RESUMO
[Objective] To evaluate the significance of plasma endothelin in tubal pregnancy (TP) and to observe the regulatory effect of kidney-reinforcing, blood-activating and blood-stasis-removing Chinese herbal medicine on endothelin (ET) level. [Methods] Plasma ET level and ET-positive rate were detected in 40 cases of TP, 20 of intrauterinc pregnancy (IP) and 20 of chronic pelvic inflammation (CPF) and the relationship between the two above indexes in the patients were analyzed. TP patients were randomized to three groups; group A (n = 15) was treated with No. 1 Yishen Huoxue Pills (6g, tid) and Penyankang mixture (25mL, tid) for two treatment courses; group B (n = 15) was treated with aspirin (257ng, qd) for two treatment courses; group C ( n - 10) was not given any medicines. [Results] ET-positive rate and plasma ET level in postoperative TP patients were higher than those in IP patients ( P .05) . Chinese herbal medicine could decrease ET-positive rate and plasma ET level in postoperative TP patients (P
RESUMO
【Objective】To observe the therapeutic effect of laparoscopic ovarian electrocauterization(LOE) combined with cycle treatment of traditional Chinese medicine(TCM-CT) for type phlegm-damp refractory polycystic ovary syndrome(PCOS).【Methods】Forty PCOS patients admitted from August,2004 to March,2006 were randomized into groups A,B and C.Group A(N=20) received LOE and TCM-CT,group B(N=10) received LOE and western medicine for ovulation,and group C received LOE only.The endocrine hormones levels,ovulation rate and pregnancy rate were observed.【Results】The differences of serum luteinizing hormone(LH) and testosterone(T) levels before and after treatment were significant in group A(P0.05).After treatment,LH and T levels in group A differed from those in groups B and C(P0.05).The pregnancy rate in group A differed from those in groups B and C(P0.05).【Conclusion】LOE combined with cycle treatment of traditional Chinese medicine exerts a certain effect on improving reproductive health of patients with type phlegm-damp refractory polycystic ovary syndrome.
RESUMO
[Objective] To observe the therapeutic effect of Shoutai Pill and Shixiao Powder for the treatment of threatened abortion with kidney deficiency and blood stasis. [Methods] Sixty inpatients and outpatients for quieting fetus in gynecology department of the First Affiliated Hospital of Guangzhou University of TCM were equally divided into 3 groups: group A was treated with Shoutai Pill and Shixiao Powder, group B with human chorionic gonadotropin (HCG) and group C with Shoutai Pill, Shixiao Powder and HCG. The effect on quieting fetus was evaluated by observing the disappearance time of symptoms such as vaginal bleeding, abdominal pain, lumbar ache, lower abdominal heaviness and distension. Changes of blood and urine HCG level and type B ultrasonic image were also examined to observe the effect and safety of Chinese medicine. [Results] The effective rate was 95% in group A, 70% in group B and 100% in group C, the difference being significant ( P0.05) . The result of follow-up showed that no terata was found in the three groups. [Conclusion] Chinese medicine with the actions of tonifying kidney and activating blood-stasis can prevent miscarriage and is safe without toxic and side effects.