目的 提高无排卵性不孕症的疗效，为中医药治疗该病提供有效的方法。方法 选择2005年10月—2009年9月安徽中医学院第一附属医院门诊治疗的无排卵性不孕症、属于肾虚血瘀证得患者60例，随机分为2组，治疗组合对照组各30例。治疗组给予中药补肾活血周期治疗，并配合克罗米芬促排卵。对照组给予克罗米芬和人绒毛膜促性腺激素(HCG)促排卵。两组连续治疗3个月经周期，观察排卵率、受孕率、性激素变化。结果 治疗组排卵率、受孕率明显高于对照组P＜0.05)；治疗组促黄体生成激素和雌二醇改善程度优于对照组(P0.05)。结论 应用补肾活血法周期治疗无排卵性不孕症肾虚血瘀证能明显提高疗效。

Objective To improve the efficiency in anovulatory infertility treatment with traditional Chinese medicine (TCM). Methods A total of 60 patients with anovulatory infertility due to syndrome of blood stasis were selected and randomly divided into two groups, therapy group and control group. The 30 patients in the therapy group were treated periodically with TCM which could tonify kidney and activate blood, and additionally combined with Clomifene to promote ovulation. The 30 patients in the control goup were treated with Clomifene and HCG. Bothe of the treatment courses were three menstrual circles. The ovulation rate, conception rate and change of sex hormone were investigated. Results The ovulation and conception rates of the therapy group were obviously higher than those of the control group (P＜0.05). The improvements of luteinizing hormone and estradiol in the therapy group were also greatly in creased (P＜0.05). Conclusion The treatment of periodically anovulatory infertility can be greatly improved if TCM method of tonifying kidney and activating blood is applied to the treatment.