摘要
目的:探讨多囊卵巢综合征(PCOS)肾虚血瘀证患者应用补肾养宫汤、针灸联合炔雌醇环丙孕酮片的临床疗效。方法:选取2021年9月—2022年12月丰县中医医院收治的60例PCOS患者作为研究对象,采用随机数字表法分为观察组与对照组,各30例。对照组给予炔雌醇环丙孕酮片治疗,观察组在对照组基础上给予补肾养宫汤和针灸治疗。比较两组性激素水平、中医证候积分、多毛与痤疮程度。结果:治疗后,两组黄体生成素、黄体生成素/促卵泡素、雄激素水平低于治疗前,且观察组低于对照组;两组雌二醇水平高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组月经后期、经期血块、经色紫黯、腰膝酸软中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组多毛、痤疮评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:补肾养宫汤、针灸联合炔雌醇环丙孕酮片治疗PCOS肾虚血瘀证患者的效果显著,可有效减轻临床症状,调节性激素水平,改善多毛与痤疮症状。
Objective:To explore the clinical efficacy of Bushen Yanggong Decoction,acupuncture and moxibustion combined with ethinylestradiol and cyproterone acetate tablets in patients of polycystic ovary syndrome(PCOS)with kidney deficiency and blood stasis syndrome.Methods:A total of 60 PCOS patients admitted to Feng County Hospital of Traditional Chinese Medicine from September 2021 to December 2022 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 30 patients in each group.The control group was treated with ethinylestradiol and cyproterone acetate tablets,and the observation group was treated with Bushen Yanggong Decoction,acupuncture and moxibustion on the basis of control group.The levels of sex hormones,TCM syndrome scores,hirsutism and acne severity were compared between the two groups.Results:After treatment,the levels of luteinizing hormone,luteinizing hormone/follicle-stimulating hormone and androgen in the two groups were lower than those before treatment,and the observation group was lower than the control group.The estradiol level in the two groups was higher than that before treatment,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).The TCM syndrome scores of retarded menstruation,menstrual blood clots,purple menstrual color,soreness and weakness of waist and knees in the two groups were lower than those before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The scores of hirsutism and acne in the two groups were lower than those before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion:The combination of ethinylestradiol and cyproterone acetate tablets combined with Bushen Yanggong Decoction,acupuncture and moxibustion in the treatment of PCOS patients with kidney deficiency and blood stasis syndrome is significant,which can effectively reduce clinical symptoms,regulate the levels of sex hormones,and improve the symptoms of hirsutism and acne.
作者
王媛
王谦
刘召侠
赵培
赵敬礼
Wang Yuan;Wang Qian;Liu Zhaoxia;Zhao Pei;Zhao Jingli(Feng County Hospital of Traditional Chinese Medicine,Xuzhou 221700,Jiangsu Province,China;Hanlin College,Nanjing University of Chinese Medicine,Taizhou 225300,Jiangsu Province,China)
出处
《中国社区医师》
2023年第28期56-58,共3页
Chinese Community Doctors
基金
徐州市卫生健康委科技项目(编号:XWKYSL20210269)。
关键词
多囊卵巢综合征
肾虚血瘀证
补肾养宫汤
针灸
Polycystic ovary syndrome
Kidney deficiency and blood stasis syndrome
Bushen Yanggong Decoction
Acupuncture and moxibustion