中西医结合治疗多囊卵巢综合征不孕的临床观察_林寒梅.pdfVIP

2009 年 6 月第 29 卷第 7 期 湖 南 中 医 药 大 学 学 报 Jun. 2009 Vol. 29 No. 7 Journal of TCM Univ. of Hunan 55 中西医结合治疗多囊卵巢综合征不孕 的临床观察 林寒梅1 ,伍涛2 （1.广西中医学院第一附属医院妇科，广西 南宁 530023； 2.广西中医学院2006级硕士研究生，广西 南宁 530001） 〔摘要〕目的：观察中药联合氯米芬+地塞米松治疗多囊卵巢综合征所致不孕的临床功效，初步评价其作用机 理。方法：将门诊120例PCOS不孕患者随机分为试验组72例，予内服温肾豁痰中药联合氯米芬+地塞米松治疗，观 察组48例单纯内服氯米芬+地塞米松治疗。1个月经周期为1个疗程，共治疗6个疗程。6个疗程后综合判定疗效，通 过统计学方法处理。结果：妊娠率试验组为69.44%，对照组为39.58%；排卵率比较，试验组为86.81%，观察组为 70.13%。两组治疗后妊娠率、排卵率比较有显著性差异（P＜0.05）。结论：中药联合氯米芬+地塞米松治疗PCOS不 孕疗效显著。 〔关键词〕多囊卵巢综合症；不孕症；温肾豁痰；临床研究 〔中图分类号〕R711.75 〔文献标识码〕A 〔文章编号〕1674-070X(2009)07-0055-03 〔Abstract〕Objective: observe the clincal effects of the traditional Chinese medicine,together with clomifene and dexamethasonum treating polycystic ovarian syndrome which results in sterility and preliminarily evaluate its functions. Methods: divide 120 clinic cases of PCOS persons suffering from sterility into two groups randomly.One experimental group of 72 cases take the traditional Chinese medicine of warming the kidney and cleaning the phlegm with clomifene plus dexamethasonum for treatment.The observational group of 48 cases only take clomifene plus dexamethasonum. There are six periods of treatment in which a menstrual cycle is one period.After these,the curative effects are made synthetically and results are dealt with by statistics. Results: the rate of pregnancy in the experimental group is 69.44%,and the other group is 39.58%. The rate of ovulation is 86.81% and 70,13% respectively.The rate of pregnancy and ovulation has a great difference (P＜0.05) after different