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补肾疏肝汤联合调卵助孕电针治疗卵巢储备功能减退的研究 被引量:1
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作者 任杏杏 卫爱武 +3 位作者 宋艳丽 万彦荣 肖惠冬子 何东杰 《中医研究》 2023年第9期27-31,共5页
目的:观察补肾疏肝汤联合调卵助孕电针治疗卵巢储备功能减退(diminished ovarian reserve,DOR)的临床疗效及对卵泡刺激素(follicle-stimulating hormone,FSH)、雌二醇(estradiol,E_(2))、抗米勒管激素(anti-Müllerian hormone,AMH... 目的:观察补肾疏肝汤联合调卵助孕电针治疗卵巢储备功能减退(diminished ovarian reserve,DOR)的临床疗效及对卵泡刺激素(follicle-stimulating hormone,FSH)、雌二醇(estradiol,E_(2))、抗米勒管激素(anti-Müllerian hormone,AMH)的影响。方法:将84例DOR患者随机分为治疗组和对照组,每组42例。对照组给予调卵助孕电针(取穴:关元、中脘、气海、双侧子宫、天枢、三阴交、太冲、足三里、双肾俞、肝俞、次髎)治疗,腹部与背部交替针刺,10次为1个疗程,隔日1次,经期停用。治疗组在对照组治疗基础上给予补肾疏肝汤(药物组成:熟地黄、淫羊藿、菟丝子、山茱萸、川芎、柴胡、香附、紫河车、丹参、当归、赤芍、白芍、生地黄),1 d 1剂,水煎200 mL,分早晚各温服100 mL,经期停药。两组均连续治疗3个疗程判定疗效。结果:治疗组显效23例,有效13例,无效6例,有效率为85.71%(36/42);对照组显效14例,有效17例,无效11例,有效率为73.81%(31/42)。两组疗效对比,差异有统计学意义(P<0.05)。治疗后,两组性欲减退、腰膝酸软、潮热汗出、月经紊乱症状评分及FSH、阻力指数降低(P<0.05或P<0.01),且治疗组性欲减退、腰膝酸软及月经紊乱症状评分及FSH、阻力指数低于对照组(P<0.05);卵巢体积、优卵泡数量、优势卵泡直径、搏动指数、E_(2)和AMH较治疗前均升高(P<0.01),且治疗组高于对照组(P<0.05或P<0.01)。随访1年,治疗组受孕30例,受孕率为71.43%(30/42);对照组受孕18例,受孕率为42.86%(18/42)。两组受孕情况对比,差异有统计学意义(P<0.01)。结论:补肾疏肝汤联合调卵助孕电针治疗DOR能改善患者内分泌情况,促进卵巢间质血流动力学,改善卵巢局部微环境,提升卵巢储备功能,提高受孕率,且安全性较高。 展开更多
关键词 补肾疏肝汤 调卵助孕电针 卵巢储备功能低下 受孕率
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滋阴疏肝汤治疗卵巢储备功能低下性不孕症 被引量:1
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作者 肖惠冬子 卫爱武 +4 位作者 何东杰 万彦荣 任杏杏 石少琦 景竹青 《河南中医》 2023年第8期1189-1192,共4页
目的:观察滋阴疏肝汤治疗卵巢储备功能低下性不孕症的临床疗效及其对患者妊娠率、性激素水平的影响。方法:将70例卵巢储备功能低下性不孕症患者按照随机数字表法分为对照组和观察组,每组各35例。对照组给予常规西药治疗,观察组在对照组... 目的:观察滋阴疏肝汤治疗卵巢储备功能低下性不孕症的临床疗效及其对患者妊娠率、性激素水平的影响。方法:将70例卵巢储备功能低下性不孕症患者按照随机数字表法分为对照组和观察组,每组各35例。对照组给予常规西药治疗,观察组在对照组治疗的基础上给予滋阴疏肝汤治疗。比较两组患者的临床疗效、妊娠率及治疗前后中医证候评分、血清性激素水平[雌二醇(estradiol,E2)、FSH、黄体生成素(luteinizing hormone,LH)、孕酮(progesterone,P)]、卵巢功能[卵巢动脉搏动指数(pulsatility index,PI)、窦卵泡数(antral follicle count,AFC)、卵巢平均容积(average ovarian volume,OAV)、卵巢动脉阻力指数(resistance index,RI)]变化情况。结果:对照组有效率为65.71%,观察组有效率为97.14%,两组患者有效率比较,差异具有统计学意义(P<0.05)。两组患者治疗后经期延迟、月经量少、腰酸腿软、倦怠乏力、潮热盗汗等中医证候积分均低于本组治疗前,且治疗后观察组各项中医证候积分均低于对照组(P<0.05)。两组患者治疗后FSH、LH、P水平均低于本组治疗前,E2高于本组治疗前,且治疗后组间比较,差异具有统计学意义(P<0.05)。两组患者治疗后PI、AFC、OAV水平均高于本组治疗前,RI水平均低于本组治疗前,治疗后组间比较,差异均有统计学意义(P<0.05)。观察组妊娠27例(77.14%),对照组妊娠19例(54.29%),观察组妊娠率高于对照组(P<0.05)。结论:滋阴疏肝汤治疗卵巢储备功能低下性不孕症,能够有效改善患者性激素水平和卵巢功能,提高妊娠率。 展开更多
关键词 卵巢储备功能低下性不孕症 滋阴疏肝汤 戊酸雌二醇片 黄体酮胶囊 中西医结合疗法
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丹寿汤含药血清对抗心磷脂抗体引起的内皮细胞损伤的影响 被引量:4
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作者 卫爱武 石少琦 +6 位作者 宋艳丽 肖惠冬子 徐广立 何东杰 万彦荣 郭晶晶 倪婷婷 《中华中医药学刊》 CAS 北大核心 2021年第12期5-9,共5页
