头穴电针对痰湿型多囊卵巢综合征性激素及卵巢血流的影响

发布时间：2018-07-10 00:01

  本文选题：头穴电针 + 痰湿型多囊卵巢综合征　； 参考：《黑龙江省中医药科学院》2016年硕士论文

【摘要】：目的:通过对痰湿型多囊卵巢综合征患者性激素、体重指数、胰岛素抵抗、卵巢动脉血流及卵巢状况的观察,验证头穴电针治疗痰湿型多囊卵巢综合征患者的临床疗效。方法:选取符合痰湿型多囊卵巢综合征纳入标准的84例患者,按照随机对照原则,分为治疗组(头穴电针配合常规针刺)和对照组(常规针刺)两组,每组各42例。两组患者均每日治疗1次,连续21次为1疗程,1个疗程结束后休息7天,然后开始下一疗程,连续治疗3个疗程。观察及记录治疗前、后的性激素、体重指数、胰岛素抵抗、卵巢动脉血流及卵巢状况。结果:1.治疗组临床总有效率为87.8%,对照组临床总有效率为72.5%,两组比较差异具有显著性(P0.05)。2.两组患者治疗后LH、T水平及LH/FSH比值均较治疗前下降,与治疗前相比具有显著差异性(P0.01),且治疗组对LH、T水平及LH/FSH比值的改善程度明显优于对照组,两组组间比较有统计学意义(P0.05)。3.治疗后两组患者的BMI、HOMA-IR较治疗前下降,与治疗前相比具有显著差异性(P0.01),但两组组间比较无统计学意义(P0.05)。4.治疗后两组患者卵巢体积、卵泡数目均有所改善,与治疗前相比具有显著差异性(P0.01),且治疗组卵巢情况改善程度明显优于对照组,两组组间比较有统计学意义(P0.05)。5.治疗后两组患者的卵巢动脉PI和PSV有所降低,RI有所提高,与治疗前相比具有显著差异性(P0.01),且治疗组卵巢血流改善程度明显优于对照组,两组组间比较有统计学意义(P0.05)。结论:1.头穴电针结合常规针刺组与常规针刺组治疗痰湿型多囊卵巢综合征均有较好的疗效,但头穴电针结合常规针刺的疗效优于常规针刺组,说明头穴电针能提高临床疗效。2.头穴电针能有效改善痰湿型多囊卵巢综合征患者的性激素水平、降低卵巢动脉血流PI及PSV、提高RI,改善卵巢血液循环和卵巢状况。
[Abstract]:Objective: to investigate the clinical efficacy of scalp acupuncture in the treatment of phlegm-wet polycystic ovary syndrome (PCOS) by observing sex hormone, body mass index, insulin resistance, ovarian artery blood flow and ovarian status. Methods: 84 patients with phlegm-wet polycystic ovary syndrome (PCOS) were divided into two groups according to the principle of randomized control: treatment group (scalp point electroacupuncture combined with routine acupuncture) and control group (conventional acupuncture) with 42 cases in each group. The patients in both groups were treated once a day, 21 consecutive times as a course of treatment, rest 7 days after the end of one course of treatment, and then began the next course of treatment, 3 consecutive courses of treatment. Sex hormone, body mass index, insulin resistance, ovarian artery blood flow and ovarian status were observed and recorded before and after treatment. The result is 1: 1. The total clinical effective rate was 87.8 in the treatment group and 72.5 in the control group. The difference between the two groups was significant (P0.05). After treatment, the levels of LHH T and the ratio of LH / FSH in the two groups were significantly lower than those before treatment (P0.01), and the improvement of LHT level and the ratio of LH- / FSH in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). After treatment, the BMIOHOMA-IR of the two groups was significantly lower than that before treatment (P0.01), but there was no significant difference between the two groups (P0.05). 4. After treatment, the ovarian volume and the number of follicles in the two groups were improved, compared with before treatment, there was a significant difference (P0.01), and the degree of ovarian improvement in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). After treatment, the ovarian artery Pi and PSV of the two groups decreased and the RI increased, which was significantly different from that before treatment (P0.01), and the improvement degree of ovarian blood flow in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). Conclusion 1. The therapeutic effect of scalp acupuncture combined with conventional acupuncture and routine acupuncture on phlegm-wet polycystic ovary syndrome was better, but the curative effect of scalp point electroacupuncture combined with routine acupuncture was better than that of routine acupuncture group, indicating that scalp point electroacupuncture could improve the clinical curative effect. Scalp electroacupuncture can effectively improve the level of sex hormones in patients with phlegm-wet type polycystic ovary syndrome, reduce the blood flow Pi and PSV of ovarian artery, increase RI, improve ovarian blood circulation and ovarian status.
【学位授予单位】：黑龙江省中医药科学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3
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本文编号：2111225