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[枸橼酸氯米芬与定坤丹对多囊卵巢综合征促排卵及临床妊娠的影响]

[Effect of clomiphene citrate and Dingkun Dan on ovulation induction and clinical pregnancy of polycystic ovary syndrome].

作者信息

Chen Lan, Tan Yong, Chen Shu-Ping

机构信息

Nanjing University of Traditional Chinese Medicine, Nanjing 210046, China.

Changzhou Hospital Traditional Chinese Medicine, Changzhou 213003, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2017 Oct;42(20):4035-4039. doi: 10.19540/j.cnki.cjcmm.20170901.012.

Abstract

The evaluation is based on clomiphene citrate (CC)+gonadotropin (Gn), clinical study on CC and Dingkun Dan's treatment on ovulation induction and clinical pregnancy effect of PCOS, and to provide ideas and methods for traditional Chinese medicine assisted reproductive treatment. This study selected 60 PCOS infertility patients treated with ovulation induction in reproductive medicine clinic, Jiangsu Province Hospital of traditional Chinese medicine during 2015-10-01-2017-04-23. They were randomly divided into two groups: Group A (CC+Gn+HCG) and Group B (CC+Gn+Dingkun Dan). These results were observed and compared including cycle ovulation rate, cycle cancellation rate, cycle pregnancy rate, cumulative pregnancy rate, endometrial thickness, duration of Gn, total amount of Gn, the occurring rate of luteinized unruptured follicle syndrome and ovarian hyperstimulation syndrome. Group A had lower cycle ovulation rate, cycle pregnancy rate, cumulative pregnancy rate and endometrial thickness, compared with Group B, the difference was statistically significant(P<0.05). However, Group A had higher cycle cancellation rate, duration of Gn and total amount of Gn, compared with Group B, the difference was statistically significant(P<0.05). In this study, no case of LUFS or OHSS was found in all patients. CC and Dingkun Dan had the effect of promoting ovulation on PCOS infertility patients, and CC+Gn+Dingkun Dan could elevate clinical pregnancy rate.

摘要

本评估基于枸橼酸氯米芬(CC)+促性腺激素(Gn)、CC与定坤丹对多囊卵巢综合征(PCOS)排卵诱导及临床妊娠效果的临床研究,旨在为中医辅助生殖治疗提供思路与方法。本研究选取2015年10月1日至2017年4月23日期间在江苏省中医院生殖医学门诊接受排卵诱导治疗的60例PCOS不孕患者。将其随机分为两组:A组(CC+Gn+HCG)和B组(CC+Gn+定坤丹)。观察并比较两组的周期排卵率、周期取消率、周期妊娠率、累积妊娠率、子宫内膜厚度、Gn使用时长、Gn总量、未破裂卵泡黄素化综合征及卵巢过度刺激综合征的发生率。与B组相比,A组的周期排卵率、周期妊娠率、累积妊娠率及子宫内膜厚度较低,差异有统计学意义(P<0.05)。然而,与B组相比,A组的周期取消率、Gn使用时长及Gn总量较高,差异有统计学意义(P<0.05)。本研究中,所有患者均未出现未破裂卵泡黄素化综合征或卵巢过度刺激综合征病例。CC和定坤丹对PCOS不孕患者有促排卵作用,且CC+Gn+定坤丹可提高临床妊娠率。

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