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调任通督针刺法对多囊卵巢综合征不孕患者妊娠情况与激素水平的影响
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R246.3

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Effect of aupuncture method of transfer supervision on pregnancy and hormone levels in infertile patients with polycystic ovary syndrome
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    摘要:

    目的 探讨调任通督针刺法对多囊卵巢综合征不孕患者妊娠情况及血清促卵泡生成素(FSH)、促黄体生成素(LH)、雌二 醇(E2)、睾酮(T)水平的影响。方法 选取 2019 年 8 月至 2020 年 12 月茂名市中医院收治的 115 例多囊卵巢综合征不孕患者,按随 机数字表法分为对照组(57 例)和试验组(58 例)。对照组患者使用常规西药(枸橼酸氯米芬胶囊、黄体酮等)治疗,试验组患者在 对照组的基础上联合调任通督针刺法治疗,两组患者均观察 3 个月经周期。比较两组患者治疗后临床疗效、生化妊娠率、妊娠率、排卵 率及治疗前后子宫内膜厚度、月经周期、宫颈黏液(Insler)评分与血清 FSH、LH、E2、T 水平。结果 治疗后试验组患者临床总有效 率为 91.38%,较对照组患者的 77.19% 显著升高;试验组患者生化妊娠率、妊娠率、排卵率均较对照组显著升高;与治疗前比,治疗后 两组患者子宫内膜均显著增厚,且试验组显著厚于对照组,两组患者 Insler 评分均显著升高,且试验组较对照组显著升高,两组患者血 清 FSH、LH、E2、T 水平均显著降低,且试验组较对照组显著降低(均P < 0.05);而治疗后两组患者月经周期比较,差异无统计学意 义(P > 0.05)。结论 调任通督针刺法可提升多囊卵巢综合征不孕患者的妊娠率,增厚子宫内膜,同时调节激素水平,恢复生殖功能, 提升治疗效果。

    Abstract:

    Objective? To explore the effect of aupuncture method of transfer supervision on pregnancy and serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and testosterone (T) levels in infertility patients with polycystic ovary syndrome. Methods A total of 115 infertile patients with polycystic ovary syndrome admitted to Maoming Hospital of Traditional Chinese Medicine from August 2019 to December 2020 were selected and divided into the control group (57 cases) and the experimental group (58 cases) according to the random number table. Patients in the control group were treated with conventional western medicine (clomiphene citrate capsule, progesterone, etc.), and patients in the experimental group were treated with aupuncture method of transfer supervision on the basis of the control group. Patients in both groups were observed for 3 menstrual cycles. The clinical efficacy, biochemical pregnancy rate, pregnancy rate, ovulation rate of patients in the two group after treatment, endometrial thickness, menstrual cycle, cervical mucus (Insler) score and serum FSH, LH, E2, T levels of patients in the two groups before and after treatment were compared. Results After treatment, the total clinical effective rate of patients in the experimental group was 91.38%, which was significantly higher than 77.19% in the control group; the biochemical pregnancy rate, pregnancy rate, and ovulation rate of the experimental group were significantly higher than those in the control group; compared with before treatment, the endometrium of patients in the two groups thickened significantly and the experimental group was significantly thicker than the control group; the Insler scores of the two groups significantly increased, and the experimental group was significantly higher than the control group; the serum FSH, LH, E2 and T levels significantly reduced, and the experimental group was significantly lower than the control group (all P <0.05). Conclusion Aupuncture method of transfer supervision can increase the pregnancy rate of infertility patients with polycystic ovary syndrome, regulate the thickness of the endometrium, regulate hormone levels, restore reproductive function, and improve the treatment effect.

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  • 在线发布日期: 2022-08-17
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