针刺化痰法对多囊卵巢综合征的临床疗效评价

Acupuncture with Resolving Phlegm Therapy in the Treatment of Polysystic Ovary Syndrome: Evaluation of Clinical Efficacy

目的:观察针刺化痰法治疗痰湿型多囊卵巢综合征的临床疗效。方法:将100例符合痰湿型多囊卵巢综合征诊断标准的患者随机分为针刺组和对照组。3个月后观察两组的临床疗效、体重指数(BMI)、腰臀比(WHR)等方面的变化,并分析相关性激素雌二醇(E_2)、睾酮(T)、LH/FSH、HOMA指数的变化。结果:针刺化痰法对PCOS患者治疗作用确切,辨体施调对痰湿体质确有成效。在BMI和WHR改善方面,针刺组优于对照组(P<0.05);在妇科内分泌性激素指标上,针刺组降低睾酮、LH/FSH和改善胰岛素抵抗的效果优于对照组(P<0.05)。结论:针刺治疗痰湿型多囊卵巢综合征安全有效,对高雄激素及胰岛素抵抗均有所改善,且很大程度降低了服用西药可能会出现体重增加的副作用。

Objective：To observe the effect of acupuncture in the treatment of polysystic ovary syndrom （P- COS） with phlegm- wet constitution. Methods： A total of 100 PCOS patients with phlegm -wet constitution were randomized into an acupunture group and a control group. Among all patients the clinical efficacy was ob- served after three months, including BMI and WHR, as well as E2, T, LH/FSH and HOMA - IR. Results： The acupuncture with resolving phlegm therapy was effective for PCOS patients through the differentiation of signs. Compared with the control group, the acupuncture group could decrease BMI and WHR, T, LH/FSH and improve insulin resistance（P 〈0.05）. Conclusion：Acupuncture is safe and effective in the treatment of PCOS patients with phlegm -wet constitution, and can improve and rogen excess and insulin resistance. In addition, the acupuncture can obviously decrease the side effects of weight gain caused by western medicine.