中、西药促排卵及其监测方法的比较分析

Comparison Analysis of Ovulation Facilitated by Chinese Herbs and Western Medicine

目的 比较中药、西药促排卵的效果和用B超与常规的几种方法监测排卵的准确性与可靠性。方法 对 4 2例无排卵不孕症患者分两组进行促排卵治疗 ,其中 2 2例采用西药克罗米芬 (CC)治疗 ,2 0例用中药、针刺治疗。用B超连续监测卵泡发育速度、直径大小、排卵成功率 ;并与基础体温 (BBT)、宫颈粘液评分 (CMS)等进行排卵监测比较。结果 两组排卵无差异 (P >0 .0 5 )。两组共 2 6例 (2 6 / 4 2 ) 6 1 .90 %排卵 ,1 2例受孕 ,1 6例 (1 6 / 4 2 ) 38 1 0 %不排卵 ,其中 6例出现黄素化卵泡不破裂。结论 中、西药促排卵临床效果无差异 ,用B超监测排卵比常规用BBT、CMS要准确、可靠 ;对指导性生活 ,提高受孕率有帮助。

Objective To compare ovulation facilitation effect between Chinese herbs and western medicine, and compare ovulation accuracy and reliability monitored by some other common ways.Method 42 cases of anovulatory infertility patients were divided into 2 groups to receive ovulation facilitation treatment(22 cases treated by western medicine CC and the other 20 by Chinese medicine and acupuncture).Folliculi development velocity, diameter, successful ovulation rate were continually monitored by and the results were compared with those obtained by BBT and CMS.Results No difference appeared in ovulation of both groups. Altogether 26 cases(61 90%) ovulated and 12 cases gestated;16 cases anovulated(38 1%) and 6 cases had IUF.Conclusion There is no obvious difference in ovulation effect between Chinese herbs and western medicine;is more accurate and reliable than conventional methods.