摘要
在新时期新形势下,关注母婴健康,提倡优生优育,可切实有效提高我国的出生人口质量和素质。中医优生优育思想源远流长,内容丰富,是现代优生优育健康服务的理论基础。随着社会发展和人民优生优育意识提高,目前将优生优育的重点逐渐转移到围孕期阶段,注重解决育龄期夫妇基础疾病的前提下指导备孕。不孕症是育龄期女性的常见病和难治性疾病,排卵障碍是不孕症的常见病理机制之一,中医认为肾虚为排卵障碍性不孕的主要病因病机,血瘀是贯穿其始终的重要因素。在临床实践中,运用补肾活血法治疗排卵障碍性不孕疗效确切且安全可靠,主要可通过调节下丘脑-垂体-卵巢轴,改善卵巢功能和宫腔环境,提高配子质量,增加子宫内膜容受等环节进行综合调理,从而促进优质胚胎形成,继而顺利着床并健康发育,最终达到优生优育的目的。因此在优生优育思想的指导下,笔者试探讨补肾活血法治疗排卵障碍性不孕在优生优育中的作用,旨在为后期临床相关研究提供思路和依据,为优生优育健康服务作出贡献。
In the context of the new era, paying attention to maternal and child health and advocating prenatal and postnatal care can effectively improve the quality of the birth population. Traditional Chinese medicine has a long history of prenatal and postnatal healthcare with rich content, which is the theoretical basis of modern related services. With the social development and the improvement of people′s awareness of prenatal and postnatal healthcare, people have gradually shifted the focus of prenatal and postnatal healthcare to the peri-pregnancy stage at present, namely that couples of childbearing age are guided to prepare for pregnancy under the premise of solving their basic diseases. Infertility is a common and refractory disease for women of childbearing age. Ovulation disorder is one of its common pathological mechanisms. Traditional Chinese medicine believes that kidney deficiency is the main cause and pa-thogenesis of anovulation infertility and blood stasis is an important factor throughout the disease course. In clinical practice, therapies for invigorating kidney and activating blood are safe and reliable to treat anovulatory infertility mainly by adjusting the hypothalamus-pituitary-ovarian axis, improving ovarian function, uterine environment and gamete quality and increasing endometrial volume. Under the guidance of the thought of prenatal and postnatal healthcare, the authors tried to explore the effect of therapies for kidney-tonifying and blood-activating in the treatment of anovulatory infertility in eugenics, with the purpose of providing ideas and basis for subsequent relevant clinical studies and contributing to prenatal and postnatal healthcare services.
作者
马堃
田彩蝶
陈燕霞
李敏
宫林娟
MA Kun;TIAN Cai-die;CHEN Yan-xia;LI Min;GONG Lin-juan(China Academy of Chinese Medical Sciences,Beijing 100700,China;Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China)
出处
《中国中药杂志》
CAS
CSCD
北大核心
2021年第11期2634-2638,共5页
China Journal of Chinese Materia Medica
基金
国家自然科学基金面上项目(81674019)
首都临床特色应用研究项目(Z17110000107104)。
关键词
补肾活血法
排卵障碍性不孕
优生优育
kidney-tonifying and blood-activating
anovulatory infertility
eugenics
作者简介
马堃,研究员,博士生导师,主要从事妇科生殖内分泌的临床与科研,E-mail:makun12348@sina.com;通信作者:田彩蝶,E-mail:19801253271@163.com。
