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目的:观察补肾活血汤联合克罗米芬治疗肾虚血瘀型排卵障碍性不孕症临床疗效。方法:将82例患者随机分为2组。西药组42例采用克罗米芬治疗,中西医结合组40例采用补肾活血汤联合克罗米芬治疗。治疗1个月经周期为1疗程,4疗程后判定疗效。结果:子宫内膜A/B比率中西医结合组为62.5%,西药组为40.5%,2组比较,差异有显著性意义(P<0.05)。排卵率中西医结合组为72.5%,西药组为76.2%,2组比较,差异无显著性意义(P>0.05);妊娠率中西医结合组为42.5%,西药组为26.2%,2组比较,差异有显著性意义(P<0.05)。结论:补肾活血汤联合克罗米芬治疗肾虚血瘀型排卵障碍性不孕症可提高患者妊娠率。
Objective: To observe the clinical effects of Bushen Huoxue Decoction combined with clomiphene in treating infertility with ovulation disorder of kidney deficiency and blood stasis type. Methods: 82 patients were randomly divided into two groups. Forty-two patients in the western medicine group were treated with clomiphene citrate, and 40 patients in the combination of traditional Chinese and western medicine were treated with the Bushen Huoxue Decoction combined with clomiphene. Treatment of a menstrual cycle for a course of treatment, after 4 courses to determine the efficacy. Results: The ratio of A / B in endometrium was 62.5% in traditional Chinese medicine and western medicine group and 40.5% in western medicine group. There was significant difference between the two groups (P <0.05). The ovulation rate was 72.5% in the Integrative Medicine Group and 76.2% in the Western Medicine Group. There was no significant difference between the two groups (P> 0.05). The pregnancy rate was 42.5% in the Integrative Medicine Group and 26.2% in the Western Medicine Group. , The difference was significant (P <0.05). Conclusion: Bushen Huoxue Decoction combined with clomiphene in treatment of infertility with kidney deficiency and blood stasis can improve the pregnancy rate.