通元针法治疗脾虚痰湿型多囊卵巢综合征临床疗效观察  

Clinical Observation of Tongyuan Acupuncture for the Treatment of Polycystic Ovary Syndrome with Phlegm-dampness Due to Spleen Deficiency Syndrome

作　　者：毛梦雨 林良才 MAO Meng-Yu;LIN Liang-Cai(Clinical Medical School of Acupuncture,Moxibustion and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510405

出　　处：《广州中医药大学学报》2021年第10期2138-2145,共8页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】通过观察通元针法治疗脾虚痰湿型多囊卵巢综合征(PCOS)的临床疗效,以期为针灸治疗PCOS提供新方法,开拓新思路。【方法】将108例脾虚痰湿型PCOS患者随机分为对照组和治疗组,每组各54例。对照组给予常规西药治疗,治疗组在常规西药治疗基础上联合通元针法治疗,观察2组患者治疗前后高雄激素症状评分(痤疮皮损评分和多毛评分)、肥胖程度[腰臀比(WHR)和体质量指数(BMI)]、糖代谢[胰岛素抵抗指数(HOMA-IR)和胰岛β细胞功能(HOMA-β)]、脂代谢[甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和非高密度脂蛋白胆固醇(nHDL-C)升高率]、心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]的变化情况,比较2组患者的月经复常率及基础体温(BBT)双相率情况。【结果】(1)治疗后,2组患者的痤疮皮损评分和多毛评分均较治疗前明显降低(P<0.05),且治疗组的降低作用均明显优于对照组,差异均有统计学意义(P<0.05)。(2)治疗后,2组患者WHR、BMI、HOMA-IR均较治疗前下降,HOMA-β均较治疗前升高,差异均有统计学意义(P<0.05或P<0.01);组间比较,治疗组的WHR、BMI、HOMA-IR低于对照组,HOMA-β高于对照组,差异均有统计学意义(P<0.05或P<0.01)。(3)治疗后,2组患者的LDL-C、TG、nHDL-C升高率均较治疗前明显降低(P<0.01),且治疗组的LDL-C、TG、nHDL-C升高率均明显低于对照组,差异均有统计学意义(P<0.05)。(4)治疗后,2组患者的SAS、SDS评分均较治疗前明显降低(P<0.05),且治疗组的降低幅度均明显大于对照组,差异均有统计学意义(P<0.05)。(5)治疗后,治疗组患者的月经复常率为88.89%(48/54),明显高于对照组的68.52%(37/54),差异有统计学意义(P<0.05);而2组患者的BBT双向率比较,差异无统计学意义(P>0.05)。【结论】在常规西药治疗基础上联合通元针法治疗脾虚痰湿型PCOS患者疗效确切,其疗效优于单纯常规西药治疗。Objective To explore a new method and the new thought for the treatment of polycystic ovary syndrome(PCOS)by observing the clinical effect of Tongyuan acupuncture,an acupuncture therapy for dredging Governor Vessel to regulate mind and conducting qi back to its source,in the treatment of PCOS with phlegm-dampness due to spleen deficiency syndrome.Methods A total of 108 PCOS patients with phlegm-dampness due to spleen deficiency syndrome were randomly divided into control group and treatment group,54 cases in each group.Both groups were given conventional western medicine treatment,and the treatment group was given additional treatment of Tongyuan acupuncture.We observed the changes in the scores of hyperandrogenism symptoms of acne lesions and hypertrichiasis,obesity indexes of waist-to-hip ratio(WHR)and body mass index(BMI),glycometabolism parameters of insulin resistance estimated with homeostasis model resistance(HOMA-IR)and islet beta-cell function(HOMA-β),lipid metabolism indexes of the increase rate of triglyceride(TG),lowdensity lipoprotein cholesterol(LDL-C)and non-high-density lipoprotein cholesterol(nHDL-C),and psychological status estimated with self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores in the two groups of patients before and after treatment.Meanwhile,the rate of menstruation recovering to normal and the biphasic rate of basal body temperature(BBT)in the two groups were compared.Results(1)After treatment,the acne lesion scores and hypertrichiasis scores in the two groups were significantly decreased compared to those before treatment(P<0.05),and the effect on lowering the scores in the treatment group was significantly superior to that in the control group,the differences being statistically significant(P<0.05).(2)After treatment,WHR,BMI and HOMA-IR in the two groups were decreased and HOMA-βwas increased compared with those before treatment,and the differences were statistically significant(P<0.05 or P<0.01).The intergroup comparison showed that the WHR,BMI an

关 键 词：通元针法 脾虚痰湿型 多囊卵巢综合征 糖代谢 脂代谢 心理状态 

分 类 号：R246.3[医药卫生—针灸推拿学]