左归丸合苍附导痰汤治疗痰湿阻滞证多囊卵巢综合征不孕症临床研究
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R711.75;R711.6

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Clinical Study on Zuogui Pills Combined with Cangfu Daotan Decoction for Infertility Caused by Polycystic Ovary Syndrome with Phlegm-damp Obstruction Syndrome
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    摘要:

    目的:观察左归丸合苍附导痰汤治疗痰湿阻滞证多囊卵巢综合征(PCOS) 不孕症的临床疗效。方 法:将96 例痰湿阻滞证PCOS 不孕症患者按照随机数字表法分为对照组及联合组各48 例。对照组实施常规治 疗,联合组在对照组基础上采用左归丸合苍附导痰汤加减治疗。比较2 组治疗前后中医症状评分、血清性激素 水平,并比较2 组临床疗效、妊娠率。结果:治疗后,2 组主症、次症及中医症状总评分均下降(P<0.05), 且联合组低于对照组(P<0.05)。联合组治疗总有效率95.83%,高于对照组79.17%(P<0.05)。联合组自然 妊娠率45.83%,高于对照组25.00% (P<0.05)。治疗后,2 组雌二醇(E2)、促卵泡生成激素(FSH)、孕 酮(P) 水平均升高(P<0.05),促黄体生成激素(LH) 水平降低(P<0.05),且联合组E2、FSH、P 水平高 于对照组(P<0.05),LH 水平低于对照组(P<0.05)。结论:左归丸合苍附导痰汤治疗痰湿阻滞证PCOS 不 孕症患者,可改善临床症状,调节性激素水平,提高自然妊娠率。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Zuogui Pills combined with Cangfu Daotan Decoction for infertility caused by polycystic ovary syndrome (PCOS) with phlegm- damp obstruction syndrome. Methods: A total of 96 cases of patients with infertility caused by PCOS with phlegm- damp obstruction syndrome were divided into the control group and the combination group according to the random number table method, with 48 cases in each group. The control group was given routine treatment, and the combination group was additionally treated with modified Zuogui Pills combined with Cangfu Daotan Decoction based on the treatment of the control group. Traditional Chinese medicine (TCM) symptom scores and levels of sex hormones in serum were compared before and after treatment between the two groups, and the clinical effects and pregnancy rates were compared between the two groups. Results: After treatment, the scores of main and secondary symptoms and the total TCM syndrome scores in the two groups were decreased (P<0.05),and the above scores in the combination group were lower than those in the control group (P<0.05). The total effective rate was 95.83% in the combination group,higher than that of 79.17% in the control group (P<0.05). The natural pregnancy rate was 45.83% in the combination group, higher than that of 25.00% in the control group (P<0.05). After treatment, the levels of estradiol (E2),follicle-stimulating hormone (FSH) and progesterone (P) were increased (P<0.05), and the levels of luteinizing hormone (LH) was decreased (P<0.05); the levels of E2, FSH and P in the combination group were higher than those in the control group (P<0.05),and the levels of LH was lower than those in the control group (P<0.05). Conclusion:Zuogui Pills combined with Cangfu Daotan Decoction for infertility caused by polycystic ovary syndrome (PCOS) with phlegm- damp obstruction syndrome can improve clinical symptoms,regulate the levels of sex hormones and increase the spontaneous pregnancy rate.

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陈燕,陈宇飞,胡晓华.左归丸合苍附导痰汤治疗痰湿阻滞证多囊卵巢综合征不孕症临床研究[J].新中医,2023,55(23):25-29

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  • 在线发布日期: 2023-12-13
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