调经促孕针法治疗早发性卵巢功能不全临床观察  

Research on the Clinical Effect of Regulating Menstruation and Promoting Pregnancy Acupuncture Therapy in Treating Premature Ovarian Insufficiency

作　　者：杨福霞[1] 杨卓欣[1] 罗文舒[1] 袁伟渠 YANG Fuxia;YANG Zhuoxin;LUO Wenshu;YUAN Weiqu(Department of Acupuncture and Moxibustion,Shenzhen Hospital of Traditional Chinese Medicine,Guangdong Province,Shenzhen 518033,China)

机构地区：[1]深圳市中医院针灸科,广东深圳518033

出　　处：《光明中医》2020年第24期3935-3938,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家中医药管理局第六批全国老中医药专家学术经验继承工作项目(No.国中医药人教发〔2017〕29号);广东省名中医传承工作室建设项目(No.粤中医办函(2017)17号);深圳市医疗卫生“三名工程”(No.SZSM201612001)。

摘　　要：目的观察调经促孕针法治疗早发性卵巢功能不全(POI)的临床疗效。方法将41例POI患者采用“调经促孕十三针”治疗,针灸选穴:仰卧位穴组1:百会、神庭、本神、中脘、天枢、关元、子宫、大赫、足三里、三阴交、太冲;俯卧位穴组2:百会、肾俞、次髎;组1与组2仰、俯卧位轮流交替使用。首次取穴组1。每次留针30 min,隔1~2日1次(根据门诊时间),每周3次,36次(3个月)为一个疗程。统计患者治疗前后E2、FSH、LH、FSH/LH水平及血清抗苗勒管激素(AMH)、窦卵泡计数(AFC)及Kupperman量表评分差异、焦虑自评量表(SAS)评分和安全性评价的变化。结果经调经促孕针法治疗后:E2、FSH、LH、FSH/LH数值和治疗前比较,差异均有统计学意义(P<0.05);治疗后AMH值增加,但差异无统计学意义(P>0.05);针刺治疗后AFC个数增加,差异有统计学意义(P<0.05);Kuppermann自评量表及SAS评分变化,差异均有统计学意义(均P<0.01);安全性评价良好。结论调经促孕针法对POI患者的临床疗效可靠安全,值得推广。Objective To discuss the clinical effect of regulating menstruation and promoting pregnancy acupuncture therapy in treating premature ovarian insufficiency(POI).Methods 41 POI patients were treated with regulating menstruation and promoting pregnancy acupuncture.Acupoint selection:group one:dorsal decubitus,Baihui(GV20),Shenting(GV24),Benshen(GB13),Zhongwan(CV12),Tianshu(ST25),Guanyuan(CV4),Zigong(EX-CA1),Dahe(KI12),Zanli(ST36),Sanyinjiao(SP6),Taichong(LR3),group two:prone position,Baihui(GV20),Shenshu(BL23),Ciliao(BL32),group 1 and group 2 alternate use in rotation.Retaining needle 30 min every time,every 1 to 2 days(according to the outpatient time)at a time,three times a week,36 times(3 months)was a period of treatment.The changes of E2,FSH,LH,FSH/LH levels and serum anti-müller tube hormone(AMH),sinus follicle count(AFC)and Kupperman score scale,anxiety self-rating scale(SAS)and safety evaluation were statistically controlled before and after treatment in all patients.Results The pregnancy rate was 31.71%,the E2,FSH,LH,FSH/LH value and the change before treatment were statistically significant(P<0.05),the AMH value increased(P>0.05).AFC number increased statistically(P<0.05),Kuppermann self-rating scale and SAS score changes were statistically significant(all P<0.01),and safety evaluation was good.Conclusion The clinical effect of regulating menstruation and promoting pregnancy acupuncture therapy on POI patients is reliable and safe,and it is worth popularizing.

关 键 词：调经促孕针法 不孕 早发性卵巢功能不全 

分 类 号：R246.3[医药卫生—针灸推拿学]