Objective:In order to improve the patients with liver and kidney deficiency infertility clinical symptoms, improve the pregnancy rate, the issue in the traditional diagnosis and treatment based on syndrome differentiation is mainly based on the physical characteristics and psychological characteristics, combined with the methods of diagnosis and treatment with Chinese medicine, take the physical conditioning, psychological intervention, establish the optimal treatment program analysis-differentiation-disease differentiation combined, in patients with clinical observation, curative effect difference between analysis and traditional treatment methods, and the optimized treatment program which can be used to evaluate the clinical efficacy of liver and kidney deficiency infertility patients, in order to provide new ideas and new methods for clinical diagnosis and treatment of patients is not pregnant.Methods:Collect a total of60cases of liver depression and kidney deficiency infertility patients met the inclusion criteria, were randomly divided into differentiating style-dialectical-discernible disease combined optimize treatment program, the treatment group and the control group of mainly traditional treatment programs and TDS, each group30cases. Before treatment and after treatment, the clinical symptoms of the two groups, basal body temperature (BBT), ovulation, endometrial thickness, sex hormone levels, pregnancy situation to determine the efficacy of the two groups were observed differences.Results:1. Pregnancy by comparison:the pregnancy rate of the treatment group (23.33%) was significantly better than the control group (10.00%), the difference was statistically significant (P<0.05).2. Comparison of the efficacy of traditional Chinese medicine treatment group and the control group:compared the efficacy of TCM symptoms, the treatment group was significantly better than the control group, the difference was statistically significant (P<0.05). Among them, two groups of TCM symptoms to improve the situation, the differences were statistically significant (P<0.05), while the treatment group before and after menstruation, usually on emotional mood improvement was significantly better than the control group, the difference was statistically significant (P<0.05), between the two groups of the menstrual cycle, by volume, backache, tinnitus improvement the situation is, no significant difference (P>0.05).3. Comparison of efficacy of TCM symptoms:the TCM syndromes efficacy of the treatment group and the control group compared to the treatment group was significantly better than the control group, the difference was statistically significant (P<0.05). Which both groups of clinical symptoms compared differences were statistically significant (P<0.05), while the treatment group to improve the situation of emotional symptoms than the control group, the difference was statistically significant (P<0.05), two groups of the menstrual cycle, by volume, backache, tinnitus and improve the situation is quite the difference was not statistically significant (P>0.05).4. Ovulation comparison:the treatment group and the control group after treatment could increase the ovulation rate, the effect of the treatment group than the control group, the difference was statistically significant (P<0.05).5. The endometrial thickness change of comparison:the treatment group and the control group after treatment can be appropriately increased endometrial thickness, but both very effective, the difference was not statistically significant (P>0.05).6. Sex hormone levels in comparison to improve the situation:lower prolactin (PRL), raising estradiol (E2), the group difference was statistically significant (P<0.05), the two groups can reduce PRL, improve E2; between groupsThe difference was statistically significant (P<0.05), the treatment group compared with the control group role more obvious. In reduced follicle stimulating hormone (FSH), and group differences between the groups were not statistically significant (P>0.05), on the two groups on reducing of FSH was not significantly.7. BBT by comparison:the treatment group and the control group of BBT improve the treatment group compared with the control group, the difference was statistically significant (P<0.05).Conclusions:Treatment group a considerable role in increased endometrial thickness and reduce FSH aspect of the treatment group, but in improving the clinical symptoms, lowering of PRL raise E2improve BBT increases ovulation rate, improve pregnancy rate and clinical efficacy were significantly better than the controlgroup, role difference is obvious. DISTINGUISHING traditional Chinese medicine combined with physical conditioning, psychological intervention-dialectical-identifying diseases optimize the clinical efficacy of the treatment program, superior to the diagnosis and treatment based traditional treatment programs, is worthy of clinical. |