补肾蠲饮方治疗肾虚肝郁型卵巢储备减少不孕症的临床疗效

Ya-ling Feng, Sujuan Ma
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The clinical efficacy, sex hormone levels including (follicle-stimulating hormone [FSH], luteinizing hormone [LH], and estradiol [E2]), ovarian function, ovarian blood flow status (peak systolic velocity [PSV], antral follicle count [AFC], arterial pulse index [PI], and resistance index [RI]), and pregnancy outcome in the two groups were compared and analyzed.\n Results The total effective rate of the observation group (96.00%) was significantly higher than that of the control group (80.00%). The difference was statistically significant (p < 0.05). Before treatment, there was no significant difference in sex hormone levels (FSH, LH, E2, and FSH/LH), ovarian function (number of primary follicles, number of dominant follicles, ovulation number, and endometrial thickness), and ovarian blood flow (PSV, RI, PI, and AFC) between the two groups (p > 0.05). After treatment, the levels of serum hormones FSH, LH, E2, and FSH/LH decreased significantly in both groups. 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引用次数: 0

摘要

目的探讨补肾蠲饮方治疗肾虚肝郁型卵巢储备减少型不孕症的临床疗效。方法选择2019年10月~ 2022年1月收治的100例卵巢功能减退的不孕症患者,采用随机数字表法分为观察组和对照组。对照组患者给予雌激素序贯治疗,观察组患者给予补肾蠲饮方治疗。比较分析两组患者的临床疗效、性激素水平(促卵泡激素[FSH]、促黄体生成素[LH]、雌二醇[E2])、卵巢功能、卵巢血流状态(收缩峰值速度[PSV]、窦腔卵泡计数[AFC]、动脉脉搏指数[PI]、阻力指数[RI])及妊娠结局。结果观察组总有效率(96.00%)显著高于对照组(80.00%)。差异有统计学意义(p 0.05)。治疗后,两组患者血清FSH、LH、E2及FSH/LH水平均显著降低。原发性卵泡、显性卵泡数量和排卵量均显著增加,子宫内膜厚度显著降低;卵巢血流PSV、RI、AFC指数均显著升高,PI指数显著降低。观察组患者各项指标水平均优于对照组(p < 0.05)。对照组治疗后1年内妊娠32例,妊娠率为64.00%;观察组治疗后1年内怀孕21例,妊娠率为42.00%;观察组妊娠率高于对照组,差异有统计学意义(χ2 = 4.014, p = 0.045 < 0.05)。结论补肾蠲饮方治疗卵巢功能低下型不孕症疗效确切。其作用机制可能涉及多组分、多靶点刺激,改善患者卵巢功能,调节性激素水平,改善妊娠结局。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Effects of Bushen Culuan Prescription on Infertility Due to Decreased Ovarian Reserve of Kidney Deficiency and Liver Depression Pattern
Objective The objective of this study was to explore the clinical effects of Bushen Culuan prescription on infertility due to decreased ovarian reserve of kidney deficiency and liver depression pattern. Methods Totally 100 infertile patients with ovarian hypofunction treated from October 2019 to January 2022 were selected and divided into the observation group and the control group by a random number table. The control group was treated with estrogen sequential therapy, and the observation group was treated with Bushen Culuan prescription. The clinical efficacy, sex hormone levels including (follicle-stimulating hormone [FSH], luteinizing hormone [LH], and estradiol [E2]), ovarian function, ovarian blood flow status (peak systolic velocity [PSV], antral follicle count [AFC], arterial pulse index [PI], and resistance index [RI]), and pregnancy outcome in the two groups were compared and analyzed. Results The total effective rate of the observation group (96.00%) was significantly higher than that of the control group (80.00%). The difference was statistically significant (p < 0.05). Before treatment, there was no significant difference in sex hormone levels (FSH, LH, E2, and FSH/LH), ovarian function (number of primary follicles, number of dominant follicles, ovulation number, and endometrial thickness), and ovarian blood flow (PSV, RI, PI, and AFC) between the two groups (p > 0.05). After treatment, the levels of serum hormones FSH, LH, E2, and FSH/LH decreased significantly in both groups. The number of primary follicles, dominant follicles, and ovulation increased significantly, and the thickness of endometrium decreased significantly; the indexes of PSV, RI, and AFC of ovarian blood flow increased significantly, and the PI index decreased significantly. The levels of each index in the observation group were better than those in the control group (p < 0.05). In the control group, 32 cases were pregnant within 1 year after treatment, and the pregnancy rate was 64.00%; 21 cases in the observation group were pregnant within 1 year after treatment, and the pregnancy rate was 42.00%; the pregnancy rate in the observation group was higher than that in the control group, and the difference was statistically significant (χ2 = 4.014, p = 0.045 < 0.05). Conclusion Bushen Culuan prescription has a definite effect on infertility due to ovarian hypofunction. The action mechanism may involve multicomponent and multitarget stimulation to improve patients' ovarian function, regulate the level of sex hormones, and improve the pregnancy outcome.
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