Ma Kun, Tian Cai-Die, Chen Yan-Xia, Li Min, Gong Lin-Juan
China Academy of Chinese Medical Sciences Beijing 100700, China.
Xiyuan Hospital, China Academy of Chinese Medical Sciences Beijing 100091, China.
Zhongguo Zhong Yao Za Zhi. 2021 Jun;46(11):2634-2638. doi: 10.19540/j.cnki.cjcmm.20210311.501.
In the context of the new era, paying attention to maternal and child health and advocating prenatal and postnatal care can effectively improve the quality of the birth population. Traditional Chinese medicine has a long history of prenatal and postnatal healthcare with rich content, which is the theoretical basis of modern related services. With the social development and the improvement of people's awareness of prenatal and postnatal healthcare, people have gradually shifted the focus of prenatal and postnatal healthcare to the peri-pregnancy stage at present, namely that couples of childbearing age are guided to prepare for pregnancy under the premise of solving their basic diseases. Infertility is a common and refractory disease for women of childbearing age. Ovulation disorder is one of its common pathological mechanisms. Traditional Chinese medicine believes that kidney deficiency is the main cause and pa-thogenesis of anovulation infertility and blood stasis is an important factor throughout the disease course. In clinical practice, therapies for invigorating kidney and activating blood are safe and reliable to treat anovulatory infertility mainly by adjusting the hypothalamus-pituitary-ovarian axis, improving ovarian function, uterine environment and gamete quality and increasing endometrial volume. Under the guidance of the thought of prenatal and postnatal healthcare, the authors tried to explore the effect of therapies for kidney-tonifying and blood-activating in the treatment of anovulatory infertility in eugenics, with the purpose of providing ideas and basis for subsequent relevant clinical studies and contributing to prenatal and postnatal healthcare services.
在新时代背景下，关注妇幼健康、倡导围产期保健可有效提高出生人口素质。中医围产期保健历史悠久、内容丰富，是现代相关服务的理论基础。随着社会发展和人们围产期保健意识的提高，目前人们已逐渐将围产期保健重点转移至孕前期阶段，即在解决育龄夫妇基础疾病的前提下，指导其做好备孕准备。不孕症是育龄期女性的常见难治性疾病，排卵障碍是其常见病理机制之一。中医认为肾虚是无排卵性不孕症的主要病因病机，血瘀是贯穿疾病全程的重要因素。临床实践中，补肾活血法治疗无排卵性不孕症主要通过调节下丘脑-垂体-卵巢轴、改善卵巢功能、子宫环境及配子质量、增加子宫内膜容受性等，安全可靠。在围产期保健思想指导下，笔者试图探讨补肾活血法在优生优育中治疗无排卵性不孕症的效果，旨在为后续相关临床研究提供思路和依据，为围产期保健服务贡献力量。
