电针对多囊卵巢综合征患者身心健康的影响:随机对照研究  

Impacts on physical and mental health of patients with polycystic ovary syndrome treated with electroacupuncture:a randomized controlled trial

作　　者：金春兰[1,2,3] 庞然[4] 黄建梅 景向红[3] 吴中朝[2,3] 赵吉平[6] 

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院针灸医院,北京100700 [3]中国中医科学院针灸研究所,北京100700 [4]中国中医科学院广安门医院 [5]北京丰台区南苑医院 [6]北京中医药大学东直门医院,北京100700

出　　处：《中国针灸》2016年第6期591-595,共5页Chinese Acupuncture & Moxibustion

基　　金：中国中医科学院自主选题研究项目:ZZ03087;国家自然科学基金重点项目:81330087;吴中朝全国名老中医药专家传承工作室

摘　　要：目的:观察电针与西药达因-35对比治疗对多囊卵巢综合征(PCOS)患者躯体症状及心理健康的影响差异。方法:将72例多囊卵巢综合征患者随机分为针刺组和西药组,每组36例。针刺组运用针刺疏肝调气配穴治疗,选用肝俞、膻中、期门、中脘、天枢、关元、子宫、三阴交、足三里、太冲穴,针刺得气后连接电针,留针30min,每周治疗3次;西药组服用达因-35,自月经第5d开始服用,连服21d。两组治疗周期均为3个月。治疗前及治疗结束后,评定中医症状评分,运用症状自评量表(SCL-90)进行心理健康测评,并进行两组比较。结果:与同组治疗前相比,两组患者治疗后的症状评分均显著下降(均P<0.01);治疗后针刺组的症状评分显著低于西药组(P<0.01)。治疗后针刺组的躯体化、人际关系敏感、抑郁、焦虑、敌对因子评分较治疗前显著下降(均P<0.05);并且,其中躯体化、人际关系敏感、抑郁、焦虑、敌对、恐怖因子的评分显著低于西药组(均P<0.05)。结论:电针疏肝调气治疗可降低PCOS患者症状评分及SCL-90评分,具有身心同调作用,作用优于达因-35。Objective To explore the impacts on physical and mental health of the patients with polycystic ovary syndrome（PCOS）treated with electroacupuncture（EA）or Diane 35.Methods Seventy-two patients of PCOS were randomized into an acupuncture group and a western medication group,36 cases in each group.In the acupuncture group,acupuncture was applied to relieving liver stagnation and regulating qi activity at Ganshu（BL18）,Danzhong（CV 17）,Qimen（LR 14）,Zhongwan（CV 4）,Tianshu（ST 25）,Guanyuan（CV 4）,Zigong（EX-CA 1）,Sanyinjiao（SP 6）,Zusanli（ST 36）and Taichong（LR 3）.After qi arrival,the electric stimulation was added for 30 min.Acupuncture treatment was given 3times a week.In the western medication group,Diane35 was taken since the 5th day of menstruation and lasted for 21 days.The cycle of treatment was 3months in the two groups.Before treatment and at the end of treatment,the symptom scores were evaluated and the self-report symptom inventory,symptom checklist-90（SCL-90）was used for the mental health evaluation and the comparison was made between the two groups.Results Compared with those before treatment in the same group,the symptom scores were reduced significantly after treatment in the two groups（both P〈0.01）.After treatment,the symptom scores in the acupuncture group were reduced significantly as compared with those in the western medication group（P〈0.01）.After treatment,the scores of somatization,interpersonal sensitivity,depression,anxiety and hostility were reduced significantly as compared with those before treatment in the acupuncture group（all P〈0.05）.After treatment,the scores of somatization,interpersonal sensitivity,depression,anxiety,hostility and phobic factor were lower significantly than those in the western medication group（all P〈0.05）.Conclusion EA with relieving liver stagnation and regulating qi activity reduces the symptom scores of PCOS and SCL-90 scores,acting on regulating both physical and mental conditions.The effects achie

关 键 词：多囊卵巢综合征 电针 疏肝调气 SCL-90 达因-35 随机对照试验 

分 类 号：R246.3[医药卫生—针灸推拿学]