针刺联合熏脐灸对黄体功能不足型不孕症患者最大卵泡直径及高温相评分的影响OA
Effects of acupuncture combined with indirect moxibustion at navel on maximum follicle diameter and high-temperature phase score in patients with inadequate luteal function infertility
目的:观察针刺联合熏脐灸对黄体功能不足型不孕症患者最大卵泡直径及高温相评分(HPS)的影响.方法:将180例黄体功能不足型不孕症患者按照随机数字表法分为针刺组和针灸组,每组90例.两组均给予黄体酮胶囊口服治疗.针刺组加用针刺腹部穴位治疗,从月经周期第5 d开始,每周治疗2-3次,持续至下次月经来潮前停止,共治疗3个月经周期;针灸组在针刺组干预基础上加用熏脐灸治疗,每周1次,于不行针刺治疗的日期进行熏脐灸,连续治疗3个月经周期.治疗结束,比较两组临床疗效、中医症状总分、子宫内膜厚度、最大卵泡直径、HPS及治疗后妊娠成功率.结果:治疗后针灸组中医症状总分低于针刺组(P<0.05),血清雌二醇、孕酮及促黄体生成素水平高于针刺组(P<0.05),子宫内膜厚度及最大卵泡直径高于针刺组(P<0.05),HPS高于针刺组(P<0.05).治疗后,针灸组妊娠成功率为44.4%,高于针刺组的15.6%(P<0.05).治疗期间两组患者均未出现严重不良反应.结论:对于黄体功能不足型不孕症患者,在黄体酮治疗的同时,加用针刺腹部穴位及熏脐灸在改善孕激素水平,增加卵泡直径及子宫内膜增厚,提高HPS及妊娠率方面优于单独加用针刺腹部穴位治疗.
Objective:To evaluate the effects of acupuncture combined with indirect moxibustion at the navel on maximum follicular diameter and high-temperature phase score(HPS)in patients with inadequate luteal function infertility. Methods:A total of 180 patients with inadequate luteal function infertility were randomly divided into an acupuncture group and an acupuncture-moxibustion group using the random number table method,with 90 cases in each group.Both groups received oral progesterone capsules.Patients in the acupuncture group were treated with acupuncture at abdominal points,starting on day 5 of the menstrual cycle,administered 2-3 times weekly until the onset of the next menstrual period,for a total of 3 menstrual cycles.Patients in the acupuncture-moxibustion group were treated with indirect moxibustion at the navel in addition to the intervention in the acupuncture group,administered once weekly on days when acupuncture treatment was not performed,for a continuous treatment for 3 menstrual cycles.The clinical efficacy was compared,and changes in the traditional Chinese medicine(TCM)symptom score,endometrial thickness,maximum follicular diameter,HPS,and pregnancy rate were observed after treatment. Results:After treatment,the total TCM symptom score of the acupuncture-moxibustion group was lower than that of the acupuncture group(P<0.05).The levels of serum estradiol,progesterone,and luteinizing hormone,and endometrial thickness,maximum follicle diameter,and HPS score were higher in the acupuncture-moxibustion group than in the acupuncture group(P<0.05).The pregnancy rate was 44.4%in the acupuncture-moxibustion group versus 15.6%in the acupuncture group(P<0.05).No severe adverse reactions occurred in either group during treatment. Conclusion:In addition to progesterone therapy,the efficacy of abdominal acupuncture combined with indirect moxibustion at the navel in the treatment of inadequate luteal function infertility is better than that of abdominal acupuncture alone;this combined method is more effective in improving progesterone levels,increasing follicular diameter and endometrial thickness,and enhancing HPS and pregnancy rate.
严莉;黎玉宣;刘鹂言;杨芳;李晶;陈子怡
医药卫生
针刺疗法针灸疗法间接灸熏脐灸穴,神阙穴位,胸腹部不育,女性黄体功能不足
Acupuncture TherapyAcupuncture-moxibustion TherapyIndirect MoxibustionIndirect Moxibustion at NavelPoint,Shenque(CV8)Points,Chest&AbdomenInfertility,FemaleInadequate Luteal Function
《针灸推拿医学（英文版）》 2026 (2)
173-179,7
This study was supported by the Self-funded Scientific Research Project of the Administration of Traditional Chinese Medicine of Guangxi Zhuang Autonomous Region(广西壮族自治区中医药管理局自筹经费科研课题,No.GZZC2020310).
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