{"id":567,"date":"2026-04-07T04:06:02","date_gmt":"2026-04-07T04:06:02","guid":{"rendered":"https:\/\/thuoc115.com\/suckhoe\/?p=567"},"modified":"2026-04-07T04:37:44","modified_gmt":"2026-04-07T04:37:44","slug":"hieu-qua-cua-y-hoc-co-truyen-trong-dieu-tri-vo-sinh-nu","status":"publish","type":"post","link":"https:\/\/thuoc115.com\/suckhoe\/hieu-qua-cua-y-hoc-co-truyen-trong-dieu-tri-vo-sinh-nu\/","title":{"rendered":"Hi\u1ec7u qu\u1ea3 c\u1ee7a Y h\u1ecdc c\u1ed5 truy\u1ec1n trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p<br>Ch\u00fang t\u00f4i t\u00ecm ki\u1ebfm tr\u00ean c\u00e1c c\u01a1 s\u1edf d\u1eef li\u1ec7u Medline, Cochrane v\u00e0 Google Scholar \u0111\u1ebfn th\u00e1ng 2 n\u0103m 2010 c\u00e1c b\u1ea3n t\u00f3m t\u1eaft b\u1eb1ng ti\u1ebfng Anh c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn v\u00f4 sinh, s\u1ee9c kh\u1ecfe kinh nguy\u1ec7t v\u00e0 Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (TCM). Ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch g\u1ed9p (meta-analysis) c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f3 \u0111\u1ed1i ch\u1ee9ng (ng\u1eabu nhi\u00ean ho\u1eb7c kh\u00f4ng ng\u1eabu nhi\u00ean) v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp, so s\u00e1nh t\u1ef7 l\u1ec7 mang thai l\u00e2m s\u00e0ng \u0111\u1ea1t \u0111\u01b0\u1ee3c khi d\u00f9ng CHM v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c T\u00e2y y ho\u1eb7c th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF). Ngo\u00e0i ra, ch\u00fang t\u00f4i t\u1ed5ng h\u1ee3p c\u00e1c th\u1ec3 b\u1ec7nh (bi\u1ec7n ch\u1ee9ng) th\u01b0\u1eddng g\u1eb7p trong TCM li\u00ean quan \u0111\u1ebfn v\u00f4 sinh, d\u1ef1a tr\u00ean ch\u1ea5t l\u01b0\u1ee3ng chu k\u1ef3 kinh nguy\u1ec7t v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u1ebft qu\u1ea3<br>C\u00f3 8 th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng (RCT), 13 nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp, 3 lo\u1ea1t ca b\u1ec7nh v\u00e0 6 b\u00e1o c\u00e1o ca b\u1ec7nh, v\u1edbi t\u1ed5ng c\u1ed9ng 1851 ph\u1ee5 n\u1eef v\u00f4 sinh \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u1ed5ng quan h\u1ec7 th\u1ed1ng.<br>Ph\u00e2n t\u00edch g\u1ed9p c\u00e1c RCT cho th\u1ea5y kh\u1ea3 n\u0103ng mang thai khi d\u00f9ng CHM trong 4 th\u00e1ng cao g\u1ea5p 3,5 l\u1ea7n so v\u1edbi ch\u1ec9 d\u00f9ng thu\u1ed1c T\u00e2y y (odds ratio = 3,5; kho\u1ea3ng tin c\u1eady 95%: 2,3\u20135,2; p &lt; 0,0001; n = 1005).<br>T\u1ef7 l\u1ec7 mang thai trung b\u00ecnh (\u00b1 \u0111\u1ed9 l\u1ec7ch chu\u1ea9n) l\u00e0 60 \u00b1 12,5% \u1edf nh\u00f3m CHM so v\u1edbi 32 \u00b1 10% \u1edf nh\u00f3m d\u00f9ng thu\u1ed1c T\u00e2y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00e2n t\u00edch c\u00e1c nghi\u00ean c\u1ee9u thu\u1ea7n t\u1eadp \u0111\u01b0\u1ee3c ch\u1ecdn (n = 616) cho th\u1ea5y t\u1ef7 l\u1ec7 mang thai l\u00e2m s\u00e0ng trung b\u00ecnh l\u00e0 50% khi d\u00f9ng CHM, so v\u1edbi 30% khi l\u00e0m IVF (p &lt; 0,0001).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u1ebft lu\u1eadn<br>T\u1ed5ng quan n\u00e0y cho th\u1ea5y \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c c\u00f3 th\u1ec3 t\u0103ng g\u1ea5p \u0111\u00f4i t\u1ef7 l\u1ec7 mang thai trong v\u00f2ng 4 th\u00e1ng so v\u1edbi d\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3 sinh s\u1ea3n c\u1ee7a T\u00e2y y ho\u1eb7c IVF. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng chu k\u1ef3 kinh nguy\u1ec7t \u2013 m\u1ed9t y\u1ebfu t\u1ed1 c\u1ed1t l\u00f5i trong ch\u1ea9n \u0111o\u00e1n c\u1ee7a TCM \u2013 c\u00f3 v\u1ebb \u0111\u00f3ng vai tr\u00f2 n\u1ec1n t\u1ea3ng trong \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng v\u00f4 sinh n\u1eef.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0965229911001294?via%3Dihub<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">https:\/\/pubmed.ncbi.nlm.nih.gov\/22036524<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Gi\u1edbi thi\u1ec7u<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00f4 sinh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 15% (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 3 tri\u1ec7u) c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng t\u1ea1i \u00dac v\u00e0 \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 kh\u00f4ng th\u1ec3 th\u1ee5 thai ho\u1eb7c \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t thai k\u1ef3 c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng sau