通元针法联合药物治疗排卵障碍性不孕结局指标观察

Observation of Tongyuanacupuncture therapy combined with medicine in the treatment of anovulatory infertility

目的探讨通元针法联合药物治疗排卵障碍性不孕的疗效。方法纳入研究的56例患者随机分为治疗组和西药组各28例。西药组口服枸橼酸氯米芬并注射人绒毛膜促性腺激素,直至检测发现已受孕停止治疗。治疗组在接受西药组相同治疗的基础上,同时接受通元针法治疗,直至月经来潮或检测发现已受孕时停止针刺。选取同时段于本院进行孕期检查并在孕前后从未接受任何治疗的25例正常孕妇为对照组。分别检测3组孕妇的血清孕酮和血β-HCG值并加以分析,随访治疗组和西药组,计算娩出率和流产率。结果治疗组和对照组血清孕酮和血β-HCG值差异均无统计学意义(P> 0.05),西药组和对照组、治疗组和西药组血清孕酮和血β-HCG值差异均有统计学意义(P <0.05)。记录治疗组和西药组各自疗程并比较,2组疗程差异有统计学意义(P <0.05)。随访至3组孕妇正常娩出胎儿并记录统计娩出率,结果治疗组和对照组娩出率差异无统计学意义(P> 0.05),西药组和对照组、治疗组和西药组娩出率差异均有统计学意义(P <0.05)。结论通元针法联合药物治疗排卵障碍性不孕可将血清孕酮和β-HCG值调整至正常,疗效优于单纯使用西药治疗,疗程较短,且可降低流产率。

Objective To diseuss the curative effect of applying Tongyuanacupuncture therapycombined with medicine toanovulatory infertility.Methods Fifty-six patients included in the study were randomly divided into treatment group and western medicine group of 28 cases each.In the western medicine group,clomiphene citrate was administered orally and human chorionic gonadotropin was injected until it was found that the pregnancy had stopped.On the basis of the same treatment in the western medicine group,the treatment group also received treating of Tongyuan acupuncture therapy,and stopped until menstruation or pregnancy has been detected.During the same period,we selected 25 normal pregnant women as the control group who under went prenatal examination and never received any treatment before and after pregnancy.We detected the serum progesterone and serum β-HCG values of 3 groups of pregnant women and analyzed respectively,recorded the course of treatment,and followed up to the fetus,calculating the delivery rate and abortion rate.Results The differences of serum progesterone and blood β-HCG value were not statistically significantbetween the treatment group and the control group (P>0.05).The differences of serum progesterone and blood β-HCG value between the western medicine group and the control group, the treatment group and the western medicine group were statistically significant (P <0.05).The treatment course of treatment group and western medicine group were recorded and compared.The difference between the two groups was statistically significant (P<0.05).Follow up to three groups of pregnant women normal delivery of the fetus and record the rate of delivery statistics,the results showed that there was no significant difference between the treatment group and the control group (P >0.05).There was significant difference in delivery rate between western medicine group and control group,treatment group and western medicine group (P<0.05).Conclusion Tongyuan acupuncture therapy combined with medicine in the treatment of anovulatory infertility can adjust serum progesterone and β-HCG value to normal degree,get better curative effect than western medicine alone,shorten the course of treatment,and reduce the abortion rate.