【摘要】 【目的】观察岭南飞针疗法之腹针治疗脾虚痰湿型多囊卵巢综合征(PCOS)的临床疗效。【方法】将80例脾虚痰湿型PCOS患者随机分为对照组和观察组,每组各40例。对照组给予口服克罗米芬治疗,观察组给予岭南飞针疗法之腹针治疗。2组患者均连续治疗3个月经周期。治疗3个月后,评价2组患者的临床疗效,观察2组患者治疗前后血清黄体生成素(LH)、卵泡刺激素(FSH)、LH/FSH、睾酮(T)以及空腹胰岛素(FINS)水平的变化情况,比较2组患者治疗前后单侧卵巢体积大小及卵泡数量的变化情况。【结果】观察组总有效率为80.0%(32/40),对照组为50.0%(20/40)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的FSH水平均无明显变化,与治疗前比较,差异均无统计学意义(P>0.05),2组患者的LH、LH/FSH以及T水平均明显改善(P<0.01),且观察组在改善LH、LH/FSH以及T水平方面明显优于对照组,差异有统计学意义(P<0.01)。(3)治疗后,对照组FINS水平无明显变化,与同组治疗前比较,差异无统计学意义(P>0.05);观察组FINS水平较治疗前明显降低(P<0.01),且观察组在改善FINS水平方面明显优于对照组,差异有统计学意义(P<0.01)。(4)治疗后,2组患者单侧卵巢体积及单侧卵巢卵泡数量均明显改善(P<0.01),且观察组在改善单侧卵巢体积及单侧卵巢卵泡数量方面明显优于对照组,差异有统计学意义(P<0.01)。【结论】岭南飞针疗法之腹针治疗脾虚痰湿型多囊卵巢综合征,能较好地改善患者的临床症状,调节性激素及胰岛素水平,同时调节卵泡发育和卵巢大小,其疗效优于口服克罗米芬。更多还原

【Abstract】 Objective To observe the clinical effects on abdominal acupuncture of Lingnan flying needle therapy in treating polycystic ovary syndrome(PCOS)of phlegm-dampness due to spleen deficiency syndrome. Methods Eighty patients with PCOS of phlegm-dampness due to spleen deficiency syndrome were randomly divided into control group and observation group, 40 cases in each group. The control group was treated with oral use of clomiphene,and the observation group was treated with abdomen acupuncture of Lingnan flying needle therapy.Patients in the two groups were treated for 3 consecutive menstrual cycles. Three months after treatment, the clinical effect in the two groups of patients was evaluated, the changes of serum luteinizing hormone(LH),follicle-stimulating hormone(FSH),LH/FSH,testosterone(T)and fasting insulin(FINS)were observed in the two groups before and after treatment. The changes of volume of unilateral ovary and the number of follicles were compared between the two groups before and after treatment. Results(1)The total effective rate was 80.0%(32/40)in the observation group and 50.0%(20/40)in the control group. The curative effect of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,there was no significant change of FSH level in the two groups,and there was no statistical significance compared with that before treatment(P>0.05). The levels of LH, LH/FSH and T in the two groups were significantly improved(P<0.01),and the observation group was significantly superior to the control group in improving the levels of LH,LH/FSH and T,the difference being statistically significant(P<0.01).(3)After treatment,there was no significant change in FINS level in the control group,and there was no significant difference compared with that before treatment(P>0.05). The level of FINS in the observation group was significantly lower than that before treatment(P<0.01),and the improvement of FINS level in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.01).(4)After treatment,the volume of unilateral ovary and the number of follicles in unilateral ovary in the two groups were significantly improved(P<0.01),and the improvement in the observation group was significantly superior to that in the control group,the difference being statistically significant(P<0.01). Conclusion Abdomen acupuncture of Lingnan flying needle therapy in the treatment of PCOS with phlegm-dampness due to spleen deficiency syndrome can significantly improve the clinical symptoms of patients, regulate the levels of sex hormones and insulin, and also regulate follicle development and ovarian size. Its efficacy is superior to that of the oral clomiphene.更多还原