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Effect of Yangyin Shugan Capsules and Clomiphene Citrate in the treatment of polycystic ovarian syndrome with infertility |
LI Yanming HUANG Na′na HE Shuling |
Women Care Outpatient Service of Preventive Treatment Centre, Zhongshan Hospital of Traditional Chinese Medicine, Guangdong Province, Zhongshan 528400, China |
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Abstract Objective To explore the clinical effect of Yangyin Shugan Capsules combined with Clomiphene Citrate in the treatment of polycystic ovary syndrome(PCOS) associated with infertility. Methods A total of 83 PCOS associated with infertility admitted in Zhongshan Hospital of Traditional Chinese Medicine from February 2016 to February 2018 were selected as the research subjects. Patients were divided into control group (n = 41) and experimental group (n = 42) according to the random number table method. The control group was treated with Clomiphene Citrate and the experimental group was treated with Yangyin Shugan Capsules combined with Clomiphene Citrate. The clinical efficacy, ovulation and pregnancy outcome and the incidence of ovarian hyperstimulation syndrome (OHSS) after treatment were compared between the two groups. The levels of serum hormone [estradiol (E2), follicle stimulating hormone (FSH) and luteinizing hormone (LH) ] were compared between the two groups before and after treatment, and the adverse reaction of the two groups was recorded during treatment. Results The total effective rate of the experimental group (76.19%) was significantly higher than that of the control group (46.34%) (P < 0.05). After treatment, levels of E2 and FSH in the two groups were significantly higher than before treatment, and the experimental group was significantly higher than those in the control group (P < 0.05); the level of LH of the two groups decreased significantly, and the experimental group was lower than that of the control group (P < 0.05). The ovulation rate and pregnancy rate of the experimental group were significantly higher than those of the control group (P < 0.05). There was no significant difference in OHSS between the two groups (P > 0.05), and there was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion Yangyin Shugan Capsules combined with Clomiphene Citrate is effective in the treatment of PCOS associated with infertility. It can improve the level of serum hormone, increase ovulation rate and pregnancy rate, and do not increase adverse reaction. It has a certain clinical value.
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[1] Dokras A,Stener-Victorin E,Yildiz BO,et al. Androgen Excess-Polycystic Ovary Syndrome Society:position statement on depression,anxiety,quality of life,and eating disorders in polycystic ovary syndrome [J]. Fertil Steril,2018, 109(5):888-899.
[2] 刘卫民,柳学芳,鲍友娥,等.痰脂消颗粒联合枸橼酸氯米芬治疗多囊卵巢综合征伴胰岛素抵抗45例临床研究[J].中国药业,2018,27(14):23-26.
[3] Williams S,Sheffield D,Knibb RC. The Polycystic Ovary Syndrome Quality of Life scale(PCOSQOL):Development and preliminary validation [J]. Health Psychol Open,2018, 5(2):2055102918788195.
[4] 杰措卓玛.养阴舒肝法治疗女性“怒”伤内分泌失调的疗效观察[J].实用妇科内分泌电子杂志,2016,3(6):106-107.
[5] 郑筱萸.中药新药临床研究指导原则:试行[M].北京:中国医药科技出版社,2002.
[6] 曹泽毅.中华妇产科学[M].北京:人民卫生出版社,2014.
[7] 王国萍,吴瑞芳,汤慧茹,等.氯米芬和来曲唑在多囊卵巢综合征不孕患者微刺激促排卵中的应用比较[J].实用妇产科杂志,2014,30(10):746-749.
[8] Khan MJ,Nazli R,Ahmed J,et al. Whole Genome Sequencing instead of Whole Exome Sequencing is required to identify the Genetic Causes of Polycystic Ovary Syndrome in Pakistani families [J]. Pak J Med Sci,2018,34(3):540-545.
[9] 娄英,晁亚萍.炔雌醇环丙孕酮配合克罗米芬治疗多囊卵巢综合征伴不孕60例[J].中国药业,2015,24(17):123-124.
[10] 贺媛,彭左旗,韩程成,等.低碳水化合物饮食对改善肥胖型多囊卵巢综合征患者不孕的临床研究[J].中国计划生育学杂志,2015,23(4):235-238.
[11] 陈娟,付琴,罗丽娟,等.综合护理干预对多囊卵巢综合征不孕患者接受体外受精-胚胎移植妊娠结局的影响[J].现代中西医结合杂志,2016,25(23):2610-2612.
[12] 梁白云,林晓桃,李少栾,等.炔雌醇环丙孕酮片、戊酸雌二醇片和氯米芬序贯用药治疗多囊卵巢综合征不孕临床分析[J].中华临床医师杂志:电子版,2015,9(3):496-498.
[13] El Refaeey A,Selem A,Badawy A. Combined coenzyme Q10 and clomiphene citrate for ovulation induction in clomiphene-citrate-resistant polycystic ovary syndrome [J]. Reprod Biomed Online,2014,29(1):119-124.
[14] 饶玲铭,王小云.滋肾养肝法治疗肾虚肝郁型月经过少的临床观察[J].广州中医药大学学报,2017,34(5):654-658.
[15] Bakhshalizadeh S,Amidi F,Shirazi R,et al. Vitamin D3 regulates steroidogenesis in granulosa cells through AMP-activated protein kinase(AMPK)activation in a mouse model of polycystic ovary syndrome [J]. Cell Biochem Funct,2018,36(4):183-193.
[16] 陈玲,王小云.养阴舒肝胶囊对绝经过渡期妇女月经失调影响临床研究[J].新中医,2013,45(8):118-120.
[17] 韦娟冰.来曲唑用于多囊卵巢综合征患者促排卵的临床疗效及安全性评价[J].中国临床药理学杂志,2015, 31(19):1928-1930.
[18] 姜朵生,张迎春,吴献群,等.针药联合克罗米芬治疗多囊卵巢综合征导致不孕症:随机对照研究[J].中国针灸,2015,35(2):114-118.
[19] 陈玲,王小云.养阴舒肝胶囊对绝经过渡期妇女月经失调影响临床研究[C].第十三次全国中医妇科学术大会论文集,2013:310-312.
[20] 曹俊红.中医心身同治方案对卵巢储备功能下降妇女月经失调的临床疗效[J].中国继续医学教育,2016,8(8):180-181. |
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