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目的:探讨中西医结合治疗多囊卵巢综合征(PCOS)导致不孕的疗效。方法:将2003年12月～2006年3月就诊的93例PCOS患者随机分为中西医结合治疗组48例和氯米芬治疗组45例,中西医结合治疗组在氯米芬治疗基础上给予山续茯蓉导痰汤加减治疗。治疗前、后监测血LH、FSH、LH/FSH比值、T水平变化及卵巢体积基础突窦卵泡计数变化及治疗后排卵、妊娠情况。结果:中西医结合治疗组经用氯米芬促排卵并结合中药补肾化瘀治疗3～6个周期后,患者内分泌激素水平均趋于正常,自然恢复排卵率及1年内妊娠率明显提高,两组比较有统计学意义。结论:氯米芬联合山续茯蓉导痰汤加减治疗PCOS所致不孕疗效确切。
Objective: To explore the curative effect of Integrative Medicine on infertility caused by polycystic ovary syndrome (PCOS). Methods: Ninety-three patients with PCOS who were treated from December 2003 to March 2006 were randomly divided into 48 cases treated with integrated traditional Chinese and western medicine and 45 cases treated with clomiphene citrate. The combination of traditional Chinese and western medicine was given on the basis of clomiphene Continued Fu Rong Guntang Decoction treatment. Before and after treatment, blood LH, FSH, LH / FSH ratio, T level changes and basal ovarian follicle count changes and ovulation and pregnancy after treatment were monitored. Results: After treatment with clomiphene and ovulation with Clomiphene for 3 to 6 cycles, the levels of endocrine hormones tended to be normal, and the rate of spontaneous ovulation and pregnancy increased significantly in one year Group was statistically significant. Conclusion: Clomiphene combined with Fufang Guotanjietang Decoction treatment of infertility caused by PCOS exact effect.