刘春泥 廖鑫波 沈俭

[摘要] 目的 研究腹针联合补肾促排卵汤治疗排卵障碍不孕症的临床疗效。 方法 将2018年1月至2019年12月在我院妇科、针灸科诊疗的符合标准的40例患者按随机数字表法分为治疗组和对照组，每组各20例。治疗组给予腹针联合补肾促排卵汤治疗;对照组给予来曲唑治疗。两组均以10 d为一个疗程，连续治疗三个疗程，三个疗程后观察两组临床疗效、子宫内膜厚度及最大卵泡直径、BBT情况。 结果 治疗组总有效率（85.00%）高于对照组（80.00%），差异有统计学意义（P<0.05）;两组治疗后子宫内膜厚度及最大卵泡直径均大于治疗前，且治疗组大于对照组，差异有统计学意义（P<0.05）;两组患者治疗前后基础体温比较，治疗组复常率（75.00%）高于对照组（65.00%），差异有统计学意义（P<0.05）。 结论 腹针联合补肾促排卵汤治疗排卵障碍性不孕症副作用少，療效好，安全性高，值得推广。

[关键词] 腹针疗法;针药并用;补肾促排卵汤;排卵障碍;不孕症

[中图分类号] R271.14;R245          [文献标识码] B          [文章编号] 1673-9701（2021）03-0156-03

The curative effect of abdominal acupuncture combined with Tonifying-Ovulation Decoction in treating ovulatory dysfunctional infertility

LIU Chunni   LIAO Xinbo   SHEN Jian

Department of Gynecology， Jiujiang Traditional Chinese Medicine Hospital in Jiangxi Province， Jiujiang   332000， China

[Abstract] Objective To study the clinical efficacy of abdominal acupuncture combined with Tonifying-Ovulation Decoction in the treatment of ovulatory dysfunctional infertility. Methods Forty patients who met the standard in the department of Gynecology and the Department of Acupuncture and Moxibustion in our hospital from January 2018 to December 2019 were divided into treatment group and control group according to the random number table method， each group had 20 cases. Twenty patients in the treatment group were treated with abdominal acupuncture combined with Tonifying-Ovulation Decoction. Twenty patients in the control group were treated with letrozole. Both the treatment group and the control group were treated for three consecutive courses with 10 days as a treatment course. After the three courses， the clinical efficacy， endometrial thickness， maximum follicle diameter and BBT were observed in the two groups. Results The total effective rate of the treatment group（85.00%） was significantly higher than that of the control group（80.00%）（P<0.05）. The endometrial thickness and the largest follicle diameter of the two groups after treatment were greater than before treatment， and the treatment group was greater than the control group， the difference was statistically significant（P<0.05）. Comparison of basal body temperature between two groups before and after treatment. The normalization rate of the treatment group（75.00%） was higher than that of the control group（65.00%）， and the difference was statistically significant（P<0.05）. Conclusion Abdominal acupuncture combined with Tonifying-Ovulation Decoction in the treatment of ovulatory dysfunctional infertility has fewer side effects， good curative effects and high safety， and is worthy of promotion.

[Key words] Abdominal acupuncture; Combined acupuncture and medicine; Tonifying-Ovulation Cecoction; Ovulation disorders; Infertility

近年育龄女性的生育问题备受关注，不孕症的发病率呈逐年上升趋势，给不孕症女性的心理及家庭带来重大压力。临床女性不孕症发病因素包括输卵管因素、排卵障碍、感染因素、免疫性、原因不明等，其中输卵管因素发病率最高，为35%～40%，排卵障碍因素高达30%[1]，居第二位。排卵障碍性不孕症西医多采用促排卵药物治疗，常用来曲唑或人绒毛膜促性腺激素（Human chorionic gonadotropin，HCG）+人绝经期促性腺激素（Human menopausal gonadotropin，HMG），但藥物促排卵的副作用及不确定性高，常见的卵巢过度刺激综合征（Ovarian hyperstimulation syndrome，OHSS）会增加早产及围生儿低出生体重风险，甚至可能影响后代智力发育[2]，中医学认为排卵障碍性不孕主要与肾虚有关，因此本研究采用腹针及补肾促排卵汤来治疗排卵障碍性不孕症，两者方法的结合可使患者肾精充足，任通冲盛，胞脉通达，进而促进卵泡发育成熟、破裂，卵子排出，氤氲之时男女交媾则自然成孕，临床疗效显著，现报道如下。……