组的77.14%(P<0.01)。治疗后,2组血清β-HCG水平及P值均较治疗前升高(P<0.05),中医证候积分均较治疗前降低(P<0.05);观察组的血清β-HCG水平及P值均高于对照组(P<0.05),中医证候积分均低于对照组(P<0.05)。结论:安胎疏肝汤联合黄体酮注射液治疗肝郁肾虚型PCOS早期先兆流产,能有效改善患者的临床症状,提高血清β-HCG水平及P值。
Objective: To observe the clinical efficacy of “Zhongshen Shugan Decoction” combined with progesterone injection in the treatment of early threatened abortion of liver-qi stagnation and kidney-deficiency polycystic ovary syndrome (PCOS). Methods: A retrospective analysis of 115 cases of PCOS early liver cirrhosis patients with early threatened abortion records, according to different treatment methods were divided into observation group of 80 cases and control group of 35 cases. The control group was treated with progesterone injection, and the observation group was treated with Ahn Shu Shu Tang on the basis of the control group. The clinical symptoms of the two groups were observed and the serum levels of human chorionic gonadotropin (β-HCG) and progesterone (P) were measured before and after treatment. Results: The total effective rate in observation group was 90.00%, which was higher than 77.14% in control group (P <0.01). After treatment, the levels of serum β-HCG and P in both groups were significantly higher than those before treatment (P <0.05), and the TCM syndrome scores were lower than those before treatment (P <0.05). The levels of serum β-HCG and P (P <0.05), TCM syndromes scores were lower than the control group (P <0.05). Conclusion: The combination of ANTI Shugan Decoction and progesterone injection in the treatment of PCOS with liver-qi stagnation and kidney deficiency can effectively improve the clinical symptoms, increase the serum β-HCG level and P value.