针刺调周法治疗多囊卵巢综合征的临床疗效分析

发布时间：2018-01-06 18:33

本文关键词：针刺调周法治疗多囊卵巢综合征的临床疗效分析　出处：《中国针灸》2017年08期 　论文类型：期刊论文

【摘要】：目的:初步观察针刺调周法与达因-35治疗多囊卵巢综合征(PCOS)的临床疗效差异并探讨其作用机制。方法:将60例患者随机分为针刺组和西药组,每组30例,两组各脱失1例,最终各纳入29例。针刺组予以针刺调周法治疗,以双侧三阴交、大赫、归来、关元、中极为主穴,同侧大赫、归来穴接电针(疏密波,2 Hz/100 Hz),于经后期、经间期、经前期辅以不同配穴,行经期若无不适可暂停治疗,每2 d治疗1次,每周治疗3次。西药组服用达因-35,每日1片,21 d为一疗程,疗程间休息7 d。两组均于月经周期第5 d开始治疗,连续治疗3个月。观察两组治疗前后月经周期、痤疮评分、体质量指数(BMI)及血清卵泡生成激素(follicle stimulating hormone,FSH)、黄体生成激素(luteinizing hormone,LH)、黄体生成激素与卵泡生成激素比值(LH/FSH)、睾酮(testosterone,T)水平变化情况,并比较两组疗效。结果:针刺组和西药组总有效率分别为75.9%(22/29)、79.3%(23/29),差异无统计学意义(P0.05)。治疗后两组月经周期均短于治疗前(均P0.05),且针刺组优于西药组(P0.05),针刺组治疗前后差值大于西药组(P0.05)。针刺组治疗后BMI明显低于治疗前(P0.05),且低于对照组(P0.01),针刺组治疗前后差值大于对照组(P0.05)。两组痤疮评分均低于治疗前(均P0.05),但治疗后组间差异无统计学意义(P0.05)。两组治疗后FSH值均高于治疗前(均P0.05),LH、LH/FSH以及T值均低于治疗前(均P0.05),西药组T值低于针刺组(P0.05),且西药组T值治疗前后差值大于针刺组(P0.05)。结论:针刺调周法可能是治疗PCOS的优势疗法之一,能有效改善患者临床症状、部分激素水平和月经周期。
[Abstract]:Objective: to observe the difference of clinical curative effect between acupuncture regulating week method and dain-35 in the treatment of polycystic ovary syndrome (PCOS) and to explore its mechanism. Methods: 60 patients were randomly divided into acupuncture group and western medicine group. There were 30 cases in each group, 1 case in each group, and 29 cases in each group. The acupuncture group was treated with acupuncture regulating week method, which was treated with bilateral Sanyinjiao, Dahe, return, Guanyuan, Zhongzhi main point, and ipsilateral Dahe. In the later period of menstruation, at the later stage of menstruation, at the interphase, supplemented with different acupoints in the early stage, if there was no discomfort in the menstrual period, the treatment could be suspended once every 2 days. Treatment 3 times a week. The western medicine group took Dane-35, 1 tablet a day for 21 days as a course of treatment, rest 7 days during the course of treatment. Both groups began treatment on the 5th day of menstrual cycle. The menstrual cycle and acne score were observed before and after treatment for 3 months. Body mass index (BMI) and follicle stimulating hormone (FSH). Luteinizing LHH, the ratio of luteinizing hormone to follicle-forming hormone (LH / FSHs). Results: the total effective rate of acupuncture group and western medicine group was 75.9% 22 / 29 respectively. After treatment, the menstrual cycle of the two groups was shorter than that before treatment (all P0.05, and the acupuncture group was superior to the western medicine group P0.05). The difference before and after treatment in the acupuncture group was greater than that in the western medicine group (P 0.05). The BMI in the acupuncture group was significantly lower than that in the control group before and after treatment (P 0.05 and P 0.01). The difference before and after treatment in the acupuncture group was higher than that in the control group (P 0.05). The acne score in both groups was lower than that before treatment (all P 0.05). However, there was no significant difference between the two groups after treatment. The FSH value of the two groups after treatment was higher than that before treatment (P 0.05). The values of LH/FSH and T were lower than those before treatment (P 0.05, P 0.05, P 0.05, P 0.05, respectively), and the T values in western medicine group were lower than those in acupuncture group (P 0.05). The difference of T value before and after treatment in the western medicine group was greater than that in the acupuncture group (P0.050.Conclusion: acupuncture regulating week method may be one of the superior treatments for PCOS and can effectively improve the clinical symptoms of the patients. Part of the hormone level and menstrual cycle.
【作者单位】：浙江中医药大学附属第三医院针灸科;温州市中西医结合医院针灸科;湖州市南浔区中西医结合医院针灸科;
【分类号】：R246.3
【正文快照】： 多囊卵巢综合征(polycystic ovary syndrome,1.3纳入标准PCOS)已成为一种常见病,有5%~10%的妇女深受(1)符合上述诊断标准者;(2)女性18~40周岁者;其扰,是育龄期妇女最常见的一种生殖功能障碍与(3)签署知情同意书者;(4)近3个月内未使用激素类药糖代谢异常并存的内分泌紊乱综合征

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