首页|补肾化痰活血方联合针灸对多囊卵巢综合症患者促排卵及性激素水平的影响

补肾化痰活血方联合针灸对多囊卵巢综合症患者促排卵及性激素水平的影响

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目的 观察补肾化痰活血方、针灸对多囊卵巢综合症(PCOS)患者促排卵及性激素水平的影响.方法 将我院124例PCOS患者随机分为治疗组与对照组各62例.对照组口服克罗米芬治疗,治疗组在对照组的治疗基础上采用补肾化痰活血方联合针灸治疗.比较两组临床疗效,测定子宫内膜厚度、统计A型子宫内膜比例,测定性激素卵泡刺激素(FSH)、睾酮(T)、雌二醇(E2)、黄体生成素(LH)水平,比较优势卵泡数、成熟卵泡数、排卵率、妊娠率、多胎妊娠率,评估宫颈黏液Insler评分、统计Insler≥8分比例.结果 治疗后,治疗组临床总有效率显著高于对照组(P<0.05).两组子宫内膜厚度均高于治疗前,治疗组子宫内膜厚度高于对照组(P<0.05);治疗组A型子宫内膜比例高于对照组(P<0.05).两组FSH、E2水平高于治疗前,T、LH水平低于治疗前;治疗组FSH、E2水平高于对照组,T、LH水平低于对照组(P<0.05).治疗组优势卵泡数、成熟卵泡数、排卵率均高于对照组(P<0.05).治疗组妊娠率高于对照组(P<0.05),两组多胎妊娠率差异无统计学意义(P>0.05).两组宫颈黏液Insler评分高于治疗前,治疗组宫颈黏液Insler评分高于对照组(P<0.05);治疗组Insler≥8分比例高于对照组(P<0.05).结论 补肾化痰活血方联合针灸治疗PCOS临床疗效显著,可促排卵,增加子宫内膜厚度,促妊娠,调节性激素水平,改善宫颈黏液性状.
Effects of Bushen Huatan Huoxue Prescription combined with acupuncture and moxibustion on ovulation and sex hormone levels in polycystic ovarian syndrome
Objective To observe the effects of Bushen Huatan Huoxue Prescription and acupuncture on ovulation induction and sex hormone levels in patients with polycystic ovary syndrome(PCOS).Methods A total of 124 patients with PCOS were randomly divided into treatment group and control group,with 62 cases in each group.Control group was treated with oral clomiphene,and treatment group was treated with acupuncture and moxibustion on the basis of control group.The clinical efficacy of the two groups was compared,and the endometrial thickness was determined,the proportion of type A endometrium were statistically analyzed,the levels of sex hormones follicle-stimulating hormone(FSH),testosterone(T),estradiol(E2)and luteinizing hormone(LH)were measured,the advantage of follicle number,mature follicle number,ovulation rate,pregnancy rate,multiple pregnancy rate were calculated,cervical mucus Insler score were assessed,the proportion of insler≥8 points were statistically analyzed.Results After treatment,the total clinical effective rate of treatment group was significantly higher than that of control group(P<0.05);the thickness of the endometrium in both groups was higher than before treatment,which was higher treatment group than control group(P<0.05),and the proportion of type A endometrium in treatment group was higher than control group(P<0.05);the levels of FSH and E2 in both groups were higher than before treatment,which were higher in treatment group than control group,while the levels of T and LH were lower than before treatment,which were lower in treatment group than control group(P<0.05);the number of dominant follicles,mature follicles,and ovulation rate in treatment group were higher than control group(P<0.05);the pregnancy rate in treatment group was higher than control group(P<0.05),and there was no statistically significant difference in multiple pregnancy rates between the two groups(P>0.05);the Insler scores of cervical mucus in both groups were higher than before treatment,which were higher in treatment group than control group(P<0.05);the proportion of Insler≥ 8 points in treatment group was higher than control group(P<0.05).Conclusion The combination of acupuncture and moxibustion has significant clinical efficacy in treatment ofPCOS,which can induce ovulation,increase endometrial thickness,promote pregnancy,regulate the level of sex hormones,and improve cervical mucus properties.

Polycystic ovary syndromeOvulationSex hormone levelsBushen Huatan Huoxue PrescriptionAcupuncture and moxibustion

邸志芳、杨春香、陈丽萍、肖远德

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河北省康复医院,河北秦皇岛 066199

河北省衡水市第七人民医院,河北衡水 053800

多囊卵巢综合症 排卵 性激素水平 补肾化痰活血方 针灸

河北省中医药管理局科研计划项目

2022602

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(2)
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