针灸治疗排卵障碍性不孕症40例疗效观察(英文)

Efficacy observation on 40 cases of anovulatory infertility treated by acupuncture and moxibustion

目的:探讨针灸诱导排卵的临床效果。方法:对40例排卵障碍性不孕症患者采用子宫、关元、中极等穴电针及艾灸,配合灵龟八法开穴,每次30 min,每日治疗1次,持续15 d,1个月经周期为一疗程,共观察3个疗程。比较治疗前后血清卵泡刺激素(follicle stimulating hormone, FSH)、黄体生成素(luteinizing hormone, LH)和雌二醇(estradiol, E2)水平,采用B型超声监测治疗前后卵泡、子宫内膜生长发育情况,随访治疗后的自然妊娠率。结果:治疗后血清FSH、LH、E2水平显著升高(P<0.05),子宫内膜厚度和卵泡直径均明显增大(P<0.05)。随访治疗后的自然妊娠率,痊愈9例,有效25例,无效6例,总有效率为85.0%。结论:针灸促排卵治疗排卵障碍性不孕症有较好的临床疗效。

Objective To observe clinical effect of acupuncture and moxibustion on inducing ovulation. Methods Forty cases of anovulatory infertility were treated with electroacupuncture and moxibustion at Zigong （子宫 EX-CA 1）, Guanyuan （元关 CV 4） and Zhongji （中极 CV 3） as well as Linggui Bafa therapy, 30 min each time, once a day for 15 days. One menstrual cycle made a session, and totally 3 sessions were required. The level of follicle stimulating hormone （FSH）, luteinizing hormone （LH） and estradiol （E2）, the growth and development situation of follicle and endometrium before and after treatment, spontaneous pregnancy rate during follow-up visit were observed and compared. Results After the treatment, the level of FSH, LH and Ez were signifiacntly increased （all P〈0.05）, the thickness of endometrium and diameter of follicle were obviously increased （both P〈0.05）. As for the spontaneous pregnancy rate during follow- up visit, 9 cases were cured, 25 cases were effective, 6 cases were failed and the total effective rate was 85.0%. Conclusion The acupuncture and moxibustion has better clinical efficacy for anovulatory infertility.