m\u1ed9t n\u0103m quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai. Trong \u0111\u00f3, kho\u1ea3ng 80% c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c t\u00ecnh tr\u1ea1ng nh\u01b0 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung ho\u1eb7c h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS), c\u00f2n 20% l\u00e0 \u201ckh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n\u201d theo m\u00f4 h\u00ecnh Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i. Tuy nhi\u00ean, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n m\u1ed9t b\u1ec7nh l\u00fd c\u1ee5 th\u1ec3 v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt, thu\u1ed1c, th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF) ho\u1eb7c c\u00e1c k\u1ef9 thu\u1eadt h\u1ed7 tr\u1ee3 sinh s\u1ea3n kh\u00e1c (ART) kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng d\u1eabn \u0111\u1ebfn thai k\u1ef3 th\u00e0nh c\u00f4ng v\u00e0 sinh con s\u1ed1ng. V\u00ed d\u1ee5, n\u0103m 2008 c\u00f3 h\u01a1n 61.900 chu k\u1ef3 ART \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i \u00dac v\u00e0 New Zealand, trong \u0111\u00f3 ch\u1ec9 22,6% \u0111\u1ea1t thai l\u00e2m s\u00e0ng v\u00e0 17,2% d\u1eabn \u0111\u1ebfn sinh con s\u1ed1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb IVF g\u00e2y t\u1ed1n k\u00e9m c\u1ea3 v\u1ec1 t\u00e0i ch\u00ednh l\u1eabn c\u1ea3m x\u00fac cho c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng, \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 g\u00e1nh n\u1eb7ng cho x\u00e3 h\u1ed9i. Chi ti\u00eau c\u1ee7a Ch\u00ednh ph\u1ee7 \u00dac cho ART kho\u1ea3ng 108 tri\u1ec7u \u0111\u00f4 la \u00dac n\u0103m 2005 v\u00e0 t\u0103ng l\u00ean kho\u1ea3ng 210 tri\u1ec7u \u0111\u00f4 la \u00dac v\u00e0o n\u0103m 2008 do nhu c\u1ea7u ng\u00e0y c\u00e0ng t\u0103ng. Chi ph\u00ed cho m\u1ed9t chu k\u1ef3 IVF, ch\u01b0a k\u1ec3 thu\u1ed1c v\u00e0 t\u01b0 v\u1ea5n, v\u00e0o kho\u1ea3ng 6000\u20137000 \u0111\u00f4 la \u00dac, trong \u0111\u00f3 chi ph\u00ed t\u1ef1 tr\u1ea3 \u01b0\u1edbc t\u00ednh kho\u1ea3ng 3000\u20134000 \u0111\u00f4 la.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00f4 sinh g\u00e2y ra c\u0103ng th\u1eb3ng t\u00e2m l\u00fd v\u00e0 n\u1ed7i \u0111au tinh th\u1ea7n cho c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng. Tuy nhi\u00ean, s\u1ef1 quan t\u00e2m t\u1eeb c\u00e1c t\u1ed5 ch\u1ee9c v\u00e0 c\u1ed9ng \u0111\u1ed3ng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb v\u00f4 sinh ho\u1eb7c s\u1ea3y thai t\u00e1i di\u1ec5n c\u00f2n h\u1ea1n ch\u1ebf, v\u00e0 c\u00e1c d\u1ecbch v\u1ee5 h\u1ed7 tr\u1ee3 c\u0169ng k\u00e9m h\u01a1n so v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1ea5t thai r\u00f5 r\u00e0ng nh\u01b0 thai ch\u1ebft l\u01b0u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c li\u1ec7u ph\u00e1p thay th\u1ebf mang t\u00ednh to\u00e0n di\u1ec7n, nh\u01b0 Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (TCM), cung c\u1ea5p ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n h\u01a1n v\u00e0 chi ph\u00ed th\u1ea5p h\u01a1n c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n so v\u1edbi \u0111i\u1ec1u tr\u1ecb T\u00e2y y ti\u00eau chu\u1ea9n. Tuy nhi\u00ean, nh\u1eadn th\u1ee9c v\u1ec1 TCM trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh c\u00f2n th\u1ea5p v\u00e0 th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 T\u00e2y y \u0111\u1ec1 xu\u1ea5t. T\u1ea1i \u00dac, \u0111i\u1ec3m ti\u1ebfp c\u1eadn \u0111\u1ea7u ti\u00ean c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng v\u00f4 sinh l\u00e0 b\u00e1c s\u0129 \u0111a khoa, v\u00e0 h\u1ecd th\u01b0\u1eddng \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn c\u00e1c ph\u00f2ng kh\u00e1m hi\u1ebfm mu\u1ed9n \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m ban \u0111\u1ea7u v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn t\u1edbi IVF.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c t\u00ecm ki\u1ebfm s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u1ec1n t\u1ea3ng g\u00e2y v\u00f4 sinh \u1edf t\u1eebng c\u00e1 th\u1ec3 th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n nh\u01b0 b\u1eaft m\u1ea1ch, xem l\u01b0\u1ee1i, s\u1eafc di\u1ec7n, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n t\u1ed5ng th\u1ec3, c\u0169ng nh\u01b0 ti\u1ec1n s\u1eed kinh nguy\u1ec7t. Bi\u1ec7n ch\u1ee9ng lu\u1eadn tr\u1ecb trong TCM x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ri\u00eang cho t\u1eebng ng\u01b0\u1eddi, bao g\u1ed3m d\u00f9ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c (CHM) v\u00e0 ch\u00e2m c\u1ee9u. H\u1ec7 th\u1ed1ng bi\u1ec7n ch\u1ee9ng c\u1ee7a TCM li\u00ean quan \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 th\u00f4ng qua kinh l\u1ea1c, bao g\u1ed3m c\u00e1c t\u1ea1ng nh\u01b0 th\u1eadn, can (huy\u1ebft), t\u1ef3, t\u00e2m, ph\u1ebf; \u0111\u1ed3ng th\u1eddi ph\u00e2n bi\u1ec7t c\u00e1c tr\u1ea1ng th\u00e1i h\u01b0 \u2013 th\u1ef1c, h\u00e0n \u2013 nhi\u1ec7t. