摘要
目的:探讨中药周期疗法加电针或埋线治疗多囊卵巢综合征(polycystic ovary syndrome,PCOS)和卵巢储备功能下降(diminished ovarian reserve,DOR)型排卵障碍的临床疗效。方法:180患者随机入PCOS(A组、D组、E组)和DOR(B组、C组、F组)各90例,6组各30例。分别用中药周期疗法联合克罗米芬(A组和B组)、中药周期疗法联合埋线(C组和E组)、中药周期疗法联合电针(D组和F组)治疗。结果:6组中医症状体征积分及焦虑评分治疗后均较治疗前有显著性差异(P<0.05)。PCOS组内A组与D组、E组治愈率比较,有显著性差异(P<0.05),A组、D组、E组有效率比较,无显著性差异。DOR组内B组、C组、F组间痊愈率比较,无显著性差异,B组、C组与F组有效率比较,有显著性差异(P<0.05)。结论:中药周期疗法联合电针或埋线对卵巢储备功能下降型排卵障碍疗效较好,对多囊卵巢综合征型排卵障碍有一定疗效,对两种类型排卵障碍患者的中医症状体征及焦虑均有改善。
Objective:To investigate the clinical efficacy of traditional Chinese medicine cycle therapy plus electro-acupuncture or embedding therapy for polycystic ovary syndrome(PCOS)and diminished ovarian reserve(DOR)ovulation disorders.Methods:180 patients were randomly assigned to PCOS(group A,group D,group E)and DOR(group B,group C,group F)90 cases,6 groups of 30 cases.They were treated with traditional Chinese medicine cycle therapy combined with clomiphene(group A and group B),traditional Chinese medicine cycle therapy combined with embedding(group C and group E),and traditional Chinese medicine cycle therapy combined with electro-acupuncture(group D and group F).Results:There were significant differences between the 6 groups of TCM symptom scores and anxiety scores before treatment(P<0.05).There was a significant difference in the cure rate between group A and group D and group E in the PCOS group(P<0.05).There was no significant difference in the efficiency of group A,group D and group E.There was no significant difference in the cure rate between the B group,the C group and the F group in the DOR group.There was significant difference between the B group,the C group and the F group(P<0.05).Conclusion:Chinese medicine cycle therapy combined with electro-acupuncture or embedding has a good effect on ovarian reserve dysfunction ovulation disorder,and has certain curative effect on ovulation disorder of polycystic ovary syndrome.TCM symptoms and signs and anxiety of patients with two ovulation disorders got improved.
作者
来玉芹
郭钦源
薛丹
郝原青
谢丽凤
杨柳
龙弥弥
徐宁
谭梅婷
何莎
LAI Yuqin;GUQinyuan;XUE Dan;HAO Yuanqing;XIE Lifeng;YANG Liu;LONG Mimi;XU Ning;TAN Meiting;HE Sha(Maternal and Child Health Hospital of Liuzhou City,Liuzhou Guangxi China 545001)
出处
《中医学报》
CAS
2019年第12期2656-2659,共4页
Acta Chinese Medicine
基金
广西壮族自治区卫生厅自筹经费科研项目(Z2015181)
关键词
排卵障碍
多囊卵巢综合征
卵巢储备功能下降
中药周期疗法
电针
埋线
克罗米芬
ovulation disorder
polycystic ovary syndrome
decreased ovarian reserve function
Chinese medicine cycle therapy
electro-acupuncture
embedding
clomiphene