摘要
Objective： To investigate the action mechanism of acupuncture for non-insulin resistant polycystic ovary syndrome （PCOS）. Methods： A total of 46 cases with non-insulin resistant PCOS were randomly allocated into an observation group of 23 cases and a control group of 23 cases. Cases in the observation group were treated by needling bilateral Weiwanxiashu （Ex-B 3）, whereas those in the control group were treated by needling bilateral Sanyinjiao （SP 6）. After 3-month treatments, a comparison was made on the changes of ovulations rates, Follicle-stimulating hormone （FSH）, luteinizing hormone （LH）, testosterone （T）, fasting insulin and body mass index （BMI）. Results： There were statistical differences in ovulation rates and LH/FSH before and after the treatment in the observation group （P〈0.05）, along with a statistical difference in testosterone changes （P〈0.01）. There were also statistical differences in LH and LH/FSH before and after the treatment in the control group （P〉0.05）; however, there were no statistical differences in ovulation rates and testosterone changes （P〈0.05）. There was significant difference in testosterone changes between the two groups after the treatment （P〈0.01）, along with a statistical difference in ovulation rates between the two groups （P〈0.05）. However, there were no statistical differences in LH/FSH and BMI between the two groups. Conclusion： Needling Weiwanxiashu （Ex-B 3） and Sanyinjiao （SP 6） can both improve the endocrine disorder of patients with non-insulin resistant PCOS; however, needling Weiwanxiashu （Ex-B 3） can obtain a better result than Sanyinjiao （SP 6） in increasing the insulin sensitivity and preventing insulin resistance.
目的:探讨针刺影响非胰岛素抵抗型多囊卵巢综合征的作用机理。方法:将 46 例非胰岛素抵抗型多囊卵巢综合征患者随机分为两组,观察组 23 例,予针刺双侧胃脘下俞治疗。对照组 23 例,予针刺双侧三阴交治疗。治疗 3 个月后,比较治疗前后排卵率,内分泌激素[促卵泡生成素(Follicle-Stimulating Hormone,FSH)、黄体生成素(Luteinizing Hormone,LH)、睾酮(Testosterone,T)],空腹胰岛素(Fasting Insulin,FINS)及体重指数(Body Mass Index, BMI)的变化。结果:观察组针刺前后的排卵率、LH/FSH有统计学差异 (P<0.05),睾酮变化有统计学差异(P<0.01);对照组针刺前后LH,LH/FSH有统计学差异(P<0.05)。排卵率、睾酮变化无统计学差异(P>0.05);观察组与对照组针刺后睾酮变化有统计学差异(P<0.01),排卵率变化有统计学差异(P<0.05),LH/FSH、体重指数(BMI)变化无统计学差异(P>0.05)。结论:针刺胃脘下俞及三阴交均能改善非胰岛素抵抗型多囊卵巢综合征患者的内分泌紊乱状态,在提高胰岛素敏感性,防止胰岛素抵抗方面,胃脘下俞优于三阴交。