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111i\u1ec1u h\u00f2a v\u00e0 c\u00e2n b\u1eb1ng nh\u1eefng r\u1ed1i lo\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00e1nh gi\u00e1 chi ti\u1ebft ti\u1ec1n s\u1eed kinh nguy\u1ec7t l\u00e0 m\u1ed9t ph\u1ea7n c\u1ed1t l\u00f5i trong ch\u1ea9n \u0111o\u00e1n TCM \u0111\u1ed1i v\u1edbi v\u00f4 sinh n\u1eef, cung c\u1ea5p \u201cc\u1eeda s\u1ed5\u201d quan s\u00e1t tr\u1ef1c ti\u1ebfp t\u00ecnh tr\u1ea1ng sinh s\u1ea3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. S\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa \u0111\u01b0\u1eddng cong nhi\u1ec7t \u0111\u1ed9 c\u01a1 b\u1ea3n (BBT), l\u01b0\u1ee3ng kinh, m\u00e0u s\u1eafc m\u00e1u kinh, s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u, thay \u0111\u1ed5i ch\u1ea5t nh\u1ea7y v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ho\u1eb7c tr\u01b0\u1edbng \u0111\u1ec1u li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn bi\u1ec7n ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb trong TCM.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e0i t\u1ed5ng quan n\u00e0y t\u00f3m t\u1eaft c\u00e1c b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a th\u1ea3o d\u01b0\u1ee3c TCM trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef v\u00e0 so s\u00e1nh t\u1ef7 l\u1ec7 mang thai v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee7a Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i. \u0110\u1ed3ng th\u1eddi, cung c\u1ea5p h\u01b0\u1edbng d\u1eabn th\u1ef1c h\u00e0nh v\u1ec1 bi\u1ec7n ch\u1ee9ng TCM, n\u00eau b\u1eadt c\u00e1c th\u1ec3 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p li\u00ean quan \u0111\u1ebfn v\u00f4 sinh d\u1ef1a tr\u00ean ch\u1ea5t l\u01b0\u1ee3ng chu k\u1ef3 kinh nguy\u1ec7t v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Danh s\u00e1ch b\u00e0i thu\u1ed1c <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2020\/3951741<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>T\u00ean b\u00e0i thu\u1ed1c TCM<\/th><th>Th\u00e0nh ph\u1ea7n (t\u00ean d\u01b0\u1ee3c li\u1ec7u)<\/th><th>Ph\u00e2n lo\u1ea1i c\u00f4ng n\u0103ng<\/th><th>S\u1ed1 ng\u01b0\u1eddi d\u00f9ng (%#) \u2013 C\u00f3 thai th\u00e0nh c\u00f4ng<\/th><th>Kh\u00f4ng c\u00f3 thai th\u00e0nh c\u00f4ng<\/th><\/tr><\/thead><tbody><tr><td>Jia-Wei-Xiao-Yao-San<\/td><td>M\u1eabu \u0111\u01a1n b\u00ec; X\u00edch th\u01b0\u1ee3c; S\u00e0i h\u1ed3; \u0110\u01b0\u01a1ng quy; B\u1ea1ch tru\u1eadt; Ph\u1ee5c linh; Cam th\u1ea3o; Sinh kh\u01b0\u01a1ng; B\u1ea1c h\u00e0<\/td><td>S\u01a1 can gi\u1ea3i u\u1ea5t, thanh nhi\u1ec7t, d\u01b0\u1ee1ng huy\u1ebft<\/td><td>194 (7,38%)<\/td><td>59 (2,25%)<\/td><\/tr><tr><td>Wen-Jing-Tang<\/td><td>Qu\u1ebf chi; Ng\u00f4 th\u00f9 du; Xuy\u00ean khung; \u0110\u01b0\u01a1ng quy; B\u1ea1ch th\u01b0\u1ee3c; Sinh kh\u01b0\u01a1ng; M\u1eabu \u0111\u01a1n b\u00ec; M\u1ea1ch m\u00f4n; B\u00e1n h\u1ea1; Nh\u00e2n s\u00e2m; Cam th\u1ea3o; A giao<\/td><td>Ho\u1ea1t huy\u1ebft h\u00f3a \u1ee9, \u00f4n kinh t\u00e1n h\u00e0n, \u00edch kh\u00ed d\u01b0\u1ee1ng huy\u1ebft<\/td><td>160 (6,09%)<\/td><td>53 (2,02%)<\/td><\/tr><tr><td>Dang-Gui-Sha-Yao-San<\/td><td>\u0110\u01b0\u01a1ng quy; B\u1ea1ch th\u01b0\u1ee3c; Ph\u1ee5c linh; B\u1ea1ch tru\u1eadt; Tr\u1ea1ch t\u1ea3; Xuy\u00ean khung<\/td><td>D\u01b0\u1ee1ng huy\u1ebft \u0111i\u1ec1u can, ki\u1ec7n t\u1ef3 h\u00f3a th\u1ea5p<\/td><td>158 (6,01%)<\/td><td>49 (1,87%)<\/td><\/tr><tr><td>Zou-Gui-Wan<\/td><td>Th\u1ee5c \u0111\u1ecba; Ho\u00e0i s\u01a1n; K\u1ef7 t\u1eed; S\u01a1n th\u00f9; Ng\u01b0u t\u1ea5t; Th\u1ecf ty t\u1eed; L\u1ed9c gi\u00e1c giao; Quy b\u1ea3n giao<\/td><td>T\u01b0 \u00e2m b\u1ed5 th\u1eadn, \u00edch tinh<\/td><td>110 (4,19%)<\/td><td>42 (1,60%)<\/td><\/tr><tr><td>Gui-Zhi-Fu-Ling-Wan<\/td><td>Qu\u1ebf chi; Ph\u1ee5c linh; M\u1eabu \u0111\u01a1n b\u00ec; \u0110\u00e0o nh\u00e2n; X\u00edch th\u01b0\u1ee3c<\/td><td>Ho\u1ea1t huy\u1ebft h\u00f3a \u1ee9, ti\u00eau kh\u1ed1i<\/td><td>99 (3,77%)<\/td><td>28 (1,07%)<\/td><\/tr><tr><td>You-Gui-Wan<\/td><td>Th\u1ee5c \u0111\u1ecba; Ho\u00e0i s\u01a1n; K\u1ef7 t\u1eed; Th\u1ecf ty t\u1eed; L\u1ed9c gi\u00e1c giao; S\u01a1n th\u00f9; \u0110\u01b0\u01a1ng quy; Ph\u1ee5 t\u1eed ch\u1ebf; Nh\u1ee5c qu\u1ebf; \u0110\u1ed7 tr\u1ecdng<\/td><td>\u00d4n th\u1eadn d\u01b0\u01a1ng, b\u1ed5 tinh, d\u01b0\u1ee1ng huy\u1ebft<\/td><td>80 (3,05%)<\/td><td>35 (1,33%)<\/td><\/tr><tr><td>Shao-Fu-Zhu-Yu-Tang<\/td><td>Ti\u1ec3u h\u1ed3i; Can kh\u01b0\u01a1ng; Di\u00ean h\u1ed3 s\u00e1ch; \u0110\u01b0\u01a1ng quy; Xuy\u00ean khung; Nh\u1ee5c qu\u1ebf; X\u00edch th\u01b0\u1ee3c; B\u1ed3 ho\u00e0ng; Ng\u0169 linh chi<\/td><td>Ho\u1ea1t huy\u1ebft h\u00f3a \u1ee9, \u00f4n kinh, ch\u1ec9 th\u1ed1ng<\/td><td>83 (3,16%)<\/td><td>32 (1,22%)<\/td><\/tr><tr><td>Liu-Wei-Dihuang-Wan<\/td><td>Th\u1ee5c \u0111\u1ecba; S\u01a1n th\u00f9; Ho\u00e0i s\u01a1n; Tr\u1ea1ch t\u1ea3; Ph\u1ee5c linh; M\u1eabu \u0111\u01a1n b\u00ec<\/td><td>T\u01b0 b\u1ed5 can th\u1eadn<\/td><td>57 (2,17%)<\/td><td>21 (0,80%)<\/td><\/tr><tr><td>Gui-Pi-Tang<\/td><td>B\u1ea1ch tru\u1eadt; Ph\u1ee5c linh; Ho\u00e0ng k\u1ef3; Nh\u00e2n s\u00e2m; Cam th\u1ea3o; M\u1ed9c h\u01b0\u01a1ng; \u0110\u01b0\u01a1ng quy; Vi\u1ec5n ch\u00ed; Long nh\u00e3n; Toan t\u00e1o nh\u00e2n<\/td><td>B\u1ed5 kh\u00ed huy\u1ebft, ki\u1ec7n t\u1ef3, d\u01b0\u1ee1ng t\u00e2m<\/td><td>49 (1,87%)<\/td><td>25 (0,95%)<\/td><\/tr><tr><td>Si-Wu-Tang<\/td><td>\u0110\u01b0\u01a1ng quy; Th\u1ee5c \u0111\u1ecba; B\u1ea1ch th\u01b0\u1ee3c; Xuy\u00ean khung<\/td><td>B\u1ed5 huy\u1ebft, \u0111i\u1ec1u kinh<\/td><td>46 (1,75%)<\/td><td>11 (0,42%)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ea3ng 4. T\u1ef7 s\u1ed1 odds (ch\u01b0a hi\u1ec7u ch\u1ec9nh v\u00e0 \u0111\u00e3 hi\u1ec7u ch\u1ec9nh) c\u1ee7a vi\u1ec7c mang thai th\u00e0nh c\u00f4ng \u0111\u1ed1i v\u1edbi t\u1eebng lo\u1ea1i thu\u1ed1c h\u1ed7 tr\u1ee3 sinh s\u1ea3n th\u01b0\u1eddng d\u00f9ng.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>hu\u1ed1c h\u1ed7 tr\u1ee3 sinh s\u1ea3n<\/th><th>N<\/th><th>%<\/th><th>OR ch\u01b0a hi\u1ec7u ch\u1ec9nh (95% CI)<\/th><th>OR \u0111\u00e3 hi\u1ec7u ch\u1ec9nh (95% CI)<\/th><\/tr><\/thead><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Thu\u1ed1c TCM<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Jia-Wei-Xiao-Yao-San<\/td><td>253<\/td><td>4,82<\/td><td>3,47 (2,58\u20134,67)***<\/td><td>3,17 (2,35\u20134,28)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Wen-Jing-Tang<\/td><td>213<\/td><td>4,05<\/td><td>3,15 (2,30\u20134,32)***<\/td><td>2,83 (2,06\u20133,90)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Dang-Gui-Sha-Yao-San<\/td><td>207<\/td><td>3,94<\/td><td>3,37 (2,43\u20134,66)***<\/td><td>3,14 (2,26\u20134,37)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Zou-Gui-Wan<\/td><td>152<\/td><td>2,89<\/td><td>2,69 (1,88\u20133,85)***<\/td><td>2,47 (1,71\u20133,56)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Gui-Zhi-Fu-Ling-Wan<\/td><td>127<\/td><td>2,42<\/td><td>3,64 (2,38\u20135,55)***<\/td><td>3,27 (2,13\u20135,02)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>You-Gui-Wan<\/td><td>115<\/td><td>2,19<\/td><td>2,33 (1,56\u20133,47)***<\/td><td>2,12 (1,41\u20133,18)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Shao-Fu-Zhu-Yu-Tang<\/td><td>115<\/td><td>2,19<\/td><td>2,64 (1,75\u20133,99)***<\/td><td>2,54 (1,67\u20133,86)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Liu-Wei-Dihuang-Wan<\/td><td>78<\/td><td>1,48<\/td><td>2,75 (1,66\u20134,55)***<\/td><td>2,52 (1,51\u20134,21)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Gui-Pi-Tang<\/td><td>74<\/td><td>1,41<\/td><td>1,98 (1,22\u20133,21)**<\/td><td>1,69 (1,04\u20132,77)*<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Si-Wu-Tang<\/td><td>57<\/td><td>1,08<\/td><td>4,24 (2,19\u20138,20)***<\/td><td>4,25 (2,18\u20138,30)**<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Thu\u1ed1c T\u00e2y y<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Clomiphene citrate\/tamoxifen<\/td><td>1299<\/td><td>24,72<\/td><td>3,87 (3,37\u20134,44)***<\/td><td>3,76 (3,26\u20134,34)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>GnRH agonist\/GnRH antagonist<\/td><td>2<\/td><td>0,04<\/td><td>\u2014<\/td><td>\u2014<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Progesterone<\/td><td>290<\/td><td>5,52<\/td><td>3,34 (2,54\u20134,39)***<\/td><td>3,22 (2,44\u20134,26)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Bromocriptine\/cabergoline<\/td><td>147<\/td><td>2,80<\/td><td>3,06 (2,10\u20134,46)***<\/td><td>2,94 (2,00\u20134,32)***<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">2. <strong>N<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00e0 <strong>s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n<\/strong> s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00f3 trong nghi\u00ean c\u1ee9u.<\/li>\n\n\n\n<li>V\u00ed d\u1ee5: 253 ng\u01b0\u1eddi d\u00f9ng Jia-Wei-Xiao-Yao-San.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f449; Cho bi\u1ebft <strong>c\u1ee1 m\u1eabu<\/strong> c\u1ee7a t\u1eebng nh\u00f3m thu\u1ed1c.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">3. <strong>%<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00e0 <strong>t\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m<\/strong> b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c \u0111\u00f3 tr\u00ean t\u1ed5ng s\u1ed1 m\u1eabu nghi\u00ean c\u1ee9u.<\/li>\n\n\n\n<li>V\u00ed d\u1ee5: 4,82% ngh\u0129a l\u00e0 trong to\u00e0n b\u1ed9 b\u1ec7nh nh\u00e2n, c\u00f3 4,82% d\u00f9ng b\u00e0i n\u00e0y.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f449; Gi\u00fap \u0111\u00e1nh gi\u00e1 <strong>m\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn<\/strong> c\u1ee7a t\u1eebng thu\u1ed1c.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">4. <strong>Unadjusted OR (95% CI)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">(<strong>Odds Ratio ch\u01b0a hi\u1ec7u ch\u1ec9nh \u2013 kho\u1ea3ng tin c\u1eady 95%<\/strong>)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>OR (Odds Ratio)<\/strong> = t\u1ef7 l\u1ec7 kh\u1ea3 n\u0103ng c\u00f3 thai \u1edf nh\u00f3m d\u00f9ng thu\u1ed1c so v\u1edbi nh\u00f3m kh\u00f4ng d\u00f9ng.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f449; Hi\u1ec3u \u0111\u01a1n gi\u1ea3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>OR = 1 \u2192 kh\u00f4ng kh\u00e1c bi\u1ec7t<\/li>\n\n\n\n<li>OR > 1 \u2192 t\u0103ng kh\u1ea3 n\u0103ng c\u00f3 thai<\/li>\n\n\n\n<li>OR &lt; 1 \u2192 gi\u1ea3m kh\u1ea3 n\u0103ng c\u00f3 thai<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00ed d\u1ee5:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>OR = 3,47 \u2192 kh\u1ea3 n\u0103ng c\u00f3 thai <strong>cao g\u1ea5p 3,47 l\u1ea7n<\/strong><\/li>\n\n\n\n<li><strong>Unadjusted<\/strong> = ch\u01b0a lo\u1ea1i tr\u1eeb y\u1ebfu t\u1ed1 g\u00e2y nhi\u1ec5u (tu\u1ed5i, b\u1ec7nh n\u1ec1n, v.v.)<\/li>\n\n\n\n<li><strong>95% CI (Confidence Interval)<\/strong> = kho\u1ea3ng tin c\u1eady<br>\u2192 V\u00ed d\u1ee5: (2,58 \u2013 4,67)\n<ul class=\"wp-block-list\">\n<li>N\u1ebfu <strong>kh\u00f4ng ch\u1ee9a s\u1ed1 1<\/strong> \u2192 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f449; \u0110\u00e2y l\u00e0 k\u1ebft qu\u1ea3 \u201cth\u00f4\u201d.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">5. <strong>Adjusted OR (95% CI)<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">(<strong>Odds Ratio \u0111\u00e3 hi\u1ec7u ch\u1ec9nh \u2013 kho\u1ea3ng tin c\u1eady 95%<\/strong>)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L\u00e0 OR sau khi \u0111\u00e3 <strong>\u0111i\u1ec1u ch\u1ec9nh c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y nhi\u1ec5u<\/strong>, v\u00ed d\u1ee5:\n<ul class=\"wp-block-list\">\n<li>Tu\u1ed5i<\/li>\n\n\n\n<li>Th\u1eddi gian v\u00f4 sinh<\/li>\n\n\n\n<li>B\u1ec7nh n\u1ec1n (PCOS, l\u1ea1c n\u1ed9i m\u1ea1c\u2026)<\/li>\n\n\n\n<li>C\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f449; \u0110\u00e2y l\u00e0 <strong>gi\u00e1 tr\u1ecb \u0111\u00e1ng tin c\u1eady h\u01a1n<\/strong>, ph\u1ea3n \u00e1nh t\u00e1c d\u1ee5ng th\u1eadt c\u1ee7a thu\u1ed1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00ean c\u1ee9u b\u1ec7nh\u2013ch\u1ee9ng quy m\u00f4 l\u1edbn n\u00e0y v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (TCM) trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef bao g\u1ed3m 2.627 ph\u1ee5 n\u1eef v\u00f4 sinh c\u00f3 thai th\u00e0nh c\u00f4ng v\u00e0 2.627 ph\u1ee5 n\u1eef v\u00f4 sinh \u0111\u01b0\u1ee3c gh\u00e9p c\u1eb7p t\u1ea7n su\u1ea5t nh\u01b0ng kh\u00f4ng c\u00f3 thai th\u00e0nh c\u00f4ng t\u1ea1i \u0110\u00e0i Loan. K\u1ebft qu\u1ea3 cho th\u1ea5y t\u1ef7 l\u1ec7 mang thai th\u00e0nh c\u00f4ng t\u0103ng t\u1ed5ng th\u1ec3 48% \u1edf nh\u1eefng ph\u1ee5 n\u1eef s\u1eed d\u1ee5ng TCM so v\u1edbi nh\u00f3m