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Clinical Investigation About The Ovarian Function Of Liver- Depression And Kidney-deficiency Symdrome In Hypofunction Of Ovary By Using Bushentiaoganheji Combined With Acupuncture

Posted on:2016-05-10Degree:DoctorType:Dissertation
Country:ChinaCandidate:G Y TanFull Text:PDF
GTID:1224330488987845Subject:Gynecology of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Shen jian-hua, chief physician, win special government allowance, masters in TCM treatment of infertility and miscellaneous diseases, and also good at health diet and medicine health care. "Sanbu-liufa-shibafang" treatment is the core academic ideology of Shen jian-hua. He persists in the TCM, uses classical ideas and concepts of TCM flexibly in treatment, believes that TCM diagnosis is the key to recovery, and must pay attention to several different planes of disease. He proposed that conditioning menstruation aid in pregnancy, and woman who was irregular menstruation must be screened for infertility as soon as possible. This paper summarizes Shen jian-hua’s experience on treating male infertility、early threatened abortion and habitual abortion by using the "sanbu" therapy. And commonly used drugs to treat associated symptoms during the treatment of infertility and miscellaneous diseases are also summarized in paper. Shen jian-hua’s experiences are not limited to infertility, but also include the experiences on treating stomachache. This paper analyzes the clinical research of Shen jianhua clinical experience. We explore the clinical effect of improving ovarian function of liver-depression and kidney-deficiency symdrome in hypofunction of ovary by using Bushentiaoganheji combined with acupuncture.【Objective】The research conducted randomized controlled and parallel design in order to explore the clinical effect of improving ovarian function of liver depression and kidney-deficiency symdrome in hypofunction of ovary by using Bushentiaoganheji combined with acupuncture, and palliate sufferings of patients.[Methods]Research selected liver-depression and kidney-deficiency symdrome in hypofunction of ovary patients in the gynecology clinic of the Guangzhou Liwan District Hospital of Chinese Medicine from October 2014 to March 2015. According to the control method,60 patients with hypofunction of ovary were randomly divided into treated group and control group. Bushentiaoganheji combined with acupuncture was given to treated group. Control group was only using Bushentiaoganheji. The patients followed up for 6 months. T Test and Chi-Square Test were used to compare the course of treatment and the therapeutic effect according to TCM syndrome scores、Kupperman scores and ovarian function.[Result](1) Out of 30 patients in the treated group,27 were effective, the effective rate was 90%,7 was pregnant, pregnancy rate was 23%. Out of 30 patients in the control group,17 were effective, the effective rate was 90%., 1 was pregnant, pregnancy rate was 3%. The data analyzed by chi-square showed that both had significant differences (P<0.05).(2) 30 patients in the treated group with an average course of treatment was 3.31±1.64 months. And the patients of control group, the average course of treatment was 5.25±1.48 months. The data analyzed by t test showed that both had significant differences (P<0.05).(3) After 3 months of treatment,30 patients in the treated group with the Kupperman’s scoring was 8.44, a decrease of 4.26 after treatment.And the patients of control group, the Kupperman’s scoring was 14, a decrease of 2.21 after treatment. The data analyzed by t test showed that both had significant differences (P<0.05).(4) 30 patients in the treated group with an average AMH before the treatment was 1.09±1.36ng/ml. And the average AMH after treatment was 1.16 ±1.426ng/ml. The data analyzed by t test showed that both had no significant differences (P>0.05).(5) Association between AMH and Age were evaluated by binary logistic regression, the date showed that both had no significant differences (P>0.05).[Conclusion](1) The effective rate and the pregnancy rate of treated group were remarkably higher than the effective rate of control group. Curative effect of the treated group was remarkably higher than that of the control group. The data showed that Bushentiaoganheji combined with acupuncture is an effective method for liver-depression and kidney-deficiency symdrome in hypofunction of ovary patients. Acupuncture, a convenient way, should be promoted in hospital.(2) The course of treatment of treated group was significantly shortened than the course of treatment of control group. Bushentiaoganheji combined with acupuncture significantly palliates sufferings of patients.(3) The time of improvement of the clinical systom of treated group was significantly shortened than that of control group. Bushentiaoganheji combined with acupuncture significantly palliates sufferings of patients, enhance the confidence of cure, raise patients’ compliance.(4) The average AMH before and after the treatment had no significant differences (P>0.05). Six months of TCM treatment failed to change AMH’s decline. Prompt:For the patients with fertility requirements and AMH reduction, should be treatment and pregnant as soon as possible. Although AMH <0.01, part of the patients can improve FSH and conceive after the treatment of bushentiaoganheji combined with acupuncture.
Keywords/Search Tags:Bushentiaoganheji, acupuncture, liver-depression and kidney- deficiency symdrome, hypofunction of ovary, curative effect
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