中西医结合治疗多囊卵巢综合征所致不育196例临床观察.docVIP

中西医结合治疗多囊卵巢综合征所致不育196例临床观察 　　doi：10.3969/j.issn.1007-614x.2014.3.50 　　摘 要 目的：探讨中西医结合治疗多囊卵巢综合征的疗效。方法：收治不育患者196例，随机分为治疗组和对照组。治疗组采取中药补肾和法地兰/HCG促排卵治疗；对照组采用法地兰/HCG促排卵治疗。结果：治疗组妊娠率56.56%，排卵率82.82%，对照组妊娠率31.31%，排卵率78.78%。两组妊娠比较差异有统计学意义（P0.05），两组排卵率比较差异无统计学意义。结论：中西医结合治疗多囊卵巢综合征所致不育疗效明显高于单纯西药治疗。 　　关键词 中西医结合 多囊卵巢综合征 中药补肾治疗 法地兰 人绒毛膜促性腺激素 　　Clinical observation on treatment of 196 cases of infertility caused by polycystic ovarian syndrome with combination of Chinese traditional and Western Medicine 　　Yuan Yihui 　　Xixia County，Nanyang City Maternal and Child Health Hospital of Henan Province，474500 　　Abstract Objective：To explore the effect of 196 cases of infertility caused by polycystic ovarian syndrome treated with combination of Chinese traditional and Western Medicine.Methods：We selected 196 patients from 2010 February to 2013 November，these patients were randomly divided into treatment group and control group.The treatment group was treated with chinese medicine for reinforcing kidney and clomiphene/HCG to promoting ovulation.The control group was treated with clomiphene/HCG to promoting ovulation.Results：In the treatment group，the pregnancy rate was 56.56% and the ovulation rate was 82.82%.In the control group，the pregnancy rate was 31.31% and the ovulation rate was 78.78%.There was significant difference between two groups of pregnancy（P 0.05）and the two groups had no significant difference between the ovulation rate.Conclusion：The treatment efficacy of infertility caused by polycystic ovary syndrome with combination of Chinese traditional and Western Medicine was significantly higher than that of simple western medicine treatment. 　　Key words Combine traditional Chinese and Western Medicine；Polycystic ovarian syndrome；Chinese medicine for reinforcing kidney therapy；Clomiphene；Human chorionic gonadotropin 　　多囊卵巢综合征（PCOS）是临床工作中最为常见的一种内分泌紊乱性疾病，它会对患者造成严重的影响，尤其是对一些育龄期女性的影响更大，临床症状有闭经或月经稀发，雄激素过多症和卵巢的多囊样改变等，这些常常伴有不育、肥胖胰岛素抵抗和血脂异常等代谢综合征。 　　资料与方法 　　2010年2月-2013年11月收治P