补肾调周法配合西药治疗肾虚肝郁型黄体功能不全的临床观察

目的观察补肾调周法配合西药治疗肾虚肝郁型黄体功能不全的临床疗效,为中西医结合治疗LPD 的优越性提供更为可靠的依据.方法：将36 例符合纳入病例标准的患者,随机分为两组：其中治疗组20 例,以补肾调周法配合西药治疗;对照组16 例,以单纯西药治疗.一个疗程后（三个月经周期为一个疗程）观察两组治疗前后中医症状的变化情况、基础体温改善、血P、妊娠情况,经评分及统计学方法处理后,综合评定疗效.结果：治疗组与对照组总有效率分别为 85.00%和68.75%,两组总有效率比较无显著性差异（P﹥0.05）;治疗组和对照组在改善中医症状、基础体温（BBT）、血P 值方面均有显著性差异（P﹤0.05）;治疗组7 例不孕症患者中,有2 例受孕,受孕率为28.57%,对照组无受孕病例.结论：中西医结合治疗可取单纯西药和单纯中药的治疗优势,取长补短,协调下丘脑一垂体一卵巢轴相互间的分泌关系,在改善和健全黄体功能方面有着较理想的临床疗效.

Objective： Application of Bushen conditioning menstrual cycle with modern medicine treat infertility due to luteal phase defect, to observe the clinical effect ofthe Act, to explore the mechanism, and to provide a more credible evidence for the treatment of infertility in TCM associated with westen medicine.Methods：36 cases included in thestandard case were randomly divided into two groups： one of 20 cases of treatment group in order to transfer Bushen conditioning menstrual cycle with westen medicine; 16 cases ofcontrol group in order to transfer only westen medicine. After one course （three menstrual cycle treatment for a course） were observed before and after treatment of changes intraditional Chinese medicine symptoms, the basal body temperature, P ,pregnancy, after treatment by the statistical methods, generally assessed the efficacy.Results： Treatment groupand control group, respectively, the total effective rate was 85.00% and68.75%, the two groups in the overall efficacy were not statistically significant differences（p〉0.05）, but inTraditional Chinese Medicine symptoms of improvement ,BBT and P value of the blood of improvement have significant differences（P〈0.05）; 2 women were pregnant in the treatmentgroup that had 7 infertilities,pregnancy rates was 28.57%;while the control group had none.Conclusion：TCM associated with western medicine is more effective in strengthening andperfecting corpus lutein,which takes advantage of pure Chinese medicine and western medicine,as well as coordinates secretion among hypothalamic-pituitary-ovarian axis.