基于“任主胞胎”的电针周期疗法联合枸橼酸氯米芬治疗多囊卵巢综合征的临床疗效观察

Clinical efficacy observation of electroacupuncture cycle therapy combined with clomiphene citrate treatment based on the theory of ‘Ren zhu Baotai’ on polycystic ovary syndrome

目的:探讨基于“任主胞胎”的电针周期疗法联合枸橼酸氯米芬治疗多囊卵巢综合征(PCOS)的临床疗效。方法:将116例患者随机分为试验组和对照组,各58例。对照组采用枸橼酸氯米芬治疗,试验组在对照组基础上联合基于“任主胞胎”的电针周期疗法。针灸治疗每周3次,经期停刺,1个月经周期为1个疗程,连续治疗3个疗程。观察两组治疗前后排卵率、血清性激素水平、妊娠率、优势卵泡大小和早期流产率。结果:治疗后,试验组排卵率、优势卵泡大小、妊娠率显著高于对照组(P<0.05),但两组的早期流产率差异无统计学意义;试验组血清性激素水平(除黄体生成素外)改善程度显著优于对照组(P<0.05)。结论:基于“任主胞胎”的电针周期疗法联合枸橼酸氯米芬能有效改善PCOS患者的血清性激素水平,降低高雄激素状态,促进患者优势卵泡生长,提高其临床排卵率及妊娠率。

Objective:To observe the clinical efficacy of electroacupuncture cycle therapy combined with clomiphene citrate based on the theory of‘Ren zhu Baotai’on polycystic ovary syndrome(PCOS).Methods:A total of 116 patients were randomly divided into the experimental group and the control group,with 58 cases in each group.The control group was treated with clomiphene citrate,and the experimental group was treated with electroacupuncture cycle therapy based on‘Ren zhu Baotai’on the combination of the control group.Acupuncture treatment was performed 3 times a week,menstrual cease acupuncture,one menstrual cycle for a course of treatment,lasted for 3 courses.Ovulation rate,serum sex hormone level,pregnancy rate,dominant follicle size,and early abortion rate were observed before and after treatment.Results:After treatment,the ovulation rate,dominant follicle size,and pregnancy rate in the experimental group were significantly higher than the control group(P<0.05),but there was no significant difference in the early abortion rate between the two groups.The improvement of serum sex hormone levels(except luteinizing hormone)in the experimental group was significantly better than the control group(P<0.05).Conclusion:Electroacupuncture cycle therapy combined with clomiphene citrate based on the theory of‘Ren zhu Baotai’can effectively improve the serum sex hormone level of PCOS patients,reduce the high testosterone level,promote the growth of dominant follicles,and improve the clinical ovulation rate and pregnancy rate.