首页|刺穴经络灸治疗脾虚痰湿型多囊卵巢综合征的临床研究

刺穴经络灸治疗脾虚痰湿型多囊卵巢综合征的临床研究

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目的 探讨刺穴经络灸治疗脾虚痰湿型多囊卵巢综合征(PCOS)的临床疗效.方法 将2022 年7 月—2023 年1 月就诊于日照市中医院的68 例脾虚痰湿型PCOS患者随机分成2 组各34 例,刺穴经络灸组采用刺穴经络灸法治疗,常规针刺组采用常规针刺疗法治疗,2 组均隔日治疗1 次(经期停止治疗),共治疗12 周.比较2 组患者治疗前后中医证候积分、体质指数(BMI)、性激素[卵泡刺激素(FSH)、促黄体生成素(LH)、睾酮(T)]水平、多囊卵巢综合征健康相关生活质量问卷(Chi-PCOSQ)评分及治疗 12 周后的中医证候疗效.结果 治疗后,2 组患者中医证候积分、BMI及血清FSH、LH、T水平均较治疗前明显降低(P均<0.05),且刺穴经络灸组均明显低于常规针刺组(P均<0.05);治疗后,2 组患者Chi-PCOSQ评分均较治疗前明显升高(P均<0.05),且刺穴经络灸组明显高于常规针刺组(P<0.05).刺穴经络灸组中医证候治疗总有效率明显高于常规针刺组[91.2%(31/34)比 70.6%(24/34),P<0.05].结论 刺穴经络灸治疗脾虚痰湿型P-COS疗效确切,能明显改善患者临床症状,降低BMI,调节性激素水平.
Clinical efficacy of acupuncture point and meridian moxibustion on polycystic ovary syndrome of type of spleen deficiency,phlegm-dampness
Objective It is to investigate the clinical efficacy of acupuncture point and meridian moxibustion in the treatment of polycystic ovary syndrome(PCOS)of type of spleen deficiency,phlegm-dampness.Methods Sixty-eight pa-tients with PCOS of type of spleen deficiency,phlegm-dampness who visited Rizhao Hospital of Traditional Chinese Medi-cine from July 2022 to January 2023 were randomly divided into 2 groups,with 34 patients in each group.The acupuncture point and meridian moxibustion group was treated with acupuncture point and meridian moxibustion,and the conventional acupuncture group was treated with conventional acupuncture,both groups were treated once every other day(the treatment was stopped during the menstrual period),and totally treated for 12 weeks.The scores of Chinese medicine syndrome,body mass index(BMI),levels of sex hormone[follicle-stimulating hormone(FSH),luteinizing hormone(LH),testos-terone(T)],scores of Chi-PCOSQ of patients in the two groups,and the Chinese medicine syndrome efficacy after 12 weeks of treatment were compared between the two groups.Results After the treatment,the scores of Chinese medicine syndrome,BMI and serum levels of FSH,LH and T of patients in the two groups were significantly lower than those before treatment(all P<0.05),and the acupuncture point and meridian moxibustion group was significantly lower than the con-ventional acupuncture group(P<0.05);after the treatment,the Chi-PCOSQ scores of patients in the two groups were sig-nificantly higher than those before treatment(P<0.05),and the acupuncture point and meridian moxibustion group was significantly higher than the conventional acupuncture group(P<0.05);after the treatment,the Chi-PCOSQ scores of pa-tients in the two groups were significantly higher than those before treatment(P<0.05),and the acupuncture point and meridian moxibustion group was significantly higher than the conventional acupuncture group(P<0.05).The total effec-tive rate of Chinese medicine syndrome in the acupuncture point meridian moxibustion group was significantly higher than that in the conventional acupuncture group[91.2%(31/34)VS.70.6%(24/34),P<0.05].Conclusion Acupunc-ture point and meridian moxibustion is effective in the treatment of polycystic ovary syndrome of type of spleen deficiency,which can significantly improve the clinical symptoms of patients,reduce BMI,and regulate the level of sex hormones.

polycystic ovary syndromesyndrome of spleen deficiency,phlegm-dampnessacupuncture therapyacu-puncture point meridian moxibustion

王任阳、陈培芳、高楠、夏德鹏、陈志阳

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山东中医药大学,山东 济南 250355

日照市中医医院,山东 日照 276899

多囊卵巢综合征 脾虚痰湿型 针刺疗法 刺穴经络灸

山东省中医药科技项目

2021M055

2024

现代中西医结合杂志
中国中西医结合学会河北分会,中华中医药学会

现代中西医结合杂志

CSTPCD
影响因子:1.775
ISSN:1008-8849
年,卷(期):2024.33(14)