优化中西医结合方案治愈女性不孕症118例临床分析

Clinical Anglysis on 118 Cases of barrenness Treated by Traditional Chinese and Western Medicine

目的:探讨中西医结合治疗女性内分泌失调性不孕的优化方案。方法:118例内分泌失调性女性不孕患者首选中药治疗,中医辨证论治结合中药调整月经周期法,同时根据监测排卵多项指标,选择性加用E2、P、CC、HCG、HMG、BCT、达因-35、安体舒通等。结果:118例女性不孕中,属小卵泡排卵者9例,黄体功能不全16例,黄素化未破裂卵泡综合症(LU FS)11例,多囊卵巢综合症(PCOS)18例,高T血症11例,高PRL血症14例,尿LH早期阳性6例,正常促性素16例,低促性素11例,高促性素6例。其中单纯用中药治疗者25例,占21.19%;中药分别加用E2、P、CC、HCG、HMG、BCT、达因-35、安体舒通治疗者93例,占78.81%。结论:内分泌失调是导致女性不孕的主要原因之一,监测排卵对及时制定出优化的中西医结合治疗方案具有确切的临床意义,中西医结合治疗女性不孕具有优越性。

Objective：To find an optimization measure of integrative traditional Chinese and Western medicine to treat sterility owing to endocrine disorders.Methods：118 cases firstly treated with herbs, combination of the syndrome differ treatment and a cure about herbs regulating menstrual cycle,at the same time,according to monitoring many ovulation targets,selectively added with E2, P, CC, HCG, HMG, BCT, Diane-35, spironolactone and so on.Results：There were 9 follicular ovulation, 16 luteal dysfunction, 11 luteinized unruptured follicle syndrome （LUFS）,18 polycystic ovary syndrome （PCOS）,11 hyperandrogenism,14 Hyperpm-lactinemia,6 subjects with positive the LH of urine early time, 16 subjects with normal gonadotropin levels, 11 subjects with lower gunadotropin levels,6 subjects with high gunadotropin levels. Among the 25 subjects who were treated by Chinese herbal medicine alone, accounts for 21.19%. Another 93 subjects were treated by herbs adding with E2, P, CC, HCG, HMG, BCT, Diane-35, spirunolactone respectively, accounts for 78.81%.Conclusions： Endocrine disorders is one of the major reasons of female infertility.It is essential to monitor ovulation to promptly formulate an optimization measure of integrative traditional Chinese and Western medicine curing female infertility, especially on clinical research. It also has the superiority of application integrative traditional Chinese and Westerm medicine for female infertility.