目的探讨丹寿汤含药血清对抗心磷脂抗体(anticardiolipin antibody, aCL)致人脐静脉内皮细胞(human umbilical vein endothelial cells, HUVEC)损伤的影响及作用机制。方法制备丹寿汤大鼠含药血清,将HUVEC为5组:空白血清对照组、损伤模... 目的探讨丹寿汤含药血清对抗心磷脂抗体(anticardiolipin antibody, aCL)致人脐静脉内皮细胞(human umbilical vein endothelial cells, HUVEC)损伤的影响及作用机制。方法制备丹寿汤大鼠含药血清,将HUVEC为5组:空白血清对照组、损伤模型组、低浓度含药血清处理组、中浓度含药血清处理组、高浓度含药血清处理组。10%含药血清预处理24 h后,加入aCL诱导建立细胞模型。细胞增殖检测试剂盒(cell counting kit-8, CCK-8)分析各组细胞的增殖能力,蛋白免疫印迹法(Western Blot)检测各组细胞Toll样受体4(Toll-like receptor4, TLR4)、髓样分化因子88(mydoid differentiation factor88, MyD88)、胞核p65的表达,酶联免疫吸附法(enzyme linked immunosorbent assay, ELISA)检测各组细胞上清液中白细胞介素1β(interleukin1β, IL-1β)、肿瘤坏死因子(tumor necrosis factor, TNF-α)、白细胞介素6(interleukin6, IL-6)表达水平,实时荧光定量PCR(Real-time PCR)结合Western Blot检测组织因子(tissue factor, TF)、血管细胞黏附分子1(vascular cell adhesionmolecule-1, VCAM-1)。结果丹寿汤含药血清可抑制aCL引起的细胞活力下降,抑制TLR4/MyD88/NF-κB通路活性,抑制炎性因子IL-1β、IL-6、TNF-α释放,降低TF、VCAM-1 mRNA和蛋白表达。结论丹寿汤含药血清对aCL所致HUVEC损伤的保护作用可能与其抗炎及抗黏附作用有关。 展开更多
关键词 丹寿汤含药血清 人脐静脉内皮细胞 抗心磷脂抗体 细胞损伤
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Features of Sandy Debris Flows of the Yanchang Formation in the Ordos Basin and Its Oil and Gas Exploration Significance 被引量:24
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作者 LI Xiangbo CHEN Qilin +4 位作者 LIU Huaqing wan yanrong WEI Lihua LIAO Jianbo LONG Liwen 《Acta Geologica Sinica(English Edition)》 SCIE CAS CSCD 2011年第5期1187-1202,共16页
Sandy debris flow is a new genetic type of sand bodies,which has gained much attention in recent years and its corresponding theory is proved to be a significant improvement and even partial denial to the 'Bouma S... Sandy debris flow is a new genetic type of sand bodies,which has gained much attention in recent years and its corresponding theory is proved to be a significant improvement and even partial denial to the 'Bouma Sequence' and 'turbidite fan' deep-water sedimentary theories to some point. Oil exploration researchers are highly concerned with sandy debris flows for its key role in controlling oil and gas accumulation processes.In this article,by applying sandy debris flows theory and combining a lot work of core,outcrop observation and analysis plus seismic profile interpretation,we recognized three types of sedimentary gravity flows that are sandy debris flows,classic turbidites and slumping rocks in chang-6 member of Yanchang Formation in the deep-water area of central Ordos Basin.Among the three types,the sandy debris flows are the most prominent and possesses the best oil bearing conditions.On the contrary,the classic turbidites formed by turbidity currents are limited in distribution;therefore,previous Yanchang Formation deep-water sedimentary studies have exaggerated the importance of turbidite currents deposition.Further study showed that the area distribution of deep water gravity flow sand bodies in Yanchang Formation were controlled by the slope of the deep-water deposits and the flows had vast distribution,huge depth and prevalent advantages for oil forming,which make it one of the most favorable new areas for Ordos Basin prospecting. 展开更多
