摘要
Objective To observe the effects of acupuncture on menstruation and endocrine in patients of normal body weight with polycystic ovary syndrome. Methods Twenty-seven patients were treated with acupuncture and moxibustion for six months. Guanyuan （关元 4）, Zhongji （中极 CV 3）, and Zigong （子宫 EX-CA 1） on the abdomen and Sanyinjiao （三阴交SP 6）, Zusanli （足三里 ST 36）, Yinlingquan（阴陵泉 sP 9）, Fenglong （丰隆 ST 40）, xiaxi （侠溪GB 43）, Taichong （太冲 LR 3） were punctured. CV 3 on the abdomen and EX-CA 1 on both sides were manipulated by moxisbustion. The menstrual frequency, B ultrasound examination of uterus and adnexa uteri, luteinizing hormone （LH）, follicle stimulating hormone （FSH）, testosterone （T）, prolactin （PRL）, progesterone （PROG） and estradiol （E2） were recorded. Results Menstrual cycles were restored in twenty-six patients after six- month treatment. The total frequencies of menstruation were 105, of which 79 with normal ovulation accounting for 75.23%. The testosterone level of （109.65 ± 43.38） ng/dL before treatment were reduced to （53.7 ± 19.24） ng/dL after treatment, LH/FSH ratio of 4.15 ± 1.38 before treatment were reduced to 1.75 ± 1.09 after treatment. The differences were statistically significant （both P〈O.O5）. Conclusion Acupuncture can promote normal ovulation and menstrual cycles in patients with PCOS by regulating endocrine level.
目的:观察针灸对正常体质量多囊卵巢综合征(PCOS)闭经患者月经及内分泌的影响。方法:27例PCOS闭经患者全部接受6个月的针刺及艾灸治疗,针刺穴位包括腹部关元、中极、双侧子宫穴、双侧三阴交、足三里、阴陵泉、丰隆、侠溪、太冲穴,在腹部中极、双侧子宫穴实施艾灸治疗。治疗后观察其月经次数,子宫及附件B超情况和促黄体生成素(LH)、促卵泡生成素(FSH)、睾酮(T)、泌乳素(PRL)、孕酮(PROG)及雌二醇(E2)变化情况。结果:27例闭经患者治疗6个月后,26例患者月经来潮,共计月经来潮105次,其中有正常排卵月经79次,占月经来潮的75.23%;治疗前后睾酮水平为(109.65±43.38)ng/dL vs(53.7±19.24)ng/dL;LH/FSH比值为4.15±1.38 vs 1.75±1.09,差异有统计学意义(均P<0.05)。结论:针灸能良性调节PCOS患者内分泌水平,促进其正常排卵及月经周期的形成。
