薯蓣汤加减联合芬吗通治疗薄型子宫内膜致不孕症肾阳虚证临床研究
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R711.6

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温州市中医药科技研究项目(2018ZB013)


Clinical Study on Modified Shuyu Tang Combined with Femonston for Infertility with Kidney-yang Deficiency Syndrome Caused by Thin Endometrium
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    摘要:

    目的:观察薯蓣汤加减联合芬吗通治疗薄型子宫内膜致不孕症肾阳虚证的临床疗效。方法:选取76例薄型子宫内膜致不孕症肾阳虚证患者,按随机数字表法分为对照组和治疗组,每组38例。对照组给予芬吗通片治疗,治疗组在对照组基础上予薯蓣汤加减内服,2组均治疗3个月经周期。比较2组治疗前后的中医证候评分、子宫内膜厚度、血清雌二醇(E2)水平,随访1年统计妊娠率。结果:治疗后,2组头晕耳鸣、腰膝酸软、畏寒腹冷、性欲淡漠、小便频数评分均较治疗前降低(P<0.01),治疗组上述5项评分均低于对照组(P<0.01)。治疗后,2组子宫内膜厚度及E2水平均较治疗前增加(P<0.01),治疗组子宫内膜厚度及E2水平均比对照组增加更明显(P<0.01)。治疗结束后随访1年,治疗组妊娠率57.89%,对照组妊娠率31.58%,2组比较,差异有统计学意义(P<0.05)。结论:薯蓣汤加减联合芬吗通治疗薄型子宫内膜致不孕症肾阳虚证,可以有效改善患者的中医证候,增加子宫内膜厚度,提升E2水平,提高妊娠率。

    Abstract:

    To observe the clinical effect of modified Shuyu tang combined with femonston for infertility with kidney-yang deficiency syndrome caused by thin endometrium.Methods:Selected 76 cases of patients with infertility with kidney-yang deficiency syndrome caused by thin endometrium and divided them into the control group and the treatment group according to the random number table,with 38 cases in each group.Both groups were treated with femonston tablets,while the treatment group was additionally given the oral administration of modified Shuyu tang.Both groups received the treatment for 3 menstrual cycles.Compared the Chinese medicine syndrome scores,endometrial thickness and the levels of serum estradiol(E2)in the two groups before and after treatment,and recorded the pregnancy rate within one year of follow-up.Results: After treatment, the scores of dizziness and tinnitus, soreness and weakness of waist and knees,aversion to cold and abdominal coldness,libido apathy and frequent urination in the two groups were all lower than those before treatment(P < 0.01),and the scores of the five scores mentioned above in the treatment group were lower than those in the control group(P < 0.01).After treatment,endometrial thickness and the levels of E2in both groups were increased when compared with those before treatment(P < 0.01),and the increase of endometrial thickness and level of E2in the treatment group was much more significant than that in the control group(P<0.01).During the one year of follow-up after treatment, the pregnancy rate was 57.89% in the treatment group and 31.58% in the control group, difference being significant in the comparison of the two groups(P<0.05).Conclusion:The application of modified Shuyu tang combined with femonston for infertility with kidney-yang deficiency syndrome caused by thin endometrium can effectively improve the Chinese medicine syndromes of patients, increase the endometrial thickness, increase the of levels E2and improve pregnancy rate.

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沈淑慧,李琪瑶,刘芳,邵圆.薯蓣汤加减联合芬吗通治疗薄型子宫内膜致不孕症肾阳虚证临床研究[J].新中医,2019,51(10):57-59

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  • 在线发布日期: 2019-10-11
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