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中医多途径介入疗法辅助生殖技术对95例体外受精-胚胎移植失败患者的疗效观察

Curative effect of assisted reproduction technology by Traditional Chinese Medicine multi-channel interventional therapy on 95 cases of in vitro fertilization and embryo transfer failure.

作者信息

Xia Wanting, Huang Jinzhu, Zhou Hang, Zhong Yanmei, Xue Huarong, Wang Zhen Department Of Gynecology, Ma Qianhong, Zhang Ying, Zeng Qian

机构信息

Clinical Medical College of The Teaching Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610000, China.

Department of Gynecology, Pi county hospital of Traditional Chinese Medicine, Chengdu 611730, China.

出版信息

J Tradit Chin Med. 2017 Oct;37(5):681-687.

Abstract

OBJECTIVE

To evaluate the curative effect of Traditional Chinese Medicine (TCM) multi-channel interventional therapy on women with Assisted Reproductive Technology (ART) failure, to compare the curative effect of the dual therapy and triple therapy on women with ART Failure, and to choose the best TCM interventional therapeutic plan.

METHODS

The 95 cases with ART Failure from West China second University Hospital of Sichuan University meeting the inclusion criteria were randomly divided into three groups:dual therapy group (31 cases), triple therapy group (33 cases) and control group (31 cases). According to the intervene treatment of in vitro Fertilization and Embryo Transfer (IVF-ET) long cycle scheme, the control group wait naturally for 3 months before IVF- ET. The dual therapy group take TCM prescription Ⅱ of cultivating emotion and assisting reproduction and auricular acupoint therapy for 3 months before IVF-ET, then Western Medicine treatment progestin supporting as well as auricular application and Antai Recipe after IVF-ET transplantation. The triple therapy group take TCM prescription Ⅱ of cultivated emotion and assisted reproduction, auricular acupoint therapy and retention enema of TCM, and combination treatment the same as dual therapy group after transplantation. The natural pregnancy number, the period condition of secondary IVF-ET and the improvement of the kidney deficiency, liver depression and blood stasis syndrome among those three groups were compared.

RESULTS

It was showed from analysis in 95 cases with ART failure that the number of natural pregnancy was as followings: 3 patients from the dual therapy group, 10 patients from the triple therapy group, and no patient from the control group. The comparison among three groups have statistical significance (P < 0.05). The treatment group is superior to the control group, while the triple therapy is superior to the dual therapy. The comparison of the condition of the fertility rate, clinical pregnancy rate, biochemical pregnancy rate and early abortion rate during the period of secondary IVF-ET between pre-therapy and post-treatment of both the dual therapy group and the triple therapy group have statistical significance (P < 0.05). The comparison of the improvement of the kidney deficiency, liver depression and blood stasis syndrome between pre-therapy and post-treatment of both the dual therapy group and the triple therapy group have statistical significance (P < 0.05). The comparison between three groups after treatment have statistical significance (P < 0.05).

CONCLUSION

TCM multi-channel interventional therapy can increase the natural pregnancy rate of patients with ART Failure (the triple therapy is superior to the dual therapy); it can increase the fertility rate, clinical pregnancy rate, and decrease the early abortion rate during the period of secondary IVF-ET; it can improve syndromes of kidney deficiency, liver depression and blood stasis.

摘要

目的

评价中医多途径干预疗法对辅助生殖技术(ART)失败患者的疗效,比较双疗法和三疗法对ART失败患者的疗效,筛选出最佳的中医干预治疗方案。

方法

将四川大学华西第二医院符合纳入标准的95例ART失败患者随机分为三组:双疗法组(31例)、三疗法组(33例)和对照组(31例)。对照组按照体外受精 - 胚胎移植(IVF - ET)长方案干预治疗,自然等待3个月后行IVF - ET。双疗法组在IVF - ET前采用疏肝助孕Ⅱ号方联合耳穴疗法治疗3个月,移植后采用西药孕激素支持及耳穴贴压、安太方治疗。三疗法组在IVF - ET前采用疏肝助孕Ⅱ号方联合耳穴疗法及中药保留灌肠治疗3个月,移植后治疗同双疗法组。比较三组自然妊娠例数、再次IVF - ET周期情况及肾虚肝郁血瘀证改善情况。

结果

95例ART失败患者分析结果显示,自然妊娠例数:双疗法组3例,三疗法组10例,对照组0例。三组比较差异有统计学意义(P < 0.05)。治疗组优于对照组,且三疗法组优于双疗法组。双疗法组和三疗法组再次IVF - ET周期中治疗前后妊娠率、临床妊娠率、生化妊娠率及早期流产率比较差异有统计学意义(P < 0.05)。双疗法组和三疗法组治疗前后肾虚肝郁血瘀证改善情况比较差异有统计学意义(P < 0.05)。三组治疗后比较差异有统计学意义(P < 0.05)。

结论

中医多途径干预疗法能提高ART失败患者的自然妊娠率(三疗法优于双疗法);能提高再次IVF - ET周期中的妊娠率、临床妊娠率,降低早期流产率;能改善肾虚肝郁血瘀证。

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