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中西医结合治疗IVF/ICSI—ET过程中OHSS疗效观察

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摘要 目的观察中西医结合治疗IVF/ICSI.ET过程中卵巢过度刺激综合征(OHSS)的疗效。方法OHSS患者614例,随机分为观察组30例,对照组31例。对照组常规西医治疗;观察组在常规西医治疗基础上加用中药汤剂治疗。同时观察两组患者症状、体征、血浆白蛋白(ALB)、纤维蛋白原(FIB)、红细胞比容(HCT)的变化。结果观察组总有效率为93.3%,对照组为71.0%,两组比较差异有统计学意义(P〈0.05)。两组体重、腹围均较治疗前明显降低(P〈0.05),观察组与对照组比较,差异均有统计学意义(P〈0.05)。两组患者治疗后HCT、Fib、ALB水平与治疗前比较,差异均有统计学意义(P〈0.05),现察组治疗后各指标水平与对照组同时间比较,差异均有统计学意义(P〈0.05)。结论中西医结合治疗OHSS疗效明显。且无不良反应。 Objective To observe the therapeutic effect of combined traditional Chinese and Western Medicine on ovarian over stimulation syndrome in IVF/ICSI-ET. Methods The 61 patients of ovarian hyperstimulation syndrome ( OHSS ) , were randomly divided into the observation group ( 30 cases ) and the control group ( 31 cases ) . The observation group therapy combined with traditional Chinese medicine decoction on the basis of conventional western medicine treatment, and observe the changes of the symptoms, signs, serum albumin ( ALB ) , fibrinogen ( FIB ) , hematocrit ( HCT ) of the two groups. Results In the observation group, the total effective rate was 93.3%, the control group was 71%, there was significant difference between the two groups ( P〈0.05 ) . Two groups of body weight, abdominal circumference significantly than before treatment reduce (P〈0.05) . The level of each index after treatment in the observation group and the control group at the same time, the differences were statistically significant ( P〈0.05 ) . HCT, Fib, ALB levels of the two groups of patients after treatment of were compared with those before treatment, the differences were statistically significant ( P〈0.05 ) . The level of each index in observation group after treatment were compared with the control group at the same time, the differences were statistically significant ( P〈0.05 ) . Conclusion The combination of traditional Chinese medicine and Western medicine has a significant effect on ovarian hyper stimulation syndrome, and has no adverse reaction.
出处 《浙江临床医学》 2016年第11期2085-2086,共2页 Zhejiang Clinical Medical Journal
关键词 中西医结合 体外受精 胞浆内单精子注射 卵巢过度刺激综合征 Combination of traditional Chinese and Western Medicine In vitro fertilization Intracytoplasmic sperm injection Ovarian hyper stimulation, syndrome
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  • 1蔺莉,魏丽惠.吲哚美辛治疗卵巢过度刺激综合征的实验研究[J].中国妇产科临床杂志,2004,5(2):135-137. 被引量:8
  • 2蔺莉,魏丽惠.卵巢过度刺激综合征发生机制的研究进展[J].生殖与避孕,2005,25(2):103-106. 被引量:6
  • 3CHEN Shee-uan,CHEN Chin-der,YANG Yu-shih.Ovarian hyperstimulation syndrome (OHSS):new strategies of prevention and treatment[J].J Formos Med Assoc,2008,107(7):509-512. 被引量:1
  • 4UJIOKA T,MATSUURA K,KAWANNO T,et al.Role of progesterone in capillary permeability in hyperstimulated rats[J].Hum Reprod,1997,12(8):1 629-1 634. 被引量:1
  • 5DEMIR R,KAYISLI U A,SEVAL Y,et al.Sequential expression of VEGF and its receptors in human placental villi during very early pregnancy:differences between placental vasculogenesis and an giogenesis[J].Placenta,2004,25(6):560-572. 被引量:1
  • 6ABOULGHAR M A.Editorial:preventing ovarian hyperstimulation syndrome[J].J Clin Endocrinol Metab,2007,92(8):2882-2 884. 被引量:1
  • 7VARDHANAA P A,POLLAKA S V,LUSTBADER E G,et al.An HCG antagonist reduces ovulation and diminishes OHSS in a rat model through downregulation of VEGF[J].Fertil Steril,2007,88(Suppl 1):288. 被引量:1
  • 8ENGMANN L L,ROMAK J J,NULSEN J C,et al.Luteal phase circulating vascular endothelial growth factor (VEGF),estradiol (E《,2》) and progesterone (P) levels after GnRH agonist trigger[J].Fertil Steril,2007,88(Suppl 1):119. 被引量:1
  • 9CERRILLO M,RODRíGUEZ S,MAYORAL M,et al.Differential regulation of VEGF after final oocyte maturation with GnRH agonist versus HCG:a rationale for OHSS reduction[J].Fertil Steril,2009,91(Suppl 4):1526-1528. 被引量:1
  • 10BABAYOF R,MARGALIOTH E J,HULEIHEL M,et al.Serum inhibin A,VEGF and TNFα levels after triggering oocyte maturation with GnRH agonist compared with HCG in women with polycystic ovaries undergoing IVF treatment:a prospective randomized trial[J].Hum Reprod,2006,21(5):1260-1265. 被引量:1

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