第31卷第5期2013年5月中华中医药学刊CHINESEARCHIVESOFTRADITIONALCHINESEMEDICINEVol.31No.5May2013中华中医药1210学刊中药补肾序贯疗法治疗卵巢功能减退疗效观察徐京晓,冯导(杭州师范大学医学院附属余杭医院,浙江杭州311100)摘要:目的:探讨中药补肾序贯疗法对卵巢功能减退(Decreasingovarianstone,DOS)患者的影响。方法:38例肾阴虚型DOS患者,随机分为治疗组(补肾序贯法)和对照组(六味地黄汤),观察两组治疗前后月经改变,通过症状评分观察治疗前后患者症状的变化,检测两组治疗前后血清卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E2)水平。结果:治疗组与对照组相比总疗效差异有显著性(P<0.05);治疗前后月经情况改善两组间比较差异有显著性(P<0.05);在各症状改善方面,除了烘热汗出症状两组均有效,同时治疗组优于对照组,尤其是在改善腰膝酸软等伴随症状方面,两组比较差异有显著性(P<0.05)。在血清FSH、FSH/LH、E2水平改善方面,两组治疗前后差异有显著性(P<0.05),且治疗组较对照组效果更明显,组间比较差异有显著性(P<0.05)。结论:中药补肾序贯疗法能有效得改善DOS患者症状,恢复月经周期,改善卵巢功能,疗效肯定,在调节生殖内分泌方面有广泛应用前景。关键词:卵巢功能减退;补肾序贯法中图分类号:R711.75文献标志码:B文章编号:1673-7717(2013)05-1210-03ClinicalObservationonSequentialTherapyofInvigoratingKidneyinTreatmentofDecreasingOvarianStoneXUJingxiao,FENGDao(YuhangHospitalAffiliatedtoMedicalCollegeofHangzhouNormalUniversity,Hangzhou311100,Zhejiang,China)Abstract:Objective:Tostudytheeffectofsequentialtherapyofinvigoratingkidneyondecreasingovarianstone(DOS).Method:38womenwithDOSwererandomlydividedintotwogroups.ThetherapeuticgroupwastreatedwithBushenXuguanDecoction;thecontrolgroupwastreatedwithLuweiDihuangDecoction.Symptomswereobservedbeforeandaftertreatment;serumestradiol(E2),follicle-stimulatinghormone(FSH)andluteinizinghormone(LH)weretested.Result:Theintegralofsymptomswasdecreasedsignificantlycomparedwiththatpre-treatmentingroups(P<0.05,P<0.01),therewassignificantdifferencebetweengroups(P<0.05).Precedingtreatmentsymptoms,fatigueandirascibili-ty,andvaginaldrynesswereobvious.Aftertreatmentallsymptomsexceptflushingandsweatingweresignificantlybetterthanthatbeforetreatment(P<0.05).Symptomofflaccidandweakwaistandkneesofthetherapeuticgroupwasamelio-ratedsignificantlybetterthanthesameofthecontrolgroup(P<0.05).AftertreatmentFSHandFSH/LHnotablyde-creasedandE2notablyincreasedingroups(P<0.05),andtherewasnotabledifferencebetweengroups(P<0.05).Conclusion:ThesequentialtherapyofinvigoratingkidneycanamelioratethesymptomsofDOS.Itcanmakethemenstrua-tionregularandamelioratetheovarianfunction.ThesequentialtherapyofinvigoratingkidneywithChinesemedicinecanbeusedwidlytoadjustendocrineandreproductivesystems.Keywords:decreasingovarianstone;sequentialtherapyofinvigoratingkidney收稿日期:2012-11-20作者简介:徐京晓(1980-),女,浙江东阳人,主治医师,硕士,研究方向:生殖内分泌。卵巢产生卵子能力减弱,卵泡细胞质量下降,导致女性生育能力下降及性激素的缺乏,称为卵巢储备功能下降(Decreasingovarianstone,DOS),也称为卵巢功能减退。卵巢功能减退患者如不及时治疗,卵巢逐渐萎缩可致卵巢早衰[1]。卵巢早衰患者的治疗极其复杂和困难,目前对于未生育的卵巢早衰患者的促排卵和受孕问题,仍是妇产科医师面临的一大难题,故对卵巢功能减退患者应通过主动筛查,尽可能做到早期发现,早期防治。笔者采用中药滋阴、补阳序贯疗法治疗卵巢功能减退38例,并对其进行了系统的临床观察,旨在探讨中药补肾序贯法对卵巢储备功能的影响。兹总结如下。1临床资料1.1一般资料选择在我院中医妇科门...