作　　者： (曾倩）; (马黔红）; (夏宛廷）; (黄金珠）; (周航）; (杨红梅）; (张佳缘）;

机构地区： 成都中医药大学附属医院,四川成都610075

出　　处： 《四川中医》 2017年第8期146-148,共3页

摘　　要： 目的:观察评价中医药分步论治IVF-ET失败患者再次IVF-ET助孕疗效。方法:选取符合纳入标准的137例于四川大学华西第二医院生殖中心行IVF-ET长方案失败后的患者(肾虚肝郁血瘀型)为对象,采用单盲随机分组进行临床观察研究。比较再次IVF-ET助孕周期的妊娠率、临床妊娠率、生化妊娠率及早期流产率等情况。结果:(1)经中医药分步论治治疗后,再次IVF-ET助孕的起始、移植周期妊娠率:治疗前后比较,治疗组差异有统计学意义(P<0.05),对照组差异无统计学意义(P>0.05);疗后比较,两组组间差异有统计学意义(P<0.05);(2)中医药分步论治治疗后,再次IVF-ET助孕周期的妊娠率、临床妊娠率及早期流产率:治疗前后比较,对照组差异无统计学意义(P>0.05),治疗组差异有统计学意义(P<0.05);疗后比较,两组组间差异有统计学意义(P<0.05)。结论:中医药分步论治可提高再次IVF-ET妊娠率及临床妊娠率,同时降低早期流产率。 Objective： To objectively analyzing the effect of assisted pregnancy of TCM step by step on the treatment of IVF-ET failure patients again IVF-ET. Methods： Selected to meet the inclusion criteria of 137 cases of Sichuan University Huaxi Second Hospital undergone IVF-ET rectangular case failure patients（ kidney deficiency and liver Qi stagnation and blood stasis type）as the object. Using a randomized methods,comparing the effect of assisted pregnancy after treatment in the two groups,including the pregnancy rate,clinical pregnancy rate,biochemical pregnancy rate and early abortion rate etc. Results： 1. The traditional Chinese medicine treatment step by step could improve the theinitial period pregnancy rate,and transfer cycles pregnancy rate.Comparison of before treatment and after treatment,there was no significant difference between the two group（ P〈0. 05）; the treatment group had statistical significance（ P〈0. 05）. The two groups were compared. After treatment,the difference was statistically significant（ P〈0. 05）. 2. The traditional Chinese medicine treatment step by step could improve the pregnancy rate,clinical pregnancy rate,reduce the abortion rate. Comparison of before treatment and after treatment,there was no significant difference between the controlled group（ P〈0. 05）; the treatment group had statistical significance（ P〈0. 05）. The two groups were compared. After treatment,the difference was statistically significant（ P〈0. 05）. Conclusion： The TCM on treatment step by step can improve the pregnancy rate,clinical pregnancy rate,reduce the abortion rate.

关 键 词： 中医药分步论治 肾虚肝郁血瘀 体外受精 胚胎移植 助孕疗效