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补肾宣郁法干预肾虚肝郁型卵巢储备功能减退患者临床疗效观察
张晓芬1, 佟庆2, 李云波1, 王群1, 刘银芝1, 杨松1
1.北京中医药大学第三附属医院, 北京 100029;2.北京中医药大学东方医院, 北京 100078
摘要:
[目的]观察补肾宣郁方益经滋癸饮治疗肾虚肝郁型卵巢储备功能减退患者的临床疗效。[方法]选择中、西医诊断符合肾虚肝郁型卵巢储备功能减退患者70例,随机分为治疗组和对照组各35例,分别给予益经滋癸饮颗粒剂及坤宝丸治疗,嘱患者自月经期第5天开始服用,早晚各服1次,持续3个月为1个疗程,月经期停药。观察治疗组与对照组临床症状积分变化,电化学发光法测定血清卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)水平。[结果]两组患者治疗后血清FSH、LH均较治疗前降低(P<0.05或P<0.01),对照组患者治疗后血清E2较治疗前降低(P<0.05);治疗后两组患者血清FSH、LH、E2比较无统计学差异(P>0.05);治疗组临床疗效评价优于对照组(P<0.05)。[结论]补肾宣郁型方药益经滋癸饮在治疗肾虚肝郁型卵巢储备功能减退方面优于中成药坤宝丸。
关键词:  卵巢储备功能减退  补肾宣郁法  肾虚肝郁  临床疗效观察
DOI:10.11656/j.issn.1672-1519.2018.07.05
分类号:R711.75
基金项目:北京市科委首都临床特色应用研究基金资助课题(Z131107002213140)。
Clinical curative effect observation on kidney nourishing ventilating depression therapy for the treatment of the kidney deficiency and liver stagnation of decline in ovarian reserve
ZHANG Xiaofen1, TONG Qing2, LI Yunbo1, WANG Qun1, LIU Yinzhi1, YANG Song1
1.The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;2.Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China
Abstract:
[Objective] To observe the effect of kidney nourishing ventilating depression therapy with Yijing Zigui yin for the treatment of the kidney deficiency and liver stagnation of decline in ovarian reserve.[Methods] According to the diagnosis of Western medicine and Chinese medicine meet of decline in ovarian reserve of the liver kidney deficiency in patients with a total of 70 cases, the computer randomly divided into treatment group and control group with 35 cases in each group, respectively, by Yijing Zigui yin treatment group and Kunbao pill control group. Patients were instructed to start taking from the menstrual period fifth days, morning and evening and lasting for 3 months for a course of treatment, next menstrual period withdrawal. To observe the treatment group and the control group clinical symptom score changes, the determination of serum follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) level, safety index and pregnancy rate.[Results] Serum FSH and LH levels in both groups decreased after treatment (P<0.05 or P<0.01), serum E2 level decreased after treatment in patients in the control group (P<0.05), there was no statistical difference in serum FSH, LH, E2 between the two groups after treatment (P>0.05), the clinical efficacy of the treatment group was better than the control group (P>0.05).[Conclusion] The treatment effect of decline in ovarian reserve of the kidney deficiency and liver stagnation in treatment of kidney nourishing ventilating depression therapy Yijing Zigui yin was better than Chinese patent medicine Kunbao pills.
Key words:  decline in ovarian reserve  kidney nourishing ventilating depression therapy  kidney deficiency and liver stagnation  clinical curative effect observation
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