Objective: On the basis of previous studies, through the influence ofYougui Pill on patients with kidney yang deficiency ovulation dysfunctionovulation rate, the uterine spiral artery blood flow spectrum and endometrialthickness, the objective evaluation of Yougui Pill on efficacy and safety ofovulation to kidney yang deficiency of ovulatory dysfunction, tonifyingkidney function mechanism of ovulation Yang, as the "kidney masterreproductive and menstrual cycle""Kidney Yin conversion said" provides atheoretical basis in the clinical application, the correlation that "Kidney-menstruation-Chong and Ren-the uterus" and "the hypothalamus-pituitary-ovarian".Method: The59cases included in the standard case were, were randomlydivided into integrated traditional Chinese and Western medicine group andWestern medicine group. The traditional Chinese medicine and Western medicinegroup (29cases with Yougui Pill Decoction and clomiphene citrate), westernmedicine group of30cases (clomiphene). Two groups were observed before andafter treatment with systemic, menstrual changes, serum levels of sex hormones,ovulation, spiral artery, uterine endometrial thickness, basal bodytemperature in three treatment cycles (BBT), changes of cervical score.Result:Combine traditional Chinese and Western medicine group, the totaleffective rate was75.86%, significantly better than western medicine groupof63.33%(P=0.013<0.05). In the clinical symptoms, treatment can obviouslyimprove the symptoms of kidney deficiency patients with combined traditionalChinese and Western medicine is superior to simple western medicine. In themenstrual cycle and the amount of color, group and Western medicine group canregulate the menstrual cycle of integrated traditional Chinese and Westernmedicine, with no significant difference (P=0.073>0.05), but the adjustmentmenstrual volume and color, combining Chinese and Western medicine group wassignificantly better than western medicine group (P=0.029<0.05). Group BBTrecovery rate was62.06%higher than that of combination of Chinese traditional and Western medicine, western medicine group of60%. Examination of serum sexhormones, combine traditional Chinese and Western medicine group and Westernmedicine group before and after treatment had significant differences in theE2item (P=0.014<0.05), and the Chinese medicine group was significantlybetter than western medicine group, western medicine, that can make theincrease of E2level, thus promote the follicular development and ovulation;FSH, LH, PRL, T two group the difference was not significant (P=0.093>0.05),but the specific data from the point of view, the increase amplitude ofintegrated traditional and Western medicine group was slightly higher thanthat of Western medicine group. In the ovulation rate, combine traditionalChinese and Western medicine group was44.04%, higher than the western medicinegroup of34.24%(P=0.043<0.05). The endometrial thickness and the diameterof the largest follicle, group before and after treatment in endometrialthickness of integrated traditional Chinese and Western medicine,self-control, the difference was significant (P=0.039<0.05), westernmedicine group before and after treatment in endometrial thickness,self-control, no significant difference (P>0.05), that can significantlyimprove the group combined with endometrial thickness traditional Chinesemedicine and Western medicine is better than western medicine group. Nosignificant in two groups before and after treatment, the diameter of thelargest follicle group, the difference between groups. The spiral artery ofuterus, combine traditional Chinese and Western medicine group of uterineartery blood flow signal is rich, clear, easy detection, better than westernmedicine group, the difference was statistically significant (P <0.05).Comparison of cervical mucus score, combining Chinese and Western medicinegroup and Western medicine group total effectiveness is significant difference(P <0.05).Conclusion: Yougui Pill can effectively improve the serum sex hormonelevels, increased uterine and ovarian perfusion, promote the growth offollicle and discharge. To further illustrate the latter half of the menstrual cycle and Tonifying Kidney Yang can adjust the "Kidney-menstruation-Chongand Ren-the uterus" function on the whole, strengthen the endocrine functionof the pituitary gland, ovary and follicle matrix increases blood circulation,thus promote ovarian ovulation and endometrial development, improvement offemale reproductive function. |