| 俞楚仪,温小慧,马红霞,等.反复胚胎移植失败中医个体化方案治疗 1例[J].安徽医药,2020,24(12):2368-2370. |
| 反复胚胎移植失败中医个体化方案治疗 1例 |
| Successful treatment with personalized Chinese medicine for repeated implantation failures:a case report |
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| DOI：10.3969/j.issn.1009?6469.2020.12.009 |
| 中文关键词: 不育，女(雌)性 胚胎移植 中医个体化方案 补肾健脾 来曲唑 |
| 英文关键词: Infertility,female Embryo transfer Personalized Chinese medicine Invigorating the kidney and the splee Letrozole |
| 基金项目:国家自然科学基金面上项目(81774353) |
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| 摘要点击次数: 1528 |
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| 中文摘要: |
| 目的通过分析呈现 1个中医个体化方案治疗女性试管反复胚胎移植失败并成功自然受孕的案例，为女性反复胚胎移植失败提供了新的治疗思路。方法对 2016年 6月广州医科大学附属第一医院门诊诊治的 1例试管反复胚胎移植失败病人的治疗前临床资料、治疗方式和治疗后效果进行分析解读。结果 1例因连续 4周期氯米芬促排未孕、连续 2周期来曲唑促排未孕、前后 4次胚胎移植共 8个胚胎均着床失败的女性不孕症病人，通过连续 5个月循序渐进的中医个体化方案治疗，用药予补肾健脾兼化瘀清热中药配合炔雌醇环丙孕酮片调经 2个月，基础性激素水平和月经周期均恢复正常，再配合氯米芬促排 2个月，自然受孕成功，改予补肾健脾安胎中药巩固胎元 1个月，最终足月顺娩 1活男婴。结论中医个体化方案治疗试管反复胚胎移植失败具有可行性和深入研究的价值。 |
| 英文摘要: |
| Objective To analyze and present a case of personalized Chinese medicine treating women with repeated implantationfailures and successful natural conceptions，and to provide a new treatment idea for women’s repeated plant failures.Methods The pre?treatment clinical data，treatment methods and post?treatment effects of patients with repeated test tube failure in The FirstAffiliated Hospital of Guangzhou Medical University in June 2016 were analyzed and interpreted.Results A female infertility pa? tient who was not pregnant due to 4 consecutive cycles of clomiphene citrate tablets for ovulation induction，2 consecutive cycles of letrozole for ovulation induction，and 4 times embryo transfers，was given five consecutive months of individualized programs of tra? ditional Chinese medicine treatment，medication to the Bushen Jianpi and Huayu Qingre traditional Chinese medicine combinedwith ethinylestradiol and cyproterone acetate tablets for menstrual adjustment for 2 months，both basic sex hormone levels and men? strual cycles were back to normal，then combined with clomiphene citrate to promote ovulation for 2 months，the natural conception was successful，and Bushen Jianpi Antai Chinese traditional medicine was given for 1 month to protect the fetus，eventually gave birth to a live baby boy at full term.Conclusion The personalized Chinese medicine has the feasibility and in?depth research val? ue in treating repeated failure to test tube. |
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