腹针联合补肾祛痰法对胰岛素抵抗型肾虚痰瘀型PCOS不孕症患者的临床观察  

Clinical Observation of Abdominal Acupuncture Combined with Kidney Supplementation and Expectorant Method in Patients with Insulin-resistant Renal Deficiency and Phlegm Stasis PCOS Infertility

作　　者：王长菊 蒋小飞 王改 罗贺千 邵译萱 WANG Chang-ju;JIANG Xiao-fei;WANG Gai;LUO He-qian;SHAO Yi-xuan(Department of Gynecology,Xuzhou City Hospital of Traditional Chinese Medicine,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州市中医院妇科,江苏徐州221000

出　　处：《现代生物医学进展》2025年第5期855-862,共8页Progress in Modern Biomedicine

基　　金：江苏省中医药管理局项目(MS2023074)。

摘　　要：目的:探讨腹针联合补肾祛痰法对胰岛素抵抗型肾虚痰瘀型多囊卵巢综合征不孕症患者的应用效果。方法:将我院2021年3月至2024年3月收治的90例胰岛素抵抗型肾虚痰瘀型多囊卵巢综合征不孕症患者作为研究对象,分为观察组与对照组,各45例。所有患者均常规口服二甲双胍治疗,观察组增加腹针联合补肾祛痰法治疗。两组均连续治疗3个月经周期后,比较其临床疗效,治疗前后内分泌指标,胰岛素抵抗及糖脂代谢情况,并进行6个月随访比较两组排卵率。结果:观察组总有效率91.11%更高(P<0.05);治疗后两组患者黄体生成素(LH)水平降低,高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)水平无明显变化,治疗后两组患者胰岛素抵抗指数(HOMA-IR)、空腹血糖(FBG)、总胆固醇(TC)、甘油三酯(TG)水平均降低,与对照组相比,观察组HOMA-IR、FBG、TG、TC水平更低(P<0.05);对两组患者随访6个月发现,对照组排卵率为68.89%(31/45),观察组排卵率为91.11%(41/45),观察组高于对照组(χ^(2)=6.940,P=0.008<0.05)。结论:胰岛素抵抗型肾虚痰瘀型PCOS不孕症患者采取二甲双胍口服+腹针联合补肾祛痰法治疗临床综合疗效更优,且能够促进性激素分泌正常,减轻胰岛素抵抗,改善糖脂代谢,且能够促进患者排卵。Objective:To investