益肾化痰方联合针刺治疗肾虚痰湿型多囊卵巢综合征不孕临床研究
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R711.6

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广州市荔湾区科技计划项目(201804002)


Clinical Study on Yishen Huatan Prescription Combined with Acupuncture for Infertility Due to Polycystic Ovary Syndrome of Kidney Deficiency with Phlegm-Dampness Type
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    摘要:

    目的:观察益肾化痰方联合针刺治疗肾虚痰湿型多囊卵巢综合征不孕的临床疗效。方法:选择多囊卵巢综合征不孕患者90 例,按随机数字表法分为针药组、中药组、针刺组各30 例。中药组采用益肾化痰方治疗,针刺组采用针刺治疗,针药组采用益肾化痰方联合针刺治疗。比较3 组治疗前后基础体温(BBT)、B 超的变化,检测性激素水平及排卵率,并评价临床疗效。结果:治疗前,3 组BBT 动态曲线分型比较,差异无统计学意义(P>0.05)。治疗3 个月经周期后,3 组BBT 动态曲线分型均向类型Ⅰ、Ⅱ转变,但针药组更明显(P<0.05)。治疗前,3 组最大卵泡直径、子宫内膜厚度比较,差异无统计学意义(P>0.05)。治疗后,3 组最大卵泡直径、子宫内膜厚度较治疗前升高,且针药组最大卵泡直径及子宫内膜厚度高于中药组及针刺组(P<0.05)。治疗前,3 组雌二醇(E2)、睾酮(T)、卵泡刺激素(FSH)、黄体生成素(LH) 水平比较,差异无统计学意义(P>0.05)。治疗后,针药组E2 较治疗前升高,T、FSH、LH 较治疗前降低(P<0.05);针药组T 水平低于中药组和针刺组(P<0.05)。治疗后,针药组排卵率为83.33%,中药组为50.00%,针刺组为46.67%,针药组排卵率高于中药组和针刺组(P<0.05)。结论:益肾化痰方联合针刺治疗肾虚痰湿型多囊卵巢综合征不孕可以调节激素水平和子宫内膜厚度,改善月经周期,促进排卵。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Yishen Huatan prescription combined with acupuncture for infertility due to polycystic ovary syndrome of the kidney deficiency with phlegm-dampness type. Methods: A total of 90 cases of patients with infertility due to polycystic ovary syndrome were selected and divided into the acupuncture- medication group, the Chinese medicine group, and the acupuncture group according to the random number table method, with 30 cases in each group. The Chinese medicine group was treated with Yishen Huatan prescription,the acupuncture group was treated with acupuncture, and the acupuncture- medication group was treated with Yishen Huatan prescription combined with acupuncture. The changes of basal body temperature(BBT) and B- mode ultrasound before and after treatment were compared among the three groups;the levels of sex hormones and ovulation rate were detected,and clinical effects were evaluated. Results:Before treatment,there was no significant difference being found in the comparison of BBT dynamic curve typing among the three groups(P>0.05). After treatment for three menstrual periods,the BBT dynamic curve typing in the three groups changed to type I and II, but the change in the acupuncture- medication group was more obvious(P<0.05). Before treatment,there was no significant difference being found in the comparison of maximum follicle diameter and endometrial thickness among the three groups(P>0.05). After treatment, maximum follicle diameter and endometrial thickness in the three groups were increased when compared with those before treatment, and the maximum follicle diameter and endometrial thickness in the acupuncture- medication group were larger than those in the other two groups(P<0.05). Before treatment,there was no significant difference being found in the comparison of E2,T,FSH,and LH among the three groups(P>0.05). After treatment, E2 in the acupuncture- medication group was increased when compared with that before treatment,and T,FSH,and LH were decreased(P<0.05);the level of T in the acupuncture-medication group was lower than those in the Chinese medicine group and the acupuncture group(P<0.05). After treatment, the ovulation rate was 83.33% in the acupuncture- medication group, higher than that of 50.00% in the Chinese medicine group and that of 46.67% in the acupuncture-medication group(P<0.05). Conclusion: Yishen Huatan prescription combined with acupuncture for infertility due to polycystic ovary syndrome of the kidney deficiency with phlegm- dampness type can regulate hormone levels and endometrial thickness,improve menstrual period,and promote ovulation.

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杨洪伟,赵雪娟,魏美霞,刘秀明.益肾化痰方联合针刺治疗肾虚痰湿型多囊卵巢综合征不孕临床研究[J].新中医,2022,54(17):153-157

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  • 在线发布日期: 2022-09-06
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