抑亢汤联合督脉温针灸治疗多囊卵巢综合征不孕症临床研究
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R271.14;R271.9

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温州市科技计划项目(ZS2017019)


Clinical Study on Yikang Tang Combined with Warming-Needle Moxibustion of Governor Vessel for Infertility with Polycystic Ovary Syndrome
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    摘要:

    目的:观察抑亢汤联合督脉温针灸治疗多囊卵巢综合征不孕症疗效及研究其作用机制。方法:选取100 例多囊卵巢综合征不孕症患者作为研究对象,按治疗方式不同分为对照组与观察组各50 例,对照组予以常规西药治疗,观察组在对照组基础上加用口服抑亢汤联合督脉温针灸治疗。比较2 组临床疗效,比较2 组治疗前后中医证候评分、宫颈黏液评分、子宫内膜厚度、性激素水平[雌二醇(E2)、促黄体生成素(LH)、睾酮(T)、卵泡刺激素(FSH)]、B 超检查结果(子宫体积、卵巢体积、卵泡数) 的变化。结果:治疗后,对照组临床疗效总有效率为62%,观察组为80%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组中医证候评分中月经稀发、崩漏、婚久不孕、胸痛、痤疮的评分均较治疗前下降,差异均有统计学意义(P<0.05);治疗后,观察组上述5 项中医证候评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组宫颈黏液评分及子宫内膜厚度均较治疗前增加,差异均有统计学意义(P<0.05);观察组宫颈黏液评分及子宫内膜厚度均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组E2 水平均较治疗前上升,LH、T 水平均较治疗前下降,差异均有统计学意义(P<0.05),2 组FSH 水平与治疗前比较,差异无统计学意义(P>0.05);治疗后,观察组E2 水平高于对照组,LH、T 水平均低于对照组,差异均有统计学意义(P<0.05),观察组FSH 水平与对照组比较,差异无统计学意义(P>0.05)。治疗后,2 组子宫体积均较治疗前增大,差异均无统计学意义(P>0.05),2 组卵巢体积、卵泡数均较治疗前减少,差异均有统计学意义(P<0.05);治疗后,观察组子宫体积与对照组比较,差异无统计学意义(P>0.05),观察组卵巢体积、卵泡数均小于对照组,差异均有统计学意义(P<0.05)。结论:抑亢汤联合督脉温针灸可提高治疗多囊卵巢综合征不孕症的临床疗效,促进宫颈黏液分泌,改善子宫内膜厚度及卵巢储备功能,其作用机制可能与调节代谢、内分泌有关。

    Abstract:

    Abstract:Objective:To observe and study the curative effect and mechanism of the therapy of Yikang Tang combined with warming- needle moxibustion of governor vessel on infertility with polycystic ovary syndrome. Methods: A total of 100 patients were selected and divided into the control group and the observation group, according to different treatment methods, with 50 cases in each group. The control group was treated with routine western medicine,and the observation group was additionally treated with Yikang tang orally and warming- needle moxibustion of governor vessel based on the treatment of the control group. The clinical effects were compared between the two groups. Before and after treatment,the Chinese medicine syndrome scores, scores of cervical mucus, endometrial thickness, levels of sex hormones, including estradiol(E2), luteinizing hormone(LH), testosterone(T) and follicle stimulating hormone(FSH), and results of B ultrasound examination, including uterine volume, ovarian volume and number of follicles,were compared between the two groups. Results:After treatment,the total clinical effective rate was 62% in the control group,and was 80% in the observation group,the difference being significant(P<0.05). After treatment,the Chinese medicine syndrome scores of oligomenorrhea,flooding and spotting,infertility,chest pain and acne in the two groups were decreased when compared with those before treatment, differences being significant(P<0.05); after treatment, the above five Chinese medicine syndrome scores in the observation group were lower than those in the control group, differences being significant(P<0.05). After treatment, the scores of cervical mucus and endometrial thickness in the two groups were increased when compared with those before treatment, differences being significant(P<0.05);the score of cervical mucus and endometrial thickness in the observation group were higher or greater than those in the control group, differences being significant(P<0.05). After treatment,the levels of E2 in the two groups were increased when compared with those before treatment, and the levels of LH and T were decreased, differences being significant(P<0.05), and there was no significant difference being found in the comparison of level of FSH between the two groups before and after treatment(P>0.05);after treatment,the levels of E2 in the observation group were higher than those in the control group,and the levels of LH and T in the observation group were lower,differences being significant(P<0.05),and there was no significant difference being found in the comparison of level of FSH between the two groups(P>0.05). After treatment, the uterine volume in the two groups was increased when compared with that before treatment,there being no significant difference(P>0.05),and the ovarian volume and number of follicles in the two groups were decreased,differences being significant(P<0.05); after treatment, there was no significant difference being found in the comparison of uterine volume between the two groups(P>0.05),and the ovarian volume and number of follicles in the observation group were smaller than those in the control group, differences being significant(P<0.05). Conclusion: The therapy of Yikang tang combined with warming- needle moxibustion of governor vessel can improve the clinical effect on infertility with polycystic ovary syndrome,promote the secretion of cervical mucus,and improve the endometrial thickness and ovarian reserve function,and its mechanism may be related to the regulation of metabolism and endocrine.

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李婷,诸小丽,胡欣欣,马大正.抑亢汤联合督脉温针灸治疗多囊卵巢综合征不孕症临床研究[J].新中医,2022,54(17):148-152

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  • 在线发布日期: 2022-09-06
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