摘要
通过归纳近18年中医药在体外受精-胚胎移植中的临床研究成果以及相关文献,分析其在中医辅助生殖临床的共性特征。认为近18年补肾法在体外受精-胚胎移植中的优势更加突显:肾虚是不孕症患者的主要病机;IVF-ET前辨证补肾是提高成功率的关键;IVF-ET前应重视其相关"基础疾病"的治疗:辨证调理体质治疗多囊卵巢综合征;补肾活血法治疗子宫内膜异位症;驱邪与扶正并用治疗盆腔炎;肾虚是IVF-ET中的主要病机;IVF-ET中应辨证补肾为主;IVF-ET中应重视辨病辨证结合:补肾健脾法治疗IVF-ET中的卵巢低反应;调肾为主,兼调心肝脾治疗IVF-ET的多囊卵巢综合征;活血解毒法治疗IVFET的子宫内膜异位征;补肾活血治疗反复IVF-ET失败者子宫内膜容受性差等。电针辅助有效防治IVF过程中0HSS发生。IVF-ET中应重视男方的调理。
By summarizing the clinical research Results and related literature of traditional Chinese medicine in vitro fertilization and embryo transfer (IVF) for the last 18 years, the common characteristics of the auxiliary reproductive clinic in traditional Chinese medicine were analyzed. It is believed that the advantages of kidney tonifying method in in vitro fertilization and embryo transfer in the last 18 years are more obvious: kidney deficiency is the main pathogenesis of infertile patients;syndrome differentiation before IVF-ET is the key to improve the success rate;before IVF-ET should pay attention to its related "basic disease" treatment: syndrome differentiation and conditioning treatment of polycystic ovary syndrome, kidney invigorating and blood activating therapy Endometriosis, exorcism and correction and treatment of pelvic inflammation, kidney deficiency is the main pathogenesis in IVF-ET, IVF-ET should be the main kidney tonifying, IVF-ET should attach importance to differentiation of diseases and syndrome differentiation: tonifying the kidney and invigorating the spleen method for the treatment of ovarian low reaction in IVF-ET, regulating the kidney mainly, and regulating the IVF-ET of the polycystic ovary syndrome of the heart and the spleen and the spleen;activating blood Detoxification was used to treat endometriosis of IVF-ET, and Bushen Huoxue therapy was used to treat recurrent IVF-ET failure, and endometrial receptivity was poor. Electroacupuncture was used to assist in the effective prevention and treatment of 0HSS in IVF. IVF-ET should pay attention to the man's conditioning.
作者
庞保珍
庞清洋
庞慧卿
李霞
宋国宏
PANG Baozhen;PANG Qingyang;PANG Huiqing;LI Xia;SONG Guohong(Infertility Department, Liaocheng Hospital of Traditional Chinese Medicine, Shandong Province, Liaocheng 252000, China;Reproductive Medicine, the Affiliated Reproductive Hospital of Shandong University, Shandong Province, Jinan 250000, China;Institute of Basic Medicine, Shandong Academy ofMedical Sciences, Shandong Province, Jinan 250062, China;Department of Traditional Chinese Medicine, the Fifth Affiliated Hospital of Xinjiang Medical University, Xinjiang, Urumqi 830011, China)
出处
《中国中医药现代远程教育》
2019年第2期133-138,共6页
Chinese Medicine Modern Distance Education of China
关键词
不孕症
辅助生殖技术
体外受精
胚胎移植
中医药疗法
综述
infertility
assisted reproductive technology
in vitro fertilization
embryo transfer
traditional Chinese medicine
therapy of traditional Chinese medicine
review
