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针药治疗持续不排卵性不孕症疗效观察 被引量:12

Clinical observation on acupuncture combined with medication for treatment of continuing unovulation infertility
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摘要 目的:观察针药治疗持续不排卵性不孕症的疗效。方法:将50例持续不排卵性不孕症患者随机分为观察组与对照组各25例。观察组给予中药汤剂加针灸治疗,中药汤剂根据月经周期分别给予促卵泡汤、促排卵汤、促黄体汤,针灸穴取关元、中极、卵巢穴等,予针刺治疗。对照组口服克罗米芬加肌肉注射绒毛膜促性腺激素(HCG),连续观察6个周期,分别统计排卵率及妊娠率。结果:两组在排卵率上差异无统计学意义(P>0.05);观察组妊娠率为44.0%,明显高于对照组的16.0%(P<0.05)。观察组黏液评分情况与子宫内膜厚度比较,均优于对照组(P<0.05,P<0.01)。结论:针药的方法和口服克罗米芬加肌注HCG促排卵的方法均有较高的排卵率,但在妊娠率上,前者高于后者。 Objective To explore the therapeutic effect of acupuncture combined with medication on continuing unovulation infertility. Methods Fifty cases of continuing unovulation infertility were randomly divided into an observation group and a control group, 25 cases in each group. The observation group was treated with Chinese herbal decoction plus acupuncture. Culuanpao decoction, Cupailuan decoction and Cuhuangti decoction were respectively given according to different menstrual cycles and acupuncture and moxibustion at Guanyuan (CV 4), Zhongji (CV 3), Luanchao (ovary), etc. The control group was treated with oral administration of Clomiphene and intra- muscular injection of Chorionic Gonadotropin. They were treated for 6 cycles and the ovulation rate and the pregnancy rate were observed. Results There was no significant difference in the ovulation rate between the two groups (P〉0.05). The pregnancy rate of 44.0% in the observation group was significantly higher than 16.0% in the control group (P〈0. 05). The observation group was superior to the control group in the score of mucus and the endo- metrial thickness. Conclusion Both acupuncture combined with medication and oral administration of clomiphene plus intramuscular injection of chorionic gonadotropin have higher ovulation rate, and the former was higher than the latter in the pregnancy rate.
作者 姜朵生 丁玎
出处 《中国针灸》 CAS CSCD 北大核心 2009年第1期21-24,共4页 Chinese Acupuncture & Moxibustion
关键词 无排卵 女性不育 针药并用 Anovulation Female Infertility Acupuncture Medication Combined
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  • 1张燕 方慧英 张如兰.克罗米芬中药针刺促排卵助孕的临床观察[C]..医学辅助生殖研讨会论文汇编[C].,.52-54.
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  • 3李炳如.补肾对下丘脑—垂体—性腺轴功能的影响[J].中医杂志,1984,(7):63-63.
  • 4鲍世平.中西医结合治疗排卵功能障碍不孕症36例[J].上海中医药杂志,2000,34(2):36-37. 被引量:11

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