联合使用药物促卵泡发育及排卵在超声监测下的效果评价

目的在超声监测下观察使用中西药物促排卵前后卵泡发育及排卵的情况。评价药物效果。方法对2008年1月至2010年6月在我院妇产科门诊就诊不孕症210例患者进行常规用药前妇科检查及用药后卵泡发育及排卵监测,观察三个周期,观察有无优势卵泡、排卵率、妊娠率、卵泡黄素化及卵巢过度刺激综合征等情况。结果 210例不孕症患者经克罗米芬（CC）和尿促性素（HMG）促卵泡生长及绒促性素（HCG）促排卵,辅以中药和其他对症治疗药物,促排卵。据使用药物的不同,分成三组观察药物疗效,一组,cc组,二组,HMG组,三组,联合用药组。三组的优势卵泡率分别为46%,64%,94%;排卵率分别为30%,46%78%;受孕率分别为11%,28%,57%;无优势卵泡率分别为：34%,22%,5%。卵泡黄素化率分别为：14%,0.9%,0.1%;卵巢过度刺激率分别为：0.9%,0.4%,0%。结论 CC＋HMG＋HCG＋中药联合应用促排卵效果较好,而且大大减少了并发症的发生,因此cc＋HMG＋HCG＋中药是不孕患者安全有效的治疗方法,同时大大提高了受孕率,成为不孕症患者的首选。

The drug effection the promating follicular development and ovulation in ultrasonic monitoring by use medicine

Objective：The use of traditional Chinese and Western medicine for promoting situationobservation of follicular development and ovulation before and after ovulation in ultrasonic monitoring. Evaluation of drug effect. Method：2008 January to 2010 June in our hospital obstetrics and gynecology out patient treatment 210 cases of infertility patients routine medication before gynecological examination and after administration offollicular development and ovulation monitoring,observation of three cycles,observed whether the dominant follicle,the ovulation rate,pregnancy rate,luteinized follicles and ovarian hyperstimulation syndrome etc. Result：210 cases of infertility with clomiphene（CC）and urinary gonadotropin（HMG）growth and cashmere follicular gonadotropin（HCG）stimulation combined with traditional Chinese medicine and other symptomatic treatment drugs,ovulation. Cording to different medicine used,divided into three groups of curative effect observation of drug,one group,CC group;two group,HMG group;three group,combination group. three groups of dominant follicles rates were 46%,64%,94%;ovulation rates were 30%,46%,78%;pregnancy rates were 11%,28%,57%;no dominant follicle rates were 34%,22%,5%;luteinized follicles rates were 14%,0.9%,0.1%;ovarian hyperstimulation rates respectively were 1.4%,0.9%,0%. Conclusion ：combined application of CC ＋ HMG ＋ HCG ＋ ovulation Chinese medicine effect is good,but also can reduce the occurrence of complication,Therefore,CC ＋ HMG ＋HCG ＋ traditional Chinese medicine is a safe and effective therapy for infertility patients,at the same time,greatly improving the pregnancy rate,become the infertility patients preferred.