埋线及针刺穴位联合宫腔内人工授精治疗肥胖型PCOS不孕症的研究

The study of Catgut embedding and acupuncture combined with intrauterine insemination therapy in obese PCOS infertility

目的探讨埋线及针刺穴位联合宫腔内人工授精对肥胖型多囊卵巢综合征(pcos)的临床疗效。方法将肥胖型不孕症多囊卵巢综合征患者60例,随机分为治疗组及对照组,每组各30例,治疗组采用针刺加穴位埋线疗法,对照组口服二甲双胍治疗,共治疗3个月。分别观察治疗前后患者的治疗效果:腰臀比(WHR)及体重指数(BMI)。两组治疗三个月后药物促排卵联合宫腔内人工授精治疗后观察临床妊娠情况。结果治疗组临床治愈率和有效率明显高于对照组,两组相比差异有统计学意义(P<0.05),治疗组治疗后BMI和WHR明显降低,与治疗前相比差异有统计学意义(P<0.05),而对照组治疗后与治疗前相比无明显差异,无统计学意义(P>0.05)。治疗组周期排卵率和临床妊娠率明显高于对照组,而LUF发生率和周期取消率较对照组明显较低,两组相比差异有统计学意义(P<0.05)。结论穴位埋线及针刺联合宫腔内人工授精治疗肥胖型多囊卵巢综合征临床效果较好,值得在临床推广应用。

Objective： To investigate the clinical effect of treatment of polycystic ovary syndrome（pcos） by catgut implantation and acupuncture points combined intrauterine insemination for obese women.Methods： 60 patients with obese infertile and polycystic ovary syndrome were randomly divided into the treatment group and control group,each group had 30 cases.the patients in the treatment control group were treated with acupuncture plus embedding therapy,the patients in the control group were given metformin by oral,the patients in two groups were treated 3 months.and the waist-to-hip ratio（WHR） and body mass index（BMI） were observed.The clinical pregnancy rate was observed after Ovulation induction combined with intrauterine insemination treatment.Results： The clinical cure rate and efficiency rate was significantly higher than that in the control group,the difference was statistically significant between the two groups（P0.05）,BMI and WHR in the treatment group was significantly reduced compared with before treatment and the difference was statistically significance（P0.05）,while that in the control group before and after treatment were no significant difference（P 0.05）.Cycle ovulation rate,and clinical pregnancy rate in treatment group was significantly higher than the control group and LUF incidence and cancellation rate was significantly lower than that in the control group,the difference between the two groups was statistically significant（P0.05）.Conclusion： That obese women with polycystic ovary syndrome are treated with catgut embedding and acupuncture combined with intrauterine insemination have better clinical effect and are worthy applied in clinic.