耳穴贴压配合膳食干预治疗围绝经期综合征临床观察

Auricular application press fit of dietary intervention in the treatment of perimenopausal syndrome

目的探讨耳穴贴压加膳食干预对围绝经期综合征（PS）妇女性激素水平的影响。方法将研究对象简单随机抽样分为两组，观察组给予耳穴贴压加膳食干预，对照组单独给予膳食干预，随访半年监测干预前后研究对象血液中性激素水平。结果干预后，观察组雌激素为（272．93±15．71）pmol／L、孕酮为（3．14±0．47）nmol／L，对照组雌激素为（186．32±12．80）pmol／L、孕酮为（2．86±0．34）nmol／L；干预后两组卵泡刺激素含量均下降，观察组为（12．88±1．50）U／L，对照组为（21．35±4．70）U／L；围绝经期症状减轻，Kuppermun评分观察组为（9．36±1．41）分，对照组为（10．43±1．63）分；两组差异均有统计学意义（t=40．15、4．52、3．82、4．65，均P〈0．01）。结论耳穴贴压配合膳食干预对围绝经期综合征患者性激素代谢紊乱具有明显的调节作用，能够显著改善患者的围绝经期症状，是一种值得进一步研究的干预措施。

Objective To explore the auricular application pressure added dietary intervention of perimenopausal syndrome （PS） the influence of women＇s sex hormone levels. Methods Research subjects were randomly divided into two groups. The observation group was given auricular application pressure to add dietary intervention, control group was given dietary intervention alone. Before and after six months of follow - up, sex hormone levels in the blood were monitored. Results After the intervention, the estrogen level of the observation group was （272.93 ± 15.71 ） pmol/L,progesterone was （3.14 ±0. 47） nmol/L, which of the control group was （ 186.32 ± 12.80） pmol/L, （2.85 ±0.34） nmol/L;After the intervention, the follicular thorn hormone content of the two groups were decreased,which of the observation group was （ 12.88 ±1. 50） U/L, which of the control group was （ 21.35 ±4.70 ） U/L; The pefimenopansal symptoms were reduced, Kuppermun score in the observation group were （9. 36± 1.41 ）points, （10. 43 ± 1.63 ）points ,the difference between the two groups were statistically significant （t = 40.15,4.52,3.82, 4. 65, all P 〈 0.01 ） for the control group. Condusion Auricular application press fit dietary intervention for patients with perimenopausal syndrome sex hormone regulation of metabolic disorders has obvious effect, can significantly improve the patients＇ symptoms of the menopausal transition, it is worthy of further research on intervention measures.