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连方,孙振高,张建伟,滕依丽,张宁,贺瑞燕,李婷婷.中药联合体外受精-胚胎移植治疗多囊卵巢综合征临床研究[J].中国中西医结合杂志,2008,(11):977-980
中药联合体外受精-胚胎移植治疗多囊卵巢综合征临床研究
Combined Therapy of Chinese Medicine with in vitro Fertilization and Embryo Transplantation for Treatment of Polycystic Ovarian Syndrome
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DOI:
中文关键词:  中药  体外受精-胚胎移植  多囊卵巢综合征  补肾调冲
英文关键词:Chinese drug  in vitro fertilization and embryo transplantation  polycystic ovarian syndrome  reinforeing Shen and regulating Chaong channel
基金项目:
作者单位
连方 山东中医药大学附属医院 
孙振高 山东中医药大学附属医院 
张建伟 山东中医药大学 
滕依丽 山东中医药大学 
张宁 山东中医药大学 
贺瑞燕 山东中医药大学 
李婷婷 山东中医药大学 
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中文摘要:
      目的评价补肾调冲中药联合体外受精-胚胎移植(IVF-ET)治疗多囊卵巢综合征(PCOS)患者的有效性。方法将64例行IVF-ET的PCOS患者按随机数字表法分为观察组(36例)和对照组(28例),观察组加服补肾调冲中药二至天癸颗粒。结果注射绒毛膜促性腺激素(HCG)日子宫内膜分型,观察组A级分型所占的比例为75.0%(27/36),对照组为42.9%(12/28),两组比较差异有统计学意义(P<0.01);观察组的优质卵率、受精率、优质胚胎率、临床妊娠率及卵巢过度刺激综合征(OHSS)发生率分别为(76.8±8.2)%、(73.5±8.9)%、(89.4±14.4)%、36.11%(13/36)及5.56%(2/36);而对照组分别为(64.4±8.7)%、(68.2±10.0)%、(79.5±15.2)%、21.43%(6/28)及10.71%(3/28),两组比较差异均有统计学意义(P<0.05);促性腺激素(Gn)用量,观察组为(33.8±12.5)支,对照组为(47.6±18.2)支(每支75IU),两组比较差异有统计学意义(P<0.01);取卵数目两组比较差异无统计学意义。结论在IVF-ET过程中联合应用补肾调冲中药可减少Gn用量,提高临床妊娠率。
英文摘要:
      Objective To evaluate the validity of Chinese drugs for reinforcing Shen and regulating Chong channel(RSRCC)on patients with polycystic ovarian syndrome(PCOS)undergoing in vitro fertilization and embryo transplantation(IVF-ET).Methods Sixty-four patients with PCOS undergoing IVF-ET were randomly assigned to two groups,the treated group(36 cases)and the control group(28 cases),to the former,Chinese recipe for RSRCC was given additionally.Results On the human chorionic gonadotrophin(HCG)injecting day,the percentage of three-line sign of endometrium(type A)in the treated group was 75.0%(27/36),which was higher than that in the control group(42.9%,12/28),showing significant difference between the two groups(P<0.01).The rates of mature oocytes,fertilization,high-qualified embryo rate,clinical pregnancy rate and incidence rate of ovary hyper-stimulating syndrome(OHSS)in the treated group were(76.8±8.2)%,(73.5±8.9)%,(89.4±14.4)%,36.11%(13/36)and 5.56%(2/36),respectively;whereas those in the control group(64.4±8.7)%,(68.2±10.0)%,(79.5±15.2)%,21.43%(6/28)and 10.71%(3/28);the dosage of gonadotrophin administered in the treated group was 33.8±12.5 ampoules,and in the control group 47.6±18.2 amp oules,statistical significance was shown between groups in comparing all the above-mentioned parameters(P<0.05,P<0.01).However,the number of oocytes obtained in the two groups was insignificantly different(P>0.05).Conclusion Combined use of Chinese drugs for RSRCC in IVF-ET can reduce the dosage of gonadotrophin administered and raise the clinical pregnant rate.
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