补肾调周法联合穴位埋线治疗多囊卵巢综合征痰湿证患者疗效观察OA
Clinical Observation on Kidney-tonifying Cycle-regulating Method Joined with Catgut Implantation at Acupoint in the Treatment of Phlegm-dampness Pattern of Polycystic Ovary Syndrome
目的:探讨补肾调周法联合穴位埋线治疗多囊卵巢综合征(polycystic ovary syndrome,PCOS)痰湿证患者的临床疗效.方法:选取120例PCOS痰湿证患者,按随机数字表法分为观察组与对照组,每组60例.观察组采用补肾调周法联合穴位埋线治疗,对照组采用炔雌醇环丙孕酮片联合二甲双胍治疗,两组治疗周期均为3个月.观察并比较两组临床疗效,以及治疗前后中医证候评分、相关激素水平及月经周期评分的变化情况.结果:总有效率观察组为96.67%(58/60),对照组为83.33%(50/60),两组比较差异有统计学意义(P<0.05).治疗后,两组症状评分(闭经、形体肥胖、口腻痰多、带下量多)、相关激素[促黄体生成激素(luteinizing hormone,LH)、促卵泡生成激素(follicle-stimulating hormone,FSH)、雌二醇(estradiol,E2)、催乳激素(prolactin,PRL)、孕酮(progesterone,P)]水平均低于治疗前(P<0.05),且观察组上述指标均低于对照组(P<0.05).治疗后,两组月经周期频率、周期规律性、经期时长、经期出血量等指标评分均低于治疗前(P<0.05);且观察组上述指标均低于对照组(P<0.05).结论:补肾调周法联合穴位埋线治疗PCOS痰湿证患者,可提高临床疗效,改善临床症状,调节月经周期和相关激素水平.
Objective:To discuss curative effects of kidney-tonifying cycle-regulating method and catgut implantation at acupoint in the treatment of phlegm-dampness pattern of polycystic ovary syndrome(PCOS).Methods:A total of 120 PCOS patients of phlegm-dampness pattern were chosen,and allocated to observation group and control group with 60 cases in each according to random number table method.The observation group was treated with kidney-tonifying cycle-regulating method and catgut implantation at acupoint,and the control group orally took ethinylestradiol and cyproterone acetate tablets,and metformin,and therapeutic cycle was three months.To observe and compare clinical effects between the two groups,TCM syndrome integrals,the levels of the hormones and the scores of menstrual cycle before and after treatment.Results:Total effective rate of the observation group was 96.67%(58/60),higher than 83.33%(50/60)of the control group,and the difference had statistical meaning(P<0.05).After the treatment,the scores of the symptoms including amenorrhea,obesity,sticky mouth and excessive phlegm,and abnormal vaginal discharge,the relevant hormones containing LH,FSH and E2,PRL and P were lower than these before the treatment(P<0.05),and the indexes of the observation group were lower than these of the control group(P<0.05).After the treatment,the frequency of menstrual cycle,menstrual regularity,duration of menstruation,and menstrual bleeding of the two groups were lower than these before the treatment(P<0.05);and the above indexes of the observation group were lower than these of the control group(P<0.05).Conclusion:Kidney-tonifying cycle-regulating method joined with catgut implantation at acupoint in treating PCOS of phlegm-dampness pattern could boost clinical effects,improve clinical symptoms,and regulate menstrual cycle and the levels of the related hormones.
吴柏芬;许海;孙霞;胡帅;程瑶;胡吴斌
安徽中医药大学第二附属医院/安徽省针灸医院,安徽 合肥 230061||岳西县中医院,安徽 岳西 246600岳西县中医院,安徽 岳西 246600岳西县中医院,安徽 岳西 246600岳西县中医院,安徽 岳西 246600岳西县中医院,安徽 岳西 246600安徽中医药大学第一附属医院,安徽 合肥 230031
医药卫生
多囊卵巢综合征补肾调周法穴位埋线痰湿证临床疗效
polycystic ovary syndromekidney-tonifying cycle-regulating methodcatgut implantation at acupointphlegm-dampness patternclinical effects
《西部中医药》 2026 (4)
127-131,5
安徽省中医药传承创新科研项目(2022CCYB14)安庆市卫生健康委科研课题(AQWJ2022027).
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