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【目的】比较不同中医证型的体外受精—胚胎移植(IVF-ET)患者的临床妊娠率。【方法】选择2011年6月至2011年12月在广州军区总医院辅助生育中心第一次行IVF-ET治疗的患者573例,患者行IVF-ET前按照中医证型分为肾虚组、肝郁组、脾虚组、痰湿组、血瘀组等5组,观察不同中医证型的IVF-ET临床结局。【结果】(1)行IVF-ET的所有患者中,中医辨证分型以肾虚型为主(57.42%),差异有统计学意义(P<0.05);(2)肾虚型患者的临床妊娠率明显低于肝郁组、脾虚组、痰湿组及血瘀组,差异有统计学意义(P<0.05)。【结论】女性不孕症患者的中医证型存在明显的集中趋势,中医辨证分型以肾虚型为主;且肾虚型的临床妊娠率低于其他证型。建议在行IVF-ET前以中药补肾助孕来提高临床妊娠率。
【Objective】 To compare the clinical pregnancy rates of patients undergoing in vitro fertilization-embryo transfer (IVF-ET) with different TCM syndromes. 【Methods】 A total of 573 patients were enrolled in the First Affiliated Fertility Center of Guangzhou Military Region General Hospital from June 2011 to December 2011. Before IVF-ET, patients were divided into kidney deficiency group Yu group, spleen deficiency group, phlegm-dampness group and blood stasis group. The clinical outcomes of IVF-ET with different TCM syndromes were observed. 【Results】 (1) Among all the patients who underwent IVF-ET, the TCM syndrome type was mainly kidney deficiency (57.42%), the difference was statistically significant (P <0.05); (2) The clinical pregnancy rate Significantly lower than the liver depression group, spleen deficiency group, phlegm and blood stasis group, the difference was statistically significant (P <0.05). 【Conclusion】 There is a clear tendency of TCM syndromes in female infertility patients. The traditional Chinese medicine syndrome differentiation is mainly of kidney deficiency type. The clinical pregnancy rate of kidney deficiency type is lower than other syndromes. It is recommended before the line of IVF-ET with traditional Chinese medicine kidney to help improve pregnancy rate of pregnancy.