kh\u00f4ng s\u1eed d\u1ee5ng. Nh\u1eefng ph\u1ee5 n\u1eef v\u00f4 sinh m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 kh\u1ea3 n\u0103ng mang thai th\u00e0nh c\u00f4ng th\u1ea5p h\u01a1n. B\u1ed1n b\u00e0i thu\u1ed1c c\u00f3 m\u1ee9c li\u00ean quan m\u1ea1nh nh\u1ea5t v\u1edbi vi\u1ec7c c\u00f3 thai th\u00e0nh c\u00f4ng l\u00e0 <strong>T\u1ee9 v\u1eadt thang (Si-Wu-Tang)<\/strong>, <strong>Qu\u1ebf chi ph\u1ee5c linh ho\u00e0n (Gui-Zhi-Fu-Ling-Wan)<\/strong>, <strong>Gia v\u1ecb ti\u00eau dao t\u00e1n (Jia-Wei-Xiao-Yao-San)<\/strong> v\u00e0 <strong>\u0110\u01b0\u01a1ng quy th\u01b0\u1ee3c d\u01b0\u1ee3c t\u00e1n (Dang-Gui-Sha-Yao-San)<\/strong> v\u1edbi OR l\u1ea7n l\u01b0\u1ee3t l\u00e0 4,25; 3,27; 3,17 v\u00e0 3,14. Ph\u00e2n t\u00edch ph\u00e2n nh\u00f3m cho th\u1ea5y m\u1ee9c \u0111\u1ed9 li\u00ean quan gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng TCM v\u00e0 mang thai th\u00e0nh c\u00f4ng \u1edf ph\u1ee5 n\u1eef b\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t c\u00f3 xu h\u01b0\u1edbng cao h\u01a1n m\u1ed9t ch\u00fat.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u01b0\u1eddi b\u00e0i thu\u1ed1c TCM \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong nghi\u00ean c\u1ee9u n\u00e0y t\u01b0\u01a1ng t\u1ef1 v\u1edbi k\u1ebft qu\u1ea3 c\u1ee7a Lin v\u00e0 c\u1ed9ng s\u1ef1 khi nghi\u00ean c\u1ee9u TCM trong xu\u1ea5t huy\u1ebft t\u1eed cung b\u1ea5t th\u01b0\u1eddng, c\u0169ng nh\u01b0 ph\u00f9 h\u1ee3p v\u1edbi nghi\u00ean c\u1ee9u c\u1ee7a Hung v\u00e0 c\u1ed9ng s\u1ef1 v\u1ec1 v\u00f4 sinh n\u1eef. Tuy nhi\u00ean, hai nghi\u00ean c\u1ee9u n\u00e0y ch\u01b0a \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 li\u00ean quan gi\u1eefa k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u1eebng b\u00e0i thu\u1ed1c, c\u0169ng nh\u01b0 ch\u01b0a ph\u00e2n t\u00edch theo t\u00ecnh tr\u1ea1ng b\u1ec7nh ph\u1ee5 khoa. Nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i cho th\u1ea5y <strong>Gia v\u1ecb ti\u00eau dao t\u00e1n, \u00d4n kinh thang, \u0110\u01b0\u01a1ng quy th\u01b0\u1ee3c d\u01b0\u1ee3c t\u00e1n v\u00e0 Qu\u1ebf chi ph\u1ee5c linh ho\u00e0n<\/strong> c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh nh\u1ea5t trong c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng sinh s\u1ea3n n\u1eef. Trong \u0111\u00f3, Gia v\u1ecb ti\u00eau dao t\u00e1n c\u0169ng l\u00e0 b\u00e0i thu\u1ed1c ph\u1ed5 bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, ung th\u01b0 v\u00fa v\u00e0 xu\u1ea5t huy\u1ebft t\u1eed cung b\u1ea5t th\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00e2y l\u00e0 nghi\u00ean c\u1ee9u b\u1ec7nh\u2013ch\u1ee9ng quy m\u00f4 l\u1edbn \u0111\u1ea7u ti\u00ean t\u1ea1i \u0110\u00e0i Loan kh\u1ea3o s\u00e1t m\u1ed1i li\u00ean quan gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng TCM v\u00e0 kh\u1ea3 n\u0103ng mang thai th\u00e0nh c\u00f4ng \u1edf ph\u1ee5 n\u1eef v\u00f4 sinh. M\u1eabu nghi\u00ean c\u1ee9u c\u00f3 t\u00ednh \u0111\u1ea1i di\u1ec7n cao cho d\u00e2n s\u1ed1 chung. Nh\u1edd t\u1ef7 l\u1ec7 bao ph\u1ee7 cao c\u1ee7a b\u1ea3o hi\u1ec3m y t\u1ebf qu\u1ed1c gia (NHI) \u0111\u1ed1i v\u1edbi d\u1ecbch v\u1ee5 TCM, d\u1eef li\u1ec7u k\u00ea \u0111\u01a1n \u0111\u01b0\u1ee3c ghi nh\u1eadn \u0111\u1ea7y \u0111\u1ee7, gi\u00fap gi\u1ea3m thi\u1ec3u sai l\u1ec7ch nh\u1edb l\u1ea1i ho\u1eb7c sai l\u1ec7ch \u0111o l\u01b0\u1eddng. C\u00e1c b\u00e0i thu\u1ed1c \u0111\u1ec1u do b\u00e1c s\u0129 TCM \u0111\u01b0\u1ee3c c\u1ea5p ch\u1ee9ng ch\u1ec9 k\u00ea \u0111\u01a1n. Vi\u1ec7c c\u00f3 \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin gi\u00fap ph\u00e2n t\u00edch \u0111\u1ed9c l\u1eadp t\u00e1c d\u1ee5ng c\u1ee7a t\u1eebng b\u00e0i thu\u1ed1c \u0111\u1ed1i v\u1edbi k\u1ebft qu\u1ea3 mang thai, to\u00e0n di\u1ec7n h\u01a1n so v\u1edbi ch\u1ec9 \u0111\u00e1nh gi\u00e1 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01a1n l\u1ebb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nghi\u00ean c\u1ee9u n\u00e0y x\u00e1c \u0111\u1ecbnh 10 b\u00e0i thu\u1ed1c th\u01b0\u1eddng d\u00f9ng nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef. M\u1ed9t nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 tr\u01b0\u1edbc \u0111\u00e2y cho th\u1ea5y Gia v\u1ecb ti\u00eau dao t\u00e1n c\u1ea3i thi\u1ec7n tr\u1ea7m c\u1ea3m \u1edf ph\u1ee5 n\u1eef m\u00e3n kinh so v\u1edbi thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m b\u1eb1ng c\u00e1ch l\u00e0m t\u0103ng TNF-\u03b1 