世界最新医学信息文摘(连续型电子期刊)
世界最新醫學信息文摘(連續型電子期刊)
세계최신의학신식문적(련속형전자기간)
World Latest Medicine Information
2015年
51期
1-2
,共2页
多囊卵巢综合征%不孕症%二甲双胍%炔雌醇环丙孕酮%来曲唑
多囊卵巢綜閤徵%不孕癥%二甲雙胍%炔雌醇環丙孕酮%來麯唑
다낭란소종합정%불잉증%이갑쌍고%결자순배병잉동%래곡서
Polycystic ovary syndrome%Infertility%Metformin%Estradiol%progesterone
目的:探究临床上治疗多囊卵巢综合征并不孕的方法及治疗效果。方法选取2013年6月至2015年6月在我院诊断为多囊卵巢综合征并不孕且在我院进行治疗的患者102例,随即将其分为对照组和观察组,每组51例,对照组仅采用来曲唑进行治疗,观察组采用二甲双胍、炔雌醇环丙孕酮联合来曲唑进行治疗,观察并比较两组患者的排卵、妊娠以及妊娠后流产的情况。结果对照组51患者排卵周期65次,其中正常排卵39次;妊娠11例、流产8例。观察组51例患者排卵周期63次,其中正常排卵52次;妊娠21例、流产2例。将两组患者治疗后的排卵、妊娠以及流产情况比较后,均为P<0.05,差异显著,说明观察组的正常排卵次数和妊娠情况明显优于对照组,流产的情况显著少于对照组。结论多囊卵巢综合征并不孕的患者在采用来曲唑进行促排卵治疗前,先使用二甲双胍和炔雌醇环丙孕酮进行治疗,可以提高患者的妊娠率、降低流产率,疗效显著,是一种比较理想的治疗方法。
目的:探究臨床上治療多囊卵巢綜閤徵併不孕的方法及治療效果。方法選取2013年6月至2015年6月在我院診斷為多囊卵巢綜閤徵併不孕且在我院進行治療的患者102例,隨即將其分為對照組和觀察組,每組51例,對照組僅採用來麯唑進行治療,觀察組採用二甲雙胍、炔雌醇環丙孕酮聯閤來麯唑進行治療,觀察併比較兩組患者的排卵、妊娠以及妊娠後流產的情況。結果對照組51患者排卵週期65次,其中正常排卵39次;妊娠11例、流產8例。觀察組51例患者排卵週期63次,其中正常排卵52次;妊娠21例、流產2例。將兩組患者治療後的排卵、妊娠以及流產情況比較後,均為P<0.05,差異顯著,說明觀察組的正常排卵次數和妊娠情況明顯優于對照組,流產的情況顯著少于對照組。結論多囊卵巢綜閤徵併不孕的患者在採用來麯唑進行促排卵治療前,先使用二甲雙胍和炔雌醇環丙孕酮進行治療,可以提高患者的妊娠率、降低流產率,療效顯著,是一種比較理想的治療方法。
목적:탐구림상상치료다낭란소종합정병불잉적방법급치료효과。방법선취2013년6월지2015년6월재아원진단위다낭란소종합정병불잉차재아원진행치료적환자102례,수즉장기분위대조조화관찰조,매조51례,대조조부채용래곡서진행치료,관찰조채용이갑쌍고、결자순배병잉동연합래곡서진행치료,관찰병비교량조환자적배란、임신이급임신후유산적정황。결과대조조51환자배란주기65차,기중정상배란39차;임신11례、유산8례。관찰조51례환자배란주기63차,기중정상배란52차;임신21례、유산2례。장량조환자치료후적배란、임신이급유산정황비교후,균위P<0.05,차이현저,설명관찰조적정상배란차수화임신정황명현우우대조조,유산적정황현저소우대조조。결론다낭란소종합정병불잉적환자재채용래곡서진행촉배란치료전,선사용이갑쌍고화결자순배병잉동진행치료,가이제고환자적임신솔、강저유산솔,료효현저,시일충비교이상적치료방법。
ABSTRACT:Objective To explore clinical treatment method and treating effect of polycystic ovary syndrome with infertility. Method Choose102 cases with polycystic ovary syndrome treated in our hospital from June 2013 to June 2015, and divide them into control and observation group randomLy, 51 cases in each. Control group was treated with progesterone, observation group was treated with metformin and estradiol combined with progesterone, observe and compare both groups for situation of ovulation, pregnancy and abortion after pregnancy. Results In control group, 51 patients have 65 cycles of ovulation, and 39 times normal ovulation, 11 cases pregnancy and 8 cases abortion. In observation group, 51 cases patients have ovulation cycle 63 times, 52 times normal ovulation;21 cases pregnancy, 2 cases abortion. After comparison between two groups with ovulation, pregnancy and abortion after treatment, result shows P<0.05, the difference is significant, and observation group with normal ovulation times and pregnancy situation is significantly better than control group, situation of abortion is significantly less than control group. Conclusion patients with polycystic ovary syndrome with infertility apply metformin and estradiol before promoting ovulation by progesterone, may improve pregnancy rate, reduce abortion rate, with significant effect, which is a relatively ideal treatment.