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时间:2020-06-21
《中药加艾灸治疗脾肾阳虚型多囊卵巢综合征不孕128例疗效观察.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、世界中医药2014年8月第9卷第8期·1079·中药加艾灸,厶口7!r=_r脾肾阳虚型多囊卵巢综合征不孕128例疗效观察许玉刚(山东省聊城市第二人民医院,聊城,252600)摘要目的:观察中药联合艾灸疗法对脾肾阳虚型多囊卵巢综合征不孕症患者的临床疗效。方法:将符合标准的250例患者按随机数字表法分为治疗组(128例)和对照组(122例)。对照组采取炔雌醇环丙孕酮片治疗,治疗组采取温肾健脾中药(仙茅根、女贞子、枸杞子、菟丝子、酒黄精、白术、党参、醋香附、淫羊藿、当归、炙甘草、鹿角霜)联合艾灸(关元、气海和足三里)治疗。观察患者治疗后激素水平(T、LH、FSH、和E
2、)、卵泡数量、基础体温变化情况和受孕情况。结果:治疗组和对照组临床痊愈率分别为42.97%、20.49%,总有效率分别为87.50%、74.59%,基础体温恢复正常率分别为67.97%、4O.98%,妊娠率分别为53.13%、26.23%,组间比较,差异均有统计学意义(P<0.01)。2组患者治疗后T、LH和FSH水平均降低,E:水平均升高,组间比较,各项指标差异均有统计学意义(P<0.05)。治疗组患者治疗后左右侧卵巢窦卵泡数目均低于对照组,组间比较,差异均有统计学意义(P<0.05)。结论:温肾健脾中药联合艾灸疗法对脾肾阳虚型多囊卵巢综合征不孕症患者的临床疗
3、效优于炔雌醇环丙孕酮片,可显著改善患者激素水平,恢复基础体温,减少卵泡数量、提高妊娠率。关键词脾肾阳虚证;多囊卵巢综合征;温肾健脾;艾灸;中医药疗法ObservationonTherapeuticEfectofTraditionalChineseMedicineandMoxibustioninTreating128CasesofSpleenKidneyYangDeficiencyTypePolycysticOvarySyndromeInducedInfertilityXuYugang(TheSecondPeople’sHospitalofLiaochengCit
4、y,ShandongProvime,Liaocheng252600,China)AbstractObjective:ToobservetheclinicalcurativeeffectoftraditionalChinesemedicinecombinedwithmoxibustiontherapyonpa—tientswithspleenkidneyyangdeficiencytypeofpolycysticovarysyndromeinducedinfertility.Methods:Twohundredandfiftypatientswhometthein
5、clusioncriteriawererandomlydividedintoobservationgroup(n=128)andcontrolgroup(n=122).rI’hecontrolgroupa—doptedEthinylestradiolandCyproteroneAcetateTabletstreatment,andobservationgroupgavepatientswarmingkidneyandinvigoratingspleenherbs(Xianmao,Ligustrumlucidum,medlar,dodderseed,polygon
6、atumrhizome,dangshen,wine,vinegarRhizomaCyperi,epime—dium,angelica,licoriceroot,ComuCervidegelatinatum)combinedwithMoxibustion(GuanYuan,QihaiandZusanli)treatment.Thehormonelevels(T,LH,FSH,and),folliclenumber,basalbodytemperaturechangesandpregnancyrateswereovserved.Results:Theclinical
7、curativeratesoftheobservationgroupandthecontrolgroupwererespectively42.97%and20.49%,andthetotaleffectiveratewere87.50%and74.59%:thenormalrateofrecoveryofbasalbodytemperaturewere67.97%and40.98%;pregnancyratewerere-spectively53.13%and26.23%;alltheaboveindicatorsbetweenthetwogroupsshowe
8、dstatistical
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