观察针刺治疗肾阴虚型围绝经期综合征的疗效及对血清E2、LH及FSH水平的影响OA
Effectiveness of acupuncture in treating perimenopausal syndrome due to kidney Yin deficiency and the impact on serum E2,LH,and FSH levels
目的:观察针刺治疗肾阴虚型围绝经期综合征的疗效及对血清雌二醇(E2)、促黄体生成素(LH)和促卵泡激素(FSH)水平的影响.方法:根据纳入及排除标准选择肾阴虚型围绝经期综合征患者60例.按就诊顺序采用随机数字表法将其分为针刺组和药物组,每组30例.针刺组予以针刺治疗,每周3次;药物组予以坤泰胶囊口服.两组均连续治疗12周.治疗前后比较两组绝经症状评价量表(MRS)评分及血清E2、LH和FSH水平.结果:治疗结束后,针刺组总有效率为93.3%,药物组为83.3%,两组差异有统计学意义(P<0.05).治疗后,两组血清E2水平均显著升高(P<0.05),且针刺组水平高于药物组(P<0.05);两组血清FSH和LH水平均显著降低(P<0.05),且针刺组水平低于药物组(P<0.05).结论:针刺及坤泰胶囊口服治疗均能调节肾阴虚型围绝经期综合征患者的血清内分泌激素水平,且针刺治疗效果优于坤泰胶囊口服.
Objective:To observe the effectiveness of acupuncture in treating perimenopausal syndrome(kidney Yin deficiency pattern)and the impact on serum levels of estradiol(E2),luteinizing hormone(LH),and follicle-stimulating hormone(FSH). Methods:Sixty patients with perimenopausal syndrome differentiated as the kidney Yin deficiency pattern were recruited according to the inclusion and exclusion criteria.The participants were allocated to an acupuncture or medication group using the random number table method according to their visit sequence,with 30 cases in each group.The acupuncture group received acupuncture treatment 3 times weekly.The medication group was administered Kun Tai capsules orally.The intervention lasted 12 weeks for both groups.Before and after the intervention,the menopause rating scale(MRS)score and serum E2,LH,and FSH levels were compared. Results:When the treatment was completed,the acupuncture group achieved a total effective rate of 93.3%,compared with 83.3%in the medication group,demonstrating a significant difference(P<0.05).After the intervention,increased serum E2 levels were observed in both groups(P<0.05),and the acupuncture group was higher than the medication group(P<0.05);the serum levels of FSH and LH dropped significantly in both groups(P<0.05)and were lower in the acupuncture group than in the medication group(P<0.05). Conclusion:Both acupuncture and oral administration of Kun Tai capsules can regulate serum endocrine hormone levels in patients with perimenopausal syndrome of kidney Yin deficiency pattern,with acupuncture treatment being more effective than oral Kun Tai capsules.
黄香红;赵忠辉;王思雨;张佳丽;李茜茜;罗高俊;洪珏
医药卫生
针刺疗法围绝经期肾阴虚雌二醇黄体生成素促卵泡激素随机对照试验
Acupuncture TherapyPerimenopauseKidney Yin DeficiencyEstradiolLuteinizing HormoneFollicle Stimulating HormoneRandomized Controlled Trial
《针灸推拿医学(英文版)》 2026 (1)
81-86,6
This study was supported by the Traditional Chinese Medicine Research Project of Hunan Province(湖南省中医药科研计划项目,No.2021-104).
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