辨证取穴与激痛点取穴针刺治疗多囊卵巢综合征的随机对照研究  

Randomized Controlled Trial of Acupuncture Point Selection Based on Syndrome Differentiation and Irritative Painful Point Selection in Treating Polycystic Ovary Syndrome

作　　者：王琳琳[1] 杨洪伟 吴效科[1] 

机构地区：[1]黑龙江中医药大学 [2]广州市荔湾区中医医院

出　　处：《中医杂志》2016年第8期673-676,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药行业科研专项(201107005)

摘　　要：目的评价传统中医辨证取穴和激痛点取穴针刺治疗多囊卵巢综合征的临床疗效。方法将48例多囊卵巢综合征患者随机分为辨证取穴组和激痛点取穴组,每组24例。两组均于月经周期或黄体酮撤退性出血后第5天开始针刺治疗,每周2次,经期停止治疗,两组均治疗32次。针刺治疗期间记录患者自发月经次数及基础体温(BBT),以判断双相体温患者例数,治疗前后检测黄体生成素/卵泡刺激素(LH/FSH)、睾酮(T)水平,并测量体重,计算体重指数(BMI)。结果治疗后辨证取穴组BBT双向患者17例(70.8%),激痛点取穴组BBT双向患者14例(58.3%),两组比较差异无统计学意义(P>0.05);两组患者治疗后月经频次均较本组治疗前显著增加(P<0.05),两组间比较差异无统计学意义(P>0.05);两组患者治疗前后及治疗后两组组间BMI比较差异均无统计学意义(P>0.05)。治疗后两组患者LH/FSH值、T值均较治疗前显著下降(P<0.05),且辨证取穴组低于激痛点取穴组(P<0.05)。结论传统中医辨证针刺治疗多囊卵巢综合征在改善月经及内分泌代谢方面优于激痛点取穴。Objective To evaluate the clinical effect of traditional Chinese medicine acupuncture point selection based on syndrome differentiation and irritative painful point selection in the treatment of polycystic ovary syndrome（ PCOS）. Methods Forty-eight PCOS patients were randomized into the point selection based on syndrome differentiation group and the irritative painful point selection group,with 24 cases in each group. Both groups were given acupuncture treatment twice a week since the 5th day of menstrual cycle or the 5th day after progesterone withdrawal bleeding. Treatment stopped during menstrual period. Both groups were treated for 32 times. During acupuncture treatment,patients＇ spontaneous menstruation times and basal body temperature（ BBT） were recorded to determine the cases＇ number of patients with biphasic body temperature. Luteinizing hormone / follicle stimulating hormone（ LH /FSH） and testosterone（ T） were detected before and after treatment. Body weight was measured,and body mass index（ BMI） was calculated. Results After treatment,there were 17 cases（ 70. 8%） of patients with biphasic BBT in the point selection based on syndrome differentiation group,and 14 cases（ 58. 3%） in the irritative painful point selection group,with no significant difference between the two groups（ P〉0. 05）. Menstruation frequency increased in both groups after treatment（ P〈0. 05）,but with no significant difference between the two groups（ P〈0. 05）. There were no significant differences in BMI between before and after treatment in both groups,and between the two groups after treatment（ P〉0. 05）. Levels of LH / FSH and T decreased in both groups after treatment（ P〈0.. 05）,especially in the point selection based on syndrome differentiation group（ P〈0. 05）. Conclusion Traditional Chinese medicine acupuncture treatment based on syndrome differentiation might be superior to irritative painful point selection in the treatment of PCOS on the aspects of improving men

关 键 词：多囊卵巢综合征 针刺 辨证取穴 激痛点取穴 随机对照研究 

分 类 号：R246.3[医药卫生—针灸推拿学]