中药加二甲双胍配合穴位埋线治疗多囊卵巢综合征临床研究

目的:观察中药加二甲双胍配合穴位埋线治疗多囊卵巢综合征临床效果,以及对实验室指标、自主排卵率、妊娠率的影响。方法:60例随机分为对照组和治疗组各30例,对照组口服中药加二甲双胍,治疗组口服中药加二甲双胍配合穴位埋线,两组疗程均为3个月。结果:治疗后临床总有效率治疗组高于对照组(P<0.05)。两组治疗前后中医证候总积分、单项证候积分比较均有显著意义(P<0.01),月经周期改善治疗组明显优于对照组(P<0.01)。两组治疗前后LH/FSH值、2h-Ins/FIns倍数比较均有显著性差异(P<0.01),治疗组胰岛素倍数降低程度明显优于对照组(P<0.01)。两组治疗后自主排卵率、妊娠率治疗组均高于对照组(P<0.05)。结论:中药加二甲双胍配合穴位埋线治疗多囊卵巢综合征有显著疗效,尤其是能增加自主排卵率,从而提高妊娠率。

Objective：To investigate the effects of Traditional Chinese medicine plus metformin combined with Acupoint Catgut Embeddin on the clinical symptoms,laboratory indicators,Independent ovulation rate,Pregnancy rate of Patients with polycystic ovary syndrome.Methods：60 cases of patients with polycystic ovary syndrome were randomLy divided into control group,treatment group.The control group was treated with traditional Chinese medicine plus metformin;The treatment group was treated with traditional Chinese medicine plus metformin combined with Acupoint Catgut Embedding.Two groups were treated for 3 months.Results：Comparison of clinical efficacy after treatment in the two groups, the treatment group than the control group（P〈0.05）;The two groups before and after treatment of TCM syndrome total score,the individual symptom scores were significant（P〈0.01）;Especially in the improvement of menstrual cycle degree,the treatment group was significantly better than the control group（P〈0.01）;Significant differences in LH/FSH values,the two groups before and after treatment were compared with 2h-Ins/FIns ratio（P〈0.01）,and the treatment group in reducing insulin ratio was superior to the control group （P〈0.01）;After the treatment in the two groups of independent ovulation rate,pregnancy,the treatment group were higher than those in the control group（P〈0.05）.Conclusion：Traditional Chinese medicine plus metformin combined with acupoint catgut embedding therapy is effective in the treatment of polycystic ovary syndrome.Whether in the improvement of clinical symptoms and reduce the LH/FSH value,2h-Ins/FIns ratio were significantly improved efficacy.Especially can increase the＆amp;nbsp;autonomy of patients can significantly improve the ovulation rate,pregnancy,is worthy of clinical use.