中医药调理宫腔粘连术后自然怀孕病例报告
A Case Report of Traditional Chinese Medicine in the Treatment of Intrauterine Adhesions
扫 描 看 全 文
1.湖南中医药大学第一附属医院妇产科,长沙 410007
扫 描 看 全 文
林洁, 余阳祺, 尤昭玲. 中医药调理宫腔粘连术后自然怀孕病例报告[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394463&Fpath=home&index=0
LIN Jie, LONG Xi, YOU Zhaoling. A Case Report of Traditional Chinese Medicine in the Treatment of Intrauterine Adhesions[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394463&Fpath=home&index=0
林洁, 余阳祺, 尤昭玲. 中医药调理宫腔粘连术后自然怀孕病例报告[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394463&Fpath=home&index=0 DOI:
LIN Jie, LONG Xi, YOU Zhaoling. A Case Report of Traditional Chinese Medicine in the Treatment of Intrauterine Adhesions[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394463&Fpath=home&index=0 DOI:
病史摘要,2,患者一年前因胎停行清宫术后月经量少并宫腔粘连,1年余未孕,近一年月经周期30~60天,经期5-6天,月经量极少,色鲜红,无血块及痛经,纳寐可,二便调。舌体大小适中,舌质暗红,苔薄白,六脉弦细。中医诊断 月经过少(肝郁血瘀证)西医诊断 1.月经不调2.不孕症3.宫腔粘连。干预措施 患者初诊时医疗重点为改善卵巢功能及宫腔环境以调经,中药予以宫腔粘连方21付,辅以药膳养巢煲。二诊时卵泡数量正常,着重调理宫腔环境,继续予宫腔粘连方21付,辅以药膳养膜煲。三诊时根据四维彩超评估宫内环境结果,助孕治疗,续以前方12付。四诊排卵期予以助卵汤14付,辅以药膳养膜煲。五诊时确认早孕,考虑有宫腔粘连史,恐流产或胚胎停育而予养胎方10付,辅以药膳养胎煲安胎,并予黄体支持。疗效转归 患者使用中药配合药膳系统调理,刺激卵巢功能恢复,促进排卵,改善宫内环境,增加月经量并调整月经周期,最终达到受孕目的。
Summary of case history, The patient was found to have intrauterine adhesions and low menstrual flow for more than one year after the induced abortion for embryo damage one year ago.Usually irregular menstruation, menstrual cycle 30-2 months, period 5-6d, menstrual volume very small, bright red, no blood clots and dysmenorrhea, normal eating and sleeping, normal urination and defecation. The tongue is of moderate size, dark red, thin white coating, and six string veins.,TCM diagnosis, Hypomenorrhea; Kidney depression and blood stasis syndrome,Western medicine diagnosis, 1.Irregular menstruation 2. infertility 3.intrauterine adhesions,Therapeutic methods, At the first diagnosis, the patient's medical treatment focused on improving ovarian function and the uterine cavity environment to regulate menstruation. Traditional Chinese was given the 21 prescriptions for intrauterine adhesions, combined with the YangChao pot. at the third diagnosis, The follicle count is normal , with emphasis on regulating the uterine environment, Continue to be 21 prescriptions for intrauterine adhesions, combined with the YangMo pot. at the third diagnosis, According to 4D-TVCD assessment of the intrauterine environment, help with pregnancy treatment and continue to be forward 12 payments. In the fourth diagnosis, in the period of ovulation, giving Zhuluan Decoction 12 payments, combined with the YangMo pot. The fifth diagnosis was pregnant, A history of uterine adhesions was considered, and Yangtai Decoction 10 payments was given for fear of miscarriage or embryonic abortion, supplemented with medicinal YangTai pot to firm up the embryo and luteal support.,Clinical outcomes, Patients use Chinese medicine with the system of medicinal food to stimulate the recovery of ovarian function, promote ovulation, improve the intrauterine environment, increase menstrual flow and adjust menstrual cycle and ultimately achieve conception.
宫腔粘连生殖不孕症中医药病例报告
intrauterine adhesionsreproduceFemale infertilityTraditional Chinese medicinecase report
中华医学会妇产科学分会.宫腔粘连临床诊疗中国专家共识[J].中华妇产科杂志,2015,50(12):881-887.
刘天洋,谈珍瑜.尤昭玲“以通促养法”在宫腔粘连术后的应用[J].河南中医,2022,42(3):392-396.
刘文娥,林洁,陈艳霞,尤昭玲.尤昭玲教授花类药物的应用经验总结[J].中华中医药杂志,2014,29(6):1866-1868.
马庆,邬国松,陈剑洪,詹若挺,韩正洲.两面针活血化瘀机制网络药理学研究[J].中国药业,2022,31(11):39-46.
杨永琴,魏本君,杨硕,申剑,尤昭玲.尤昭玲巧用药膳治疗不孕症经验介绍[J].新中医,2018,50(4):229-232.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构