|
|
Effect observation of Metformin combined with Clomiphene in treatment of polycystic ovarian syndrome |
HE Jie SHU Ru-ming▲ |
Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Nanchang University (Nanchang First Hospital),Jiangxi Province,Nanchang 330008,China |
|
|
Abstract ObjectiveTo investigate the therapeutic effect of Metformin combined with Clomiphene on polycystic ovary syndrome.Methods116 patients with polycystic ovarian syndrome treated in our hospital from March 2015 to January 2017 were selected as objects and were randomly divided into the observation group and the control group,58 in each group.The control group was given Clomiphene treatment,observation group on the basis of the combination of Metformin.The two groups of patients with hormone,degree of change,endometrial thickness level of ovulation rate and pregnancy rate and the incidence of adverse drug reactions were compared.ResultsAfter 3 courses of treatment,in the observation group,the changes of FINS,T,FSH,LH,endometrial thickness were better than those in the control group,the differences were statistically significant (P<0.05).The observation group ovulation rate (72.41%),the pregnancy rate(39.66%)were higher than those of the control group,the differences were statistically significant(P<0.05).The observation group occurred in 9 cases of adverse drug reactions,while in the control group of 7 cases,the difference was not statistically significant(P>0.05).ConclusionThe combination of Metformin and Clomiphene on polycystic ovarian syndrome comprehensive clinical effect is good,can improve the ovulation rate and pregnancy rate,safe and effective,worthy of further clinical application.
|
|
|
|
|
[1] |
刘春杰,童书青.继发性不孕的病因分析[J].中国妇幼保健,2012,27(9):1438-1439.
|
[2] |
邹宇洁,杨菁,尹太郎.多囊卵巢综合征病因学的研究进展[J].中国妇产科杂志,2012,47(1):64-66.
|
[3] |
周礼兰,李瑛.多囊卵巢综合征诊断与治疗的新进展[J].医学综述,2012,18(8):1204-1207.
|
[4] |
阿米娜·木,齐玲,朱君.炔雌醇醋酸环丙孕酮联合二甲双胍治疗肥胖型多囊卵巢综合征的疗效[J].中国临床药理学杂志,2013,29(3):175-176.
|
[5] |
莫有敏,杨菁.二甲双胍联合克罗米芬治疗多囊卵巢综合征有效性的Meta分析[J].武汉大学学报(医学版),2013,34(1):99-104.
|
[6] |
岳爱珍,张秋香.炔雌醇环丙孕酮联合二甲双胍治疗多囊卵巢综合征并不孕疗效观察[J].中华实用诊断与治疗杂志,2012,26(11):1111-1113.
|
[7] |
黄剑兰.达英-35和二甲双胍对多囊卵巢综合征患者性激素水平及胰岛素抵抗的影响观察[J].现代中西医结合杂志,2013,22(25):2775-2777.
|
[8] |
孙艳华,刘万红.二甲双胍在多囊卵巢综合征促排卵治疗中的作用[J].中国老年学,2013,33(14):3509-3510.
|
[9] |
任文凯,马其江,李淑玲.多囊卵巢综合征病因与治疗研究进展[J].山东中医药大学学报,2011,35(1):89-92.
|
[10] |
魏伟,王芳.克罗米芬联合戊酸雌二醇治疗排卵障碍性不孕症的临床观察[J].中国当代医药,2011,18(20):51-52.
|
[11] |
张巧利,贾婵维,马延敏,等.克罗米芬与来曲唑临床促排卵应用的研究进展[J].现代妇产科进展,2016,25(1):65-68.
|
[12] |
赵菁,肖霞.二甲双胍联合克罗米芬治疗多囊卵巢综合征临床疗效效果观察[J].山东医药,2016,56(46):86-88.
|
[13] |
孔紫靖.克罗米芬促排与二甲双胍联合克罗米芬治疗多囊卵巢合并不孕症患者效果对比分析[J].中国医学工程,2015,23(2):28-29.
|
[14] |
黄云.腹腔镜卵巢打孔术后应用二甲双胍和克罗米芬治疗多囊卵巢综合征[J].昆明医科大学学报,2011,32(4):122-125.
|
[15] |
廖聪.二甲双胍联合克罗米芬改善多囊卵巢综合征患者排卵效果的临床观察[J].实用妇科内分泌杂志,2015,2(10):98-100.
|
|
|
|