温针灸联合芬吗通治疗肾精亏虚型早发性卵巢功能不全临床研究
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Clinical Study on Warming-Needle Moxibustion Combined with Femoston for Prema⁃ ture Ovarian Insufficiency of Kidney Essence Depletion Type
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    摘要:

    目的:观察温针灸联合芬吗通治疗肾精亏虚型早发性卵巢功能不全(POI) 患者的临床疗效。方 法:选取60 例肾精亏虚型POI 患者为研究对象,按照随机分组原则分为温针灸组和常规组各30 例。常规组 采用芬吗通口服治疗,温针灸组在常规组基础上联合温针灸治疗。比较2 组临床疗效及不良事件发生率,比较 2 组治疗前后中医证候积分、血清促卵泡生成激素(FSH)、促黄体生成素(LH)、雌二醇(E2) 水平及卵巢储 备功能。结果:温针灸组临床总有效率96.67%,高于常规组80.00%(P<0.05)。治疗前,2 组月经不定期、 失眠、潮热盗汗、头晕耳鸣、腰膝酸软中医证候积分比较,差异无统计学意义(P>0.05);治疗后,2 组 上述中医证候积分均降低(P<0.05),且温针灸组低于常规组(P<0.05)。治疗前,2 组FSH、LH、E2 水平比 较,差异无统计学意义(P>0.05);治疗后,2 组FSH、LH 水平降低(P<0.05),E2 水平上升(P<0.05),且 温针灸组FSH、LH 水平低于常规组(P<0.05),E2 水平高于常规组(P<0.05)。治疗前,2 组基础窦卵泡个 数、卵泡成熟时间及卵巢体积比较,差异无统计学意义(P>0.05);治疗后,温针灸组基础窦卵泡个数明显增 加(P<0.05),且多于常规组(P<0.05)。治疗期间,2 组均未出现药物不良反应及晕针、断针、血肿、烫伤 等不良事件。结论:温针灸联合芬吗通治疗肾精亏虚型POI 患者可有效缓解临床症状,改善血清FSH、LH、 E2水平及卵巢储备功能,临床疗效显著,且安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of warming- needle moxibustion combined with Femoston in patients with premature ovarian insufficiency (POI) of kidney essence depletion type. Methods:A total of 60 cases of POI patients of kidney essence depletion type were selected and randomly divided into the warming-needle moxibustion group and the routine group,with 30 cases in each group. The routine group was given oral administration of Femoston,and the warming-needle moxibustion group was additionally treated with warming- needle moxibustion based on the treatment of the routine group. The clinical effects and the incidence of adverse reactions were compared between the two groups. Before and after treatment, traditional Chinese medicine (TCM) syndrome scores, levels of follicle stimulating hormone (FSH),luteinizing hormone (LH) and estrogen (E2),and ovarian reserve function were compared between the two groups. Results: The total clinical effective rate was 96.67% in the warming- needle moxibustion group, higher than that of 80.00% in the routine group (P<0.05). Before treatment, there was no significant difference being found in the comparison of TCM syndrome scores including irregular menstruation,insomnia,tidal fever and night sweat,dizziness and tinnitus,and soreness and weakness of waist and knees between the two groups (P>0.05);after treatment,the above TCM syndrome scores in the two groups were decreased (P<0.05), and the scores in the warming- needle moxibustion group were lower than those in the routine group (P<0.05). Before treatment,there was no significant difference being found in the comparison of levels of FSH, LH and E2 between the two groups (P>0.05); after treatment, levels of FSH and LH in the two groups were decreased (P<0.05), and E2 levels were increased (P<0.05); levels of FSH and LH in the warming- needle moxibustion group were lower than those in the routine group (P<0.05),and E2 level was higher than that in the routine group (P<0.05). Before treatment, there was no significant difference being found in the comparison of number of basal antral follicles, follicular maturation time and ovarian volume between the two groups (P>0.05); after treatment,the number of basal antral follicles in the warming-needle moxibustion group was significantly increased (P<0.05), and the number was bigger than that in the routine group (P<0.05). During treatment,there were no adverse drug reactions,and fainting spell during acupuncture treatment,needle breakage,hematoma,scald and other adverse events in the two groups. Conclusion:Warming- needle moxibustion combined with Femoston for POI patients of kidney essence depletion type can effectively relieve their clinical symptoms,and improve the levels of FSH,LH and E2 in serum and the ovarian reserve function,with a significant clinical effect and high safety.

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张周阳,陈湘宜,冯方素.温针灸联合芬吗通治疗肾精亏虚型早发性卵巢功能不全临床研究[J].新中医,2023,55(3):194-198

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  • 在线发布日期: 2023-02-17
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