关键词 sandy debris flows sedimentary characteristics oil and gas prospecting values Yanchang Formation Ordos Basin
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The origin and accumulation model of crude oils from oil reservoirs Chang 9 and Chang 10 in the Yanchang Formation of the Ordos Basin 被引量:1
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作者 HUANG Junping LI Xiangbo +5 位作者 CHEN Qilin YANG Zhanlong wan yanrong WEI Lihua LONG Liwen LIU Xiaoguang 《Chinese Journal Of Geochemistry》 EI CAS 2012年第3期327-339,共13页
In the lower parts of oil reservoirs Chang 9 and Chang 10 of the Yanchang Formation are oil-bearing layers newly found in oil exploration in the Ordos Basin.Based on GC,GC-MS analyses of saturated hydrocarbons from cr... In the lower parts of oil reservoirs Chang 9 and Chang 10 of the Yanchang Formation are oil-bearing layers newly found in oil exploration in the Ordos Basin.Based on GC,GC-MS analyses of saturated hydrocarbons from crude oils and source rocks,reservoir fluid inclusions and BasinMod,the origin of crude oils,accumulation period and accumulation models are discussed in combination with other petroleum geology data in this paper.The result shows that(1) there are two different types of crude oils in oil reservoir Chang 9 in the Longdong and Jiyuan regions:crude oils of typeⅠ(Well D86,Well A44,Well A75,Well B227,Well X62 and Well Z150) are mainly de-rived from the Chang 7 source rocks(including mudstones and shales) and distributed in the Jiyuan and Longdong regions;those of typeⅡ(Well Z14 and Well Y427),are distributed in the Longdong region,which are derived from the Chang 9 source rocks.Crude oils from oil reservoir Chang 10 in the Shanbei region are mainly derived from the Chang-9 source rocks;(2) there are two phases of hydrocarbon filling in oil reservoir Chang 9 in the Jiyuan and Longdong regions and oil reservoir Chang 10 in the Shanbei region:The first phase started at the early stage of J2z.The process of hydrocarbon filling was discontinuous in the Late Jurassic,because of the tectonic-thermal event in the Ordos Basin.The second phase was the main accumulation period,and hydrocarbons began to accumulate from the late stage of J2a to the middle-late of K1,mainly at the middle-late stage of K1;(3) there exist two types of accu-mulation models in oil reservoirs Chang 9 and Chang 10 of the Yanchang Formation:source rocks of the reservoirs in oil reservoir Chang 9 in the Jiyuan region and oil reservoir Chang 10 in the Shanbei region,the mixed type of reservoirs on the lateral side of source rocks and source rocks of the reservoirs in oil reservoir Chang 9 in the Long-dong region. 展开更多
关键词 鄂尔多斯盆地 原油类型 成藏模式 延长组 油藏 GC-MS分析 石油勘探 陕北地区
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