针灸配合半夏泻心汤对多囊卵巢综合征患者胰岛素敏感性及生殖内分泌的影响

发布时间：2018-04-19 06:10

本文选题：中医辨证取穴 + 半夏泻心汤加减　；参考：《中国地方病防治杂志》2017年07期

【摘要】：目的观察针灸配合半夏泻心汤对多囊卵巢综合征患者(PCOS)胰岛素敏感性及生殖内分泌的影响。方法PCOS患者94例随机分组,各47例。对照组予以半夏泻心汤加减治疗,观察组配合中医辨证取穴针刺治疗,两组均连续治疗3个月。对比两组治疗前后胰岛素敏感指数(ISI)、睾酮(T)、雌激素(E2)、黄体生成素(LH)、促卵泡激素(FSH)水平,两组总有效率及排卵率。结果与对照组相比,观察组治疗后E2、ISI水平高于对照组,T、LH、FSH水平低于对照组(P0.05);观察组观察组总有效率(93.26%)高于对照组(68.09%),排卵率(89.36%)优于对照组(65.96%)(P0.05)。结论针灸配合半夏泻心汤治疗PCOS患者疗效显著,可明显提高胰岛素敏感性,改善生殖内分泌状况,促进排卵。
[Abstract]:Objective to observe the effects of acupuncture and moxibustion combined with Banxia Xiexin decoction on insulin sensitivity and reproductive endocrine in patients with polycystic ovary syndrome (PCOS).Methods 94 patients with PCOS were randomly divided into four groups (47 cases each).The control group was treated with Banxia Xiexin decoction and the observation group was treated with acupoint acupuncture based on syndrome differentiation. The two groups were treated continuously for 3 months.The insulin sensitivity index (ISI), testosterone (T), estradiol (E _ 2), luteinizing hormone (LH) and follicle stimulating hormone (FSH) were compared between the two groups before and after treatment. The total effective rate and ovulation rate of the two groups were compared.Results compared with the control group, the level of E2N ISI in the observation group was higher than that in the control group (P 0.05), and the total effective rate in the observation group was 93.26%) higher than that in the control group (68.09%) and the ovulation rate (89.36 6) was better than that in the control group (65.96%).Conclusion Acupuncture and moxibustion combined with Banxia Xiexin decoction can significantly improve insulin sensitivity, improve reproductive endocrine status and promote ovulation in patients with PCOS.
【作者单位】：郑州大学第一附属医院中医科;
【基金】：河南省医学科技攻关计划项目(201205326)
【分类号】：R271.9

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