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达因-35与来曲唑序贯用于多囊卵巢综合征的临床观察
引用本文:邱慧玲,王金声,汪穗芬.达因-35与来曲唑序贯用于多囊卵巢综合征的临床观察[J].临床军医杂志,2010,38(1):96-97.
作者姓名:邱慧玲  王金声  汪穗芬
作者单位:解放军第174医院,妇科,福建,厦门,361003
摘    要:目的观察多囊卵巢综合症(PCOS)无排卵性不孕患者达因-35预处理后来曲唑诱发排卵的临床效果。方法对2006年10月—2009年4月我院就诊的PCOS患者,测定基础女性激素,达因-35周期治疗3月,来曲唑组(LE组)20例,月经第3~7天口服来曲唑2.5mg/d,连用5 d,克罗米酚组(CC组)32例,月经第3~7天口服克罗米酚50 mg/d,连用5 d。记录两组患者HCG注射日子宫内膜情况、≥16 mm卵泡数,比较排卵率、妊娠率以及OHSS发生率。结果52例患者应用达因-35后,LH、T及LH/FSH明显下降,与用药前相比差异有统计学意义(P<0.05);注射HCG日LE组三线型内膜患者多于CC组,差异有统计学意义(P<0.05),注射HCG日LE组≥16 mm卵泡数高于CC组,但无统计学意义(P>0.05);LE组排卵率与CC组相当,妊娠率高于CC组,但差异均无统计学意义(P>0.05);LE组无OHSS发生,与CC组差异有统计学意义(P<0.05)。结论PCOS患者予达因-35预处理后,LE促排卵效果与妊娠率和CC相似,但并发症明显减少。

关 键 词:多囊卵巢综合征  达因-35  来曲唑  克罗米酚

Study on Clinical Effects of Daine-35 and Letrozole on Ovulation Induction in Women with Polycystic Ovarian Syndrome
Qiu Hui-ling,Wang Jin-sheng,Wang Hui-fen.Study on Clinical Effects of Daine-35 and Letrozole on Ovulation Induction in Women with Polycystic Ovarian Syndrome[J].Clinical Journal of Medical Officer,2010,38(1):96-97.
Authors:Qiu Hui-ling  Wang Jin-sheng  Wang Hui-fen
Institution:Department of Gynaecology/a>;PLA No.174 Hospital/a>;Xiamen 361003/a>;China
Abstract:Objective To study the effect of Daine-35 and Letrozole on ovulation induction in women with polycystic ovarian syndrome(PCOS).Methods From Oct,2006 to Apr,2009,a total of 52 cases of women with PCOS in our hospital were recruited.All the patients were given daine-35 for three months,and then they were divided into two groups:LE group(20 cases)was given letrozole(2.5mg/d) for 5 days(from the 3rd-7th day of catamenia) and CCgroup(32cases) was given clomiphene citrate(50mg/d) for 5 days(from the 3rd-7th day o...
Keywords:polycystic ovarian syndrome  letrozole  Daine-35  clomiphene citrate  
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