huy\u1ebft thanh sau 12 tu\u1ea7n. M\u1ed9t nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, \u0111a trung t\u00e2m kh\u00e1c c\u0169ng cho th\u1ea5y chi\u1ebft xu\u1ea5t ph\u1ed1i h\u1ee3p c\u1ee7a b\u00e0i n\u00e0y gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng lo \u00e2u r\u00f5 r\u1ec7t so v\u1edbi nh\u00f3m d\u00f9ng t\u1eebng v\u1ecb ri\u00eang l\u1ebb ho\u1eb7c gi\u1ea3 d\u01b0\u1ee3c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">K\u1ebft qu\u1ea3 cho th\u1ea5y <strong>T\u1ee9 v\u1eadt thang<\/strong> l\u00e0 b\u00e0i thu\u1ed1c c\u00f3 m\u1ed1i li\u00ean quan m\u1ea1nh nh\u1ea5t v\u1edbi kh\u1ea3 n\u0103ng mang thai th\u00e0nh c\u00f4ng. B\u00e0i n\u00e0y th\u01b0\u1eddng d\u00f9ng cho ch\u1ee9ng huy\u1ebft h\u01b0 \u2013 t\u00ecnh tr\u1ea1ng r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef do m\u1ea5t m\u00e1u kinh. Th\u00e0nh ph\u1ea7n g\u1ed3m th\u1ee5c \u0111\u1ecba, b\u1ea1ch th\u01b0\u1ee3c, \u0111\u01b0\u01a1ng quy\u2026 Trong \u0111\u00f3, th\u1ee5c \u0111\u1ecba c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam v\u00e0 ch\u1ed1ng oxy h\u00f3a, gi\u00fap c\u1ea3i thi\u1ec7n vi\u00eam da, b\u1ec7nh t\u1ef1 mi\u1ec5n v\u00e0 d\u1ecb \u1ee9ng. Ngo\u00e0i ra, c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng ho\u1ea1t h\u00f3a h\u1ec7 th\u1ea7n kinh ph\u00f3 giao c\u1ea3m (\u0111\u00e1nh gi\u00e1 qua bi\u1ebfn thi\u00ean nh\u1ecbp tim).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00e2n t\u00edch ph\u00e2n nh\u00f3m nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u00ednh nh\u1ea5t qu\u00e1n ho\u1eb7c s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb gi\u1eefa c\u00e1c nh\u00f3m b\u1ec7nh nh\u00e2n. K\u1ebft qu\u1ea3 cho th\u1ea5y m\u1ed1i li\u00ean quan gi\u1eefa TCM v\u00e0 mang thai th\u00e0nh c\u00f4ng ch\u1ec9 \u1ed5n \u0111\u1ecbnh \u1edf nh\u00f3m c\u00f3 chu k\u1ef3 kinh \u0111\u1ec1u v\u00e0 kh\u00f4ng \u0111\u1ec1u. \u1ede c\u00e1c nh\u00f3m c\u00f3 h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung ho\u1eb7c th\u1ed1ng kinh, m\u1ed1i li\u00ean quan kh\u00f4ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea d\u00f9 OR t\u01b0\u01a1ng \u0111\u01b0\u01a1ng ho\u1eb7c h\u01a1i cao h\u01a1n. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do c\u1ee1 m\u1eabu nh\u1ecf. U x\u01a1 t\u1eed cung c\u00f3 xu h\u01b0\u1edbng t\u01b0\u01a1ng t\u00e1c b\u1ea5t l\u1ee3i v\u1edbi hi\u1ec7u qu\u1ea3 c\u1ee7a TCM nh\u01b0ng ch\u01b0a c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea. V\u00ec v\u1eady c\u1ea7n nghi\u00ean c\u1ee9u quy m\u00f4 l\u1edbn h\u01a1n. K\u1ebft qu\u1ea3 hi\u1ec7n t\u1ea1i ch\u01b0a th\u1ec3 \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i cho c\u00e1c nh\u00f3m c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo n\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c nghi\u1ec7m cho th\u1ea5y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110\u01b0\u01a1ng quy th\u01b0\u1ee3c d\u01b0\u1ee3c t\u00e1n<\/strong> c\u1ea3i thi\u1ec7n h\u00e0nh vi gi\u1ed1ng tr\u1ea7m c\u1ea3m, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn gi\u1ea3m vasopressin trung \u01b0\u01a1ng.<\/li>\n\n\n\n<li>B\u00e0i n\u00e0y c\u00f2n \u1ee9c ch\u1ebf co c\u01a1 tr\u01a1n t\u1eed cung (gi\u1ea3m \u0111au b\u1ee5ng kinh).<\/li>\n\n\n\n<li>C\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n suy ho\u00e0ng th\u1ec3 (luteal phase insufficiency).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Trong khi \u0111\u00f3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Qu\u1ebf chi ph\u1ee5c linh ho\u00e0n<\/strong> gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng ti\u1ec1n m\u00e3n kinh v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng estrogen.<\/li>\n\n\n\n<li>C\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3m co b\u00f3p t\u1eed cung do oxytocin, g\u00f3p ph\u1ea7n gi\u1ea3m \u0111au v\u00e0 c\u1ea3i thi\u1ec7n m\u00f4i tr\u01b0\u1eddng t\u1eed cung.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>H\u1ea1n ch\u1ebf c\u1ee7a nghi\u00ean c\u1ee9u:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Kh\u00f4ng ph\u1ea3i th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean \u2192 c\u00f3 th\u1ec3 c\u00f3 sai l\u1ec7ch do y\u1ebfu t\u1ed1 nhi\u1ec5u.<\/li>\n\n\n\n<li>D\u1eef li\u1ec7u h\u00e0nh ch\u00ednh (ICD-9) \u2192 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 thi\u1ebfu b\u1ec7nh k\u00e8m theo.<\/li>\n\n\n\n<li>Kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u x\u00e9t nghi\u1ec7m (hormone, h\u00ecnh \u1ea3nh\u2026).<\/li>\n\n\n\n<li>Kh\u00f4ng ghi nh\u1eadn vi\u1ec7c d\u00f9ng thu\u1ed1c TCM kh\u00f4ng k\u00ea \u0111\u01a1n \u2192 c\u00f3 th\u1ec3 ph\u00e2n lo\u1ea1i sai.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, sai l\u1ec7ch n\u00e0y c\u00f3 xu h\u01b0\u1edbng l\u00e0m <strong>gi\u1ea3m \u01b0\u1edbc t\u00ednh hi\u1ec7u qu\u1ea3<\/strong>, ngh\u0129a l\u00e0 hi\u1ec7u qu\u1ea3 th\u1eadt c\u1ee7a TCM c\u00f3 th\u1ec3 c\u00f2n cao h\u01a1n k\u1ebft qu\u1ea3 b\u00e1o c\u00e1o.<\/p>\n<!-- relpost-thumb-wrapper --><div class=\"relpost-thumb-wrapper\"><!-- filter-class --><div class=\"relpost-thumb-container\"><style>.relpost-block-single-image, .relpost-post-image { margin-bottom: 10px; }<\/style><h3>Related posts:<\/h3><div style=\"clear: both\"><\/div><div style=\"clear: both\"><\/div><!-- relpost-block-container --><div class=\"relpost-block-container relpost-block-column-layout\" style=\"--relposth-columns: 3;--relposth-columns_t: 2; --relposth-columns_m: 2\"><a href=\"https:\/\/thuoc115.com\/suckhoe\/lieu-phap-dieu-tri-tuan-tu-trong-dieu-tri-vo-sinh-o-phu-nu-mac-hoi-chung-buong-trung-da-nang-pcos-va-khiem-khuyet-pha-hoang-the-lpd\/\"class=\"relpost-block-single\" ><div class=\"relpost-custom-block-single\"><div class=\"relpost-block-single-image rpt-lazyload\" aria-hidden=\"true\" role=\"img\" data-bg=\"https:\/\/thuoc115.com\/suckhoe\/wp-content\/plugins\/related-posts-thumbnails\/img\/default.png\" style=\"background: transparent no-repeat scroll 0% 0%; width: 150px; height: 150px; aspect-ratio: 1\/1;\"><\/div><div class=\"relpost-block-single-text\"  style=\"height: 75px;font-family: Arial;  font-size: 12px;  color: #333333;\"><h2 class=\"relpost_card_title\">li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb tu\u1ea7n t\u1ef1 trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh \u1edf ph\u1ee5 n\u1eef m\u1eafc h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS) ...<\/h2><\/div><\/div><\/a><\/div><!-- close relpost-block-container --><div style=\"clear: both\"><\/div><\/div><!-- close filter class --><\/div><!-- close relpost-thumb-wrapper -->","protected":false},"excerpt":{"rendered":"<p>Ph\u01b0\u01a1ng ph\u00e1pCh\u00fang t\u00f4i t\u00ecm ki\u1ebfm tr\u00ean c\u00e1c c\u01a1 s\u1edf d\u1eef li\u1ec7u Medline, Cochrane v\u00e0 Google Scholar \u0111\u1ebfn th\u00e1ng 2 n\u0103m 2010 c\u00e1c b\u1ea3n t\u00f3m t\u1eaft b\u1eb1ng ti\u1ebfng Anh c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn v\u00f4 sinh, s\u1ee9c kh\u1ecfe kinh nguy\u1ec7t v\u00e0 Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (TCM). Ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch g\u1ed9p (meta-analysis) &#8230; <a title=\"Hi\u1ec7u qu\u1ea3 c\u1ee7a Y h\u1ecdc c\u1ed5 truy\u1ec1n trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef\" class=\"read-more\" href=\"https:\/\/thuoc115.com\/suckhoe\/hieu-qua-cua-y-hoc-co-truyen-trong-dieu-tri-vo-sinh-nu\/\" aria-label=\"\u0110\u1ecdc th\u00eam v\u1ec1 Hi\u1ec7u qu\u1ea3 c\u1ee7a Y h\u1ecdc c\u1ed5 truy\u1ec1n trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef\">\u0110\u1ecdc ti\u1ebfp<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-567","post","type-post","status-publish","format-standard","hentry","category-vo-sinh-nu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hi\u1ec7u qu\u1ea3 c\u1ee7a Y h\u1ecdc c\u1ed5 truy\u1ec1n trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef - Th\u00f4ng tin s\u1ee9c kh\u1ecfe<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thuoc115.com\/suckhoe\/hieu-qua-cua-y-hoc-co-truyen-trong-dieu-tri-vo-sinh-nu\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hi\u1ec7u qu\u1ea3 c\u1ee7a Y h\u1ecdc c\u1ed5 truy\u1ec1n trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh n\u1eef - Th\u00f4ng tin s\u1ee9c kh\u1ecfe\" \/>\n<meta property=\"og:description\" content=\"Ph\u01b0\u01a1ng ph\u00e1pCh\u00fang t\u00f4i t\u00ecm ki\u1ebfm tr\u00ean c\u00e1c c\u01a1 s\u1edf d\u1eef li\u1ec7u Medline, Cochrane v\u00e0 Google Scholar \u0111\u1ebfn th\u00e1ng 2 n\u0103m 2010 c\u00e1c b\u1ea3n t\u00f3m t\u1eaft b\u1eb1ng ti\u1ebfng Anh c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn v\u00f4 sinh, s\u1ee9c kh\u1ecfe kinh nguy\u1ec7t v\u00e0 Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (TCM). 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