针刺结合芎归二陈汤加减治疗多囊卵巢综合征临床观察

目的:观察针刺结合芎归二陈汤加减治疗多囊卵巢综合征的效果。方法:112例随机分为芎归二陈汤加减组57例及联合组55例。芎归二陈汤加减组给予芎归二陈汤加减治疗,联合组给予芎归二陈汤加减联合针刺治疗。结果:两组治疗后3个月Asprosin、DHEAS、促卵泡刺激素、促黄体生成素水平以及中医证候、月经周期积分均降低,联合组治疗后3个月Asprosin、DHEAS、促卵泡刺激素、促黄体生成素水平低于芎归二陈汤加减组(P<0.05)。联合组治疗后3个月中医证候、月经周期积分低于芎归二陈汤加减组(P<0.05)。联合组治疗后3个月hCG日内膜厚度、优势卵泡数、卵泡成熟时间低于芎归二陈汤加减组(P<0.05)。结论:针刺结合芎归二陈汤加减能降低多囊卵巢综合征患者Asprosin、DHEAS水平,促进排卵,效果较好。

Objective:To observe the effect of acupuncture combined with Xionggui Erchen Decoction in the treatment of polycystic ovary syndrome. Methods: A total of 112 cases were randomly divided into the modified Xionggui Erchen Decoction group(57 cases) and the combined group(55 cases). The modified Xionggui Erchen Decoction group were treated with modified Xionggui Erchen Decoction, while the combined group were treated with modified Xionggui Erchen Decoction combined with acupuncture. Results: The levels of Asprosin, DHEAS, follicle stimulating hormone and luteinizing hormone, TCM syndromes and menstrual cycle scores were decreased in the two groups 3 months after treatment. The levels of Asprosin, DHEAS, follicle stimulating hormone and luteinizing hormone in the combined group were lower than those in the Xionggui Erchen Decoction group 3 months after treatment(P<0.05). The scores of TCM syndromes and menstrual cycle in the combined group were lower than those in the Xionggui Erchen Decoction group 3 months after treatment(P<0.05). The thickness of endometrium on hCG day, the number of dominant follicles and the maturation time of follicles in the combined group were lower than those in the Xionggui Erchen Decoction group(P<0.05). Conclusion: Acupuncture combined with Xionggui Erchen Decoction can reduce the levels of Asprosin and DHEAS in patients with polycystic ovary syndrome and promote ovulation.