摘要
排卵障碍是导致女性不孕的主要原因之一,除引起不孕外,还会引起一系列代谢紊乱性疾病。以往对于排卵障碍疾病采用西药治疗引发的不良反应较大,中医药在治疗该病方面有其独特的优势。中医学中,对于排卵障碍疾病的大量研究证实,中医治疗药物所引发的不良反应比较小,其在临床中获得了极大关注。本研究总结中医治疗排卵功能障碍性不孕症的病因病机及治疗方法。应用中国知网、万方医学网及PubMed数据库,以“排卵功能障碍”“不孕症”“中医”“治疗”中英文为关键词,检索2017-01-01-2020-03-31相关文献。纳入标准:(1)排卵功能障碍性不孕症的中医病因病机研究;(2)排卵功能障碍性不孕症的中医治疗。排除标准:(1)年份较远的综述类文献;(2)文章质量较差、语序较乱的文献。最终纳入分析47篇文献。结果表明,中医整体观念理论调控下丘脑-垂体-卵巢轴,在本质上通过水满则溢理论施行调经促排卵,且中医药疗法对排卵障碍性不孕症有多种治疗方式,相对于西药促排卵其不良反应明显减少,治疗后的排卵率及妊娠率明显优于西药。提示,中医药治疗排卵障碍性不孕症诱导排卵优势明显,具有良好的发展前景。
Ovulation disorder is one of the main causes of female infertility.In addition to infertility,it will also cause a series of metabolic disorders.In the past,there were many adverse reactions caused by the treatment of ovulation disorders with western medicine,however,traditional Chinese medicine has unique advantages in the treatment of this disease.In traditional Chinese medicine,a large number of studies on ovulation disorders have confirmed that the adverse reactions caused by traditional Chinese medicine treatment drugs are relatively limited,which has received great attention in clinical practice.This study summarizes the etiology,pathogenesis and treatment of ovulatory dysfunction infertility treated by traditional Chinese medicine.Using the databases of Chinese National Knowledge Infrastructure(CNKI),Wanfang and PubMed,the relevant literatures from January 1,2017 to March 31,2020 were searched with the keywords"ovulation dysfunction","infertility","traditional Chinese medicine"and"treatment"in Chinese and English.Inclusion criteria:(1)TCM etiology and pathogenesis of ovulatory dysfunction infertility;(2)Traditional Chinese medicine treatment of ovulatory dysfunction infertility.Exclusion criteria:(1)review literature with a long history;(2)documents with poor quality and disordered word order.Finally,47 literatures were included and analyzed.Results showed that the whole concept theory of traditional Chinese medicine regulates the hypothalamus pituitary ovary axis.In essence,it regulates menstruation and promotes ovulation through the overflow theory.There are many ways to treat ovulatory infertility with traditional Chinese medicine.Compared with western medicine,its side effects are significantly reduced,and the ovulation rate and pregnancy rate after treatment are significantly better than western medicine.Traditional Chinese medicine has obvious advantages in inducing ovulation in the treatment of ovulatory dysfunction infertility,and has a good development prospect.
作者
张常明
张国庆
吉桂琴
王秀英
李飞范
ZHANG Chang-ming;ZHANG Guo-qing;JI Gui-qin;WANG Xiu-ying;LI Fei-fan(Department of Traditional Chinese Medicine,People's Hospital of Weifang High Tech Development Zone,Weifang 261061,China)
出处
《社区医学杂志》
CAS
2022年第17期1003-1006,共4页
Journal Of Community Medicine
基金
山东省中医药科技发展计划(2017-395)
关键词
排卵功能障碍性不孕症
治疗
中医
综述文献
ovulation dysfunction infertility
treatment
traditional Chinese medicine
review literature