电针配合耳穴贴压对肥胖伴多囊卵巢综合征患者血清胰岛素及睾酮的影响

Effect of electroacupuncture combined with auricular point tapping and pressing on serum insulin and testosterone in the patients of obese women with polycystic ovary syndrome

目的:评价针刺配合耳穴贴压对肥胖女性伴多囊卵巢综合征的疗效,探讨其机制。方法:采用电针及耳穴贴压治疗肥胖女性伴有多囊卵巢综合征39例,体穴取天枢、丰隆、关元、四满等穴,耳穴取口、胃、脾等。3个疗程后,将患者疗效,治疗前后的体质量指数(BMI)、腰围(WC)以及血清中胰岛素(Ins)、睾酮(T)的变化进行对比。结果:39例患者中痊愈10例,有效25例,无效4例,总有效率达89.7%;患者的BMI、WC、Ins、T与治疗前对比均显著降低,差异均有统计学意义(均P<0.01)。结论:电针、耳穴贴压对肥胖女性伴有多囊卵巢综合征有较好的临床疗效,其治疗机制可能是通过对患者血清中胰岛素和睾酮的调节来实现的。

Objective To assess the therapeutic effect and mechanism of electroacupuncture combined with auricular point tapping and pressing on the obese women with polycystic ovary syndrome. Methods Thirty-nine cases of obese women with polycystic ovary syndrome were treated with electroacupuncture combined with auricular point tapping and pressing, body points as Tianshu （ST 25）, Fenglong （ST 40）, Guanyuan （CV 4） and Siman （KI 14） etc. were selected, and ear points as Kou （mouth）, Wei （stomach） and Pi （spleen） etc. were selected. After 3 courses, the therapeutic effect, the body mass index （BMI）, the waist circumference （WC） and the changes of the serum insulin （Ins） and testosterone （T） were compared before and after treatment. Results Of the 39 cases, 10 cases were cured, 25 cases were effective, 4 cases were ineffective, with a total effective rate of 89.7%; there were significant differences in BMI, WC, Ins and T of the patients compared with that before treatment （all P〈0.01）. Conclusion Etectroacupuncture combined with auricular point tapping and pressing has a good clinical effect on obese women with polycystic ovary syndrome, the treatment mechanism may realized by regulating the serum insulin and the testosterone of the patients.