巳时针灸治疗脾肾阳虚型黄体功能不足疗效观察

Efficacy observation of acupuncture in Sishi on luteal phase deficiency of spleen-kidney yang deficiency syndrome

目的:观察巳时针灸治疗脾肾阳虚型黄体功能不足的临床疗效。方法:将符合诊断标准的60例受试者随机分为两组各30例。两组治疗方案相同,但治疗组于巳时(北京时间采用东经120°时间,故经换算,东经104°成都地区巳时应为北京时间10:04~12:04)进行针灸,对照组于非巳时(主要在8:00~10:03和14:00~17:00时间段中的任意时间)进行治疗。结果:两组最终各完成29例。治疗组总有效率为93.1%,对照组总有效率为86.2%。两组比较有显著性差异(P﹤0.05),治疗后,治疗组在BBT类型、BBT高温相评分(HPS)、黄体中期血清孕酮值、月经来潮前子宫内膜厚度和中医证候积分改善方面均优于对照组(P﹤0.05),在改善排卵前优势卵泡大小方面,两组疗效相当(P﹥0.05)。结论:针灸治疗脾肾阳虚型黄体功能不足疗效显著,巳时针灸临床疗效优更于非巳时针灸。

Objective:To observe the clinical effect of acupuncture in Sishi on luteal phase deficiency of spleenkidney yang deficiency syndrome.Methods:60 cases of patients who met inclusion criteria were randomly divided into two groups,30 cases in each group.Both groups were treated by same therapeutic scheme,but the treatment group was treated in Sishi(Beijing time is time of 120°east longitude.After conversion,Sishi of 104°east longitude in Chengdu area should be Beijing time 10:04~12:04),while the control group was treated in non-Sishi(mainly in any time between 8:00~10:03 and between 14:00~17:00).Results:29 cases were treated eventually in each group.The total effective rate of treatment group was 93.10%,while the total effective rate of control group was 86.30%.After treatment,the treatment group was better than control group in improving BBT type,BBT high-temperature phase score(HPS),mid-phase luteal serum progesterone value,pre-menstrual endometrial thickness and TCM syndrome score(P﹤0.05).In the size of dominant follicles,the curative effects of two groups were similar before improving ovulation(P﹥0.05).Conclusion:The efficacy of acupuncture on luteal phase deficiency of spleen-kidney yang deficiency syndrome is significant,and the clinical effect of acupuncture in Sishi is better than that of acupuncture in non-Sishi.