益肾活血法治疗未破裂卵泡黄素化综合征的临床研究

目的观察采用中药益肾活血治疗未破裂卵泡黄素化综合征的临床疗效。方法选择60例经促排卵后未破裂卵泡黄素化的多囊卵巢综合征患者,分为治疗组、对照组各30例,分别于卵泡成熟日用中药促排卵汤及人绒毛膜促性腺激素(HCG)治疗2个疗程。观察患者黄体生成激素(LH)和雌二醇(E2)水平变化、卵巢动脉血流变化、排卵率及妊娠率。结果治疗组升高LH和E2的作用优于对照组(P<0.05),排卵率及妊娠率均高于对照组(P<0.05),治疗后两组卵巢动脉搏动指数及阻力指数均下降(P<0.05)。结论中药益肾活血治疗未破裂卵泡黄素化有较好疗效,且无发生卵巢过度刺激综合征风险,值得推广。

Reinforcing the kidney and activating the blood circulation in treating luteinized un-ruptured follicle syndrome

Objective To explore the effects of herbs that reinforce the kidney and activate blood circulation in treating patients with luteinized un-ruptured follicle syndrome(LUFS).Methods 60 patients with the polycy polycystic ovarian syndrome after facilitating ovulation appeared LUFS were divided into the treatment group and the control group.When the follicle matured,the treatment group was given Cupailuan decoction while the control group was given human chorionic gonadotropin(HCG) for two periods of treatment.The luteinizing hormone(LH)level,the Estradiol(E2) level,ovarian artery blood flow,ovulation percentage and gestation percentage were determined.Result The treatment group had a better effect in improving the LH level,the E2 level,the ovulation percentage and the gestation percentage than the control group(P<0.05).The pulsating index and the resistance index of ovarian artery blood flow both decreased in the two groups(P<0.05).Conclusions Herbs that reinforce the kidney and activate blood circulation have better effects in patients with LUFS without the ovarian hyper-stimulation syndrome and it is a method worth popularizing.