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目的观察补肾活血序贯疗法结合西医常规治疗无排卵性不孕症的疗效。方法将64例无排卵性不孕症患者随机分为西药组(20例,用西医常规治疗)、中药组(22例,用补肾活血序贯疗法)、中西结合组(22例,用补肾活血序贯疗法结合西医常规治疗),疗程均为3个月。通过监测排卵与治疗前后血清孕酮水平变化及妊娠率来评价治疗效果,同时记录各组卵巢过度刺激综合征(OHSS)的发生例数。结果西药组排卵率为85.0%,受孕率为30.0%;中药组排卵率为63.6%,受孕率为45.5%,中西结合组排卵率为90.9%,受孕率63.6%。三组受孕率差异有统计学意义(P<0.05)。结论补肾活血序贯疗法结合西医常规治疗对无排卵性不孕的促排卵疗效优于单纯西医或中医治疗。
Objective To observe the curative effect of sequential therapy combining traditional Chinese medicine and traditional Chinese medicine on anovulatory infertility. Methods 64 cases of anovulatory infertility were randomly divided into western medicine group (n = 20, treated routinely with western medicine), Chinese herbal medicine group (n = 22), combination of Chinese medicine and western medicine (n = 22) Sequential therapy combined with Western conventional treatment), treatment are 3 months. The ovulation and pre and post-treatment serum progesterone levels and pregnancy rates were evaluated to evaluate the therapeutic effect. At the same time, the incidence of ovarian hyperstimulation syndrome (OHSS) in each group was recorded. Results The ovulation rate of the western medicine group was 85.0% and the conception rate was 30.0%. The ovulation rate of the traditional Chinese medicine group was 63.6% and the conception rate was 45.5%. The ovulation rate was 90.9% and the conception rate was 63.6%. The three groups of pregnancy rate difference was statistically significant (P <0.05). Conclusion The combination of traditional Chinese medicine and traditional Chinese medicine for promoting ovulation by antiviral sequential therapy combined with traditional Chinese medicine is superior to simple Western medicine or traditional Chinese medicine in promoting ovulation of anovulatory infertility.