周士源择机择时促排助孕经验总结

Summary for Time Selection Ovulation Induction and Assisted Conception ClinicalExperience by Professor ZHOU Shi-yuan

周士源教授治疗不孕症经验丰富,按照“调周-促卵泡发育-择机促排卵-择时受孕”的步骤,精准促排助孕,有效提高了临床不孕症患者受孕率。她认为治疗女性不孕首先应明确病因病机,注重分期调理月经:按照行经期治宜活血通络调经,经后期治宜补益肾气、益精养血,真机期治宜温阳通络、行气活血,经前期治宜阴阳双补、以补肾阳为主的原则,分期论治,并注重调理肝脾肾三脏的功能。再则擅长巧用中西医结合治疗,以中药配合针灸为主要特色,择机择时助卵泡发育及内膜生长;最后强调精准把握受孕最佳时期,即内膜达到8 mm以上、卵泡在18~25 mm之间、卵泡排出“氤氲之候”时指导受孕。本文旨在通过总结其择时择机精准促排助孕经验,为临床治疗不孕症提供借鉴。

Professor ZHOU Shi-yuan,has extensive professional experience working on the treatment of infertility.According to the steps of"regulating the menstrual cycle,stimulating follicular development,promoting ovulation at right time and choosing the best time to get pregnant",it has been effective increasing the conception rate for clinic patients with infertility by accurately ovulation induction.To make treatment for female infertility,Professor ZHOU initially makes clear causes and pathogenesis of infertility and lays emphasize on regulating menstrual cycle by stages:activating blood circulation to dredge collaterals during menstruation;tonifying the Kidney Qi and replenishing vital essence after menstruation;warming Yang to dredge collaterals and promoting blood circulation during ovulation;based on the principle of promoting both Yin and Yang and tonifying Kidney Yang,making treatments in different stages and putting more emphasis on regulating the functions of liver,spleen and kidney after ovulation.Then she is skilled in integrated treatment of Chinese and Western medicine.As the main feature,she uses herbal medicine with acupuncture to stimulate follicular development and increase the thickness of the endometrial layer at the best time.Finally,she emphasizes to accurately grasp the best time to get pregnant,that is,when the endometrial thickness should reach 8mm or more and the follicles should be between 18 and 25 mm in size for releasing of the egg under the pregnancy guidance.In conclusion,the purpose of this paper is to summarize Professor ZHOU's experience of promotion ovulation and assisted pregnancy which offers reference for clinical treatment for infertility.