肾虚型无排卵型妇科病50例临床观察

Clinical Observation on Anovulatory Gynecopathy in 50 Patients with of-Kidney Deficiency Syndrome

[目的]观察益精补冲汤治疗肾虚型无排卵性月经后期、月经过少、闭经、不孕症的临床疗效,并探讨其作用机制。[方法]运用补肾法对肾虚型无排卵性月经后期、月经过少、闭经、不孕症等妇科疾病予以治疗,观察治疗前后卵泡大小,内膜厚度,基础体温,中医症状积分等变化,比较治疗前后的疗效。每3个月经周期为1个疗程,连续治疗3个月。[结果]治疗结果表明50例患者经益精补冲汤治疗3个月后总治愈率为68%,总有效率为86%,妊娠率为54.5%。[结论]1)补肾法是治疗肾虚型无排卵性月经后期,月经过少,闭经,不孕症的有效方法。2)尽管上述病症各异,但病机相同,抓住肾所藏之精不足,冲任虚衰影响卵泡的发育的关键,以补肾法治疗,得到了良好的效果。

[Objective] To investigate the clinical effects of Yijingbuehong（replenishing vital essence and tonifying CHONG） Decoction on treating anovulatory delayed menstruation, scanty menstruation and no menstruation with deficiency of kidney and to study the effect mechanism and the essence of the same treatment for different disease. [Methods] The study was performed basing on the clinical effects of Yijingbuchong Decoction in treating patients with anovulatory infertility diagnosed as deficiency of kidney including delayed menstruation, scanty menstruation and menischesis. The changes of size of folliculars, endometrial thickness, base temperature, female hormone, TCM symptoms integral and so on before and after treatment, were observed [Results] The total cure rate of Yijingbuchong Decoction was 68% and the general effective rate was 86%. The pregnancy rate was 54.5%. [Conclusion] Nourishing-kidney method is an effective treatment for anovulatory infertility diagnosed as deficiency of kidney, including delayed menstrual cycle, scanty menstruation and menischesis. The deficiency of kidney was the main pathogenesis.