Clinic effect of Bushenhuoxuetiaojing decoction in treatment of 40 cases of polycystic ovary syndrome
-
摘要: 目的 探讨补肾活血调经汤治疗多囊卵巢综合征(PCOS)的临床效果,为PCOS的临床治疗提供用药指导。 方法 收集2013年3月—2015年2月期间于浙江普陀医院就诊的75例PCOS患者相关资料,按照入院顺序随机分为2组。对照组35例,给予安体舒通片40 mg,2次/d,连续给药20 d。二甲双胍片0.5 g,3次/d,至正常排卵时停药。克罗米芬胶囊50 mg/d,连用5 d。维生素C 200 mg,3次/d,连用20 d。观察组40例,在对照组的基础上应用补肾活血调经汤,水煎服,每日一剂,分早晚2次服用。自月经周期第7日起,连续服用3 d,停药1 d,治疗3个疗程。对比2组患者治疗效果、子宫血流变化及激素水平。 结果 2组的治疗总有效率分别为:观察组92.5%,对照组71.4%,差异具有统计学意义(P<0.01);观察组卵泡成熟率、恢复排卵、妊娠率均优于对照组,差异具有统计学意义(P<0.05);治疗后,观察组LH、T、LH/FSH、RI、PI较治疗前有显著进步,组间相比差异具有统计学意义(P<0.05)。 结论 补肾活血调经汤治疗PCOS效果值得肯定,可改善患者子宫卵巢血液灌流,调节激素水平,有利于排卵,提高妊娠率。Abstract: Objective To investigate the clinical effect of Bushen Huoxue Tiaojing Decoction in the treatment of polycystic ovary syndrome(PCOS),and provide guidance for the clinical medication. Methods The clinical data of 75 PCOS in our hospital between March 2013 and February 2015 were reviewed.The patients were randomly divided into observation group and control group according to hospital admission orders.35 cases in the control group was given spironolactone tablets 40 mg,2 times/d,continuous administration for 20 d;Metformin tablets 0.5 g,3 times/d,to stop when normal ovulation;Clomiphene capsule 50 mg/d,5 d;Vitamin C 200 mg,3 times/d,20 d.While 40 cases in the observation group,on the base of treatment in the control group,was given Bushen Huoxue Tiaojing decoction,twice a day,taking it in morning and evening.Since the 7th day of the menstrual cycle,continuous administration for 3 d and discontinuance phase for 1d as one course,total 3 courses.The therapeutic effect,changes in uterine blood flow and hormone levels were compared between the two groups. Results The total effective rate in the observation group was 92.5% and in the control group was 71.4%,the difference was significant(P<0.01);The follicular maturation rate,restoration of ovulation,pregnancy rate in the observation group were significantly better as compared with the control group(P<0.05);After the treatment,The levels of LH,T,LH/FSH,RI and PI in observation group were significantly improved,and is superior to the results in the control group(P<0.05). Conclusion Bushen Huoxue Tiaojing decoction is effective in the treatment of polycystic ovary syndrome(PCOS),it can improve the blood perfusion in uterine and ovary,regulate hormone levels,profit ovulation,and improve pregnancy rate.
-
Key words:
- Bushenhuoxuetiaojing decoction /
- Polycystic ovary syndrome /
- Pregnancy /
- Ovulation
点击查看大图
计量
- 文章访问数: 100
- HTML全文浏览量: 24
- PDF下载量: 0
- 被引次数: 0