穴位埋线配合健脾补肾化痰中药对肥胖型多囊卵巢综合征患者雄激素水平的影响  

The Impact of Thread-embedding and Chinese Medicine on Hyperandrogenism of Obese Patients with Polycystic Ovary Syndrome

作　　者：刘桂英 陶莉莉[2] 辛俊[3] 谢蓬蓬 

机构地区：[1]肇庆市中医院妇科,广东肇庆526020 [2]广州中医药大学第一附属医院妇科,广东广州510405 [3]南海中医院妇科,广东佛山528200 [4]广州市妇幼儿童中心医院妇科,广东广州510120

出　　处：《辽宁中医杂志》2010年第10期2026-2028,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:观察穴位埋线配合以苍附导痰汤为主方的健脾补肾化痰中药治疗肥胖型多囊卵巢综合征(PCOS)患者的临床疗效,并探讨其疗效机制。方法:将67例肥胖PCOS患者随机分为3组,其中针药组23例接受穴位埋线配合加减苍附导痰汤为主方的中药治疗,中药组22例接受同针药组的中药治疗,埋线组22例单纯接受穴位埋线治疗,分析并比较相关的症状以及雄激素监测指标。结果:①针药组、中药组、针灸组的总有效率分别为82.62%、54.5%、45.5%;针药组的疗效明显优于中药组和埋线组,差异有统计学意义(P<0.05)。②针药组治疗前与治疗后BMI、SHBG、T、A2值比较,差异有统计学意义(P<0.05)。③针药组治疗后T、A2、SHBG值与中药组和埋线组比较,差异均有统计学意义(P<0.05);针药组治疗后BMI值与中药组治疗后有显著性差异(P<0.05),与埋线组比较,差异无统计学意义。结论:穴位埋线联合健脾补肾化痰中药治疗肥胖型PCOS患者有一定的疗效,优于单纯的中药或者穴位埋线治疗,其作用机制可能与通过降低BMI,提高SHBG水平,降低雄激素水平有关。Objective：To investigate the clinical efficacy of chinese medicine for strengthening the spleen and kidney or resolving phlegm,as well as thread-embedding treatment to obesity patients with PCOS,explore the mechanism through the androge.Methods：The Sixty-senven of Selected cases were randomly divid ed into thread-embedding treatment group（22 cases）,Chinese medicine treatment group（22 cases）,the group treated by both Chinese medicine and thread-embedding（23 cases）.Then observed and compared their menstrual cycle,whether pregnancy,height,weight,testosterone（T）,androstenedione（A2）and sex hormone-binding globulin（SHBG） before and after treatment.Results：The efficiency of Chinese medicine combiend with thread-embedding group was 82.62%,The efficiency of Chinese medicine group and thread-embedding group was 54.5% and 45.5%,medicine combiend with thread-embedding group was more effective than Chinese medicine group and thread-embedding group（P〈0.05）.After the treatment,On the Chinese medicine combiend with thread-embedding group,there were significant difference in BMI,SHBG,and A2 from them before the treatment（P〈0.05）,and this group had significant difference from both Chinese medicine group and thread-embedding group in SHBG、T and A2（P〈0.05）.After the treatment,the BMI in the Chinese medicine combiend with thread-embedding group was significant different from it in Chinese medicine（P〈0.05）,while it wasn′t significant different from it in thread-embedding group（P〈0.05）.Conclusion：Therapy of Chinese medicine combiend with thread-embedding group is effective to obese patients with PCOS,and the effect is better than only by the Chinese medicine or thread-embedding treatment,its mechanism may be related to reducing BMI,improving the level of SHBG and decreasing the levels of androgen.

关 键 词：穴位埋线 中药 肥胖 多囊卵巢综合征 雄激素 

分 类 号：R245.91[医药卫生—针灸推拿学]