归肾育宫汤联合序贯激素替代疗法治疗卵巢早衰及对血清性激素的影响

Limei Qin, Jia-Xin Qin
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摘要

目的:分析归肾育宫汤+序贯激素(雌激素、孕激素)替代治疗对卵巢早衰患者血清性激素的影响。方法:选取2020年7月~ 2022年7月100例卵巢早衰患者作为研究对象。采用随机数字表法将患者分为两组:对照组采用序贯激素替代疗法,治疗组采用归神愚公汤+序贯激素替代疗法。比较两组患者的疗效、中医证候评分、血清性激素水平及不良反应发生率。结果:治疗组总有效率高于对照组,P < 0.05;治疗组中医证候评分低于对照组,P < 0.05;治疗组血清性激素指标优于对照组(P < 0.05);治疗组不良反应发生率低于对照组(P < 0.05)。结论:归肾育宫汤+序贯激素替代疗法可调节血清性激素水平,缓解卵巢早衰症状。这种治疗方法不仅有效,而且临床使用安全。
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Guishen Yugong Decoction Combined with Sequential Hormone Replacement Therapy in the Treatment of Premature Ovarian Failure and Its Effect on Serum Sex Hormones
Objective: To analyze the therapeutic effect of Guishen Yugong Decoction + sequential hormone (estrogen and progesterone) replacement therapy and its effect on serum sex hormones in patients with premature ovarian failure. Methods: From July 2020 to July 2022, 100 patients with premature ovarian failure were included in the study. Random number table method was used to divide the patients into groups: the control group received sequential hormone replacement therapy, whereas the treatment group received Guishen Yugong Decoction + sequential hormone replacement therapy. The curative effect, traditional Chinese medicine (TCM) syndrome scores, serum sex hormone levels, and incidence of adverse reactions of both groups of patients were compared. Results: The total effective rate in the treatment group was higher than that in the control group, P < 0.05; the TCM syndrome scores in the treatment group were lower than those in the control group, P < 0.05; the serum sex hormone indices in the treatment group were better than those in the control group (P < 0.05); the treatment group had lower incidence of adverse reactions, as compared to the control group (P < 0.05). Conclusion: Guishen Yugong Decoction + sequential hormone replacement therapy can regulate serum sex hormone levels and relieve symptoms of premature ovarian failure. This treatment is not only effective, but also safe for clinical use.
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