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个体化取穴与标准化取穴针刺治疗多囊卵巢综合征的临床研究 认领

Clinical study of individualized acupuncture acupoint selection and standardized acupuncture acupoint selection in the treatment of polycystic ovary syndrome
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摘要 目的探讨个体化取穴和标准化取穴针刺治疗多囊卵巢综合征(PCOS)的临床效果,为临床治疗提供参考依据。方法选取2017年5月—12月于徐州市妇幼保健院生殖免疫门诊就诊的80例PCOS患者,采用中央随机法将患者分为个体化取穴组和标准化取穴组,每组各40例。个体化取穴组为辨证取穴,患者按脾肾阳虚型或肝肾阴虚型相应穴位治疗;标准化取穴组则执行固定穴位治疗。两组针刺治疗均于自发月经或孕激素撤退性出血后第5天开始进行,每周2次,每次间隔不少于2 d,连续治疗4个月,共针刺32次。比较两组患者治疗前后体重指数(BMI)、腰臀比(WHR)、空腹血糖(FPG)、黄体生成素/卵泡刺激素(LH/FSH)、总睾酮(T)、稳态模型胰岛素抵抗指数(HOMA-IR)和恢复排卵性月经情况。结果两组治疗后BMI、WHR和FPG水平均低于治疗前,差异有统计学意义(P<0.05)。治疗后,两组LH/FSH、T、HOMA-IR均低于治疗前,且个体化取穴组低于标准化取穴组,差异有统计学意义(P<0.05)。个体化取穴组治疗后恢复排卵性月经人数高于标准化取穴组,差异有统计学意义(P<0.05)。结论个体化取穴针刺治疗PCOS在改善月经、内分泌紊乱及胰岛素抵抗方面优于标准化取穴。 Objective To explore the clinical effect of individual acupuncture point selection and standardized acupuncture point selection in the treatment of polycystic ovary syndrome(PCOS),and to provide reference for clinical treatment.Methods A total of 80 PCOS patients from May to December 2017 in the Reproductive Immunity Clinic of Xuzhou Maternal and Child Health Hospital were selected and divided into individualized acupoint selection group and standardized acupoint selection group according to the central random method,with 40 cases in each group.The patients in individualized acupoint selection group were treated according to the corresponding acupoints of syndrome of yang deficiency of spleen and kidney or syndrome of yin deficiency of liver and kidney,while standardized acupoint selection group received fixed acupoint therapy.Both groups were treated with acupuncture on the fifth day after spontaneous menstrual or progesterone withdrawal bleeding,twice a week,with an interval of no less than two days.The treatment lasted for four months,with a total of 32 acupuncture sessions.Body mass index(BMI),waist hip ratio(WHR),fasting blood glucose(FPG),luteinizing hormone/follicle stimulating hormone(LH/FSH),total testosterone(T),homeostasis model assessment of insulin resistance index(HOMA-IR)and recovery of ovulatory menstruation were compared between two groups before and after treatment.Results The levels of BMI,WHR and FPG in two groups after treatment were lower than those before treatment,the differences were statistically(P<0.05).After treatment,LH/FSH,T and HOMA-IR of two groups were lower than those before treatment,and individualized acupoint selection group was lower than standardized acupoint selection group,the differences were statistically significant(P<0.05).After treatment,the number of patients in individualized acupoint selection group was higher than that in standardized acupoint selection group(P<0.05).Conclusion Individualized acupoint selection is superior to standardized acupoint selection in imp
作者 李芊 吴效科 LI Qian;WU Xiaoke(Department of Massage,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Gynecology,the First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin 150040,China)
出处 《中国医药导报》 CAS 2021年第1期132-135,152,共5页 China Medical Herald
基金 国家重大科技专项——中医药行业科研专项项目(201107005) 黑龙江省“头雁”团队支持资金(〔2019〕9号)。
关键词 多囊卵巢综合征 针刺 个体化取穴 标准化取穴 胰岛素抵抗 Polycystic ovary syndrome Acupuncture Individualized acupuncture point selection Standardized acupuncture point selection Insulin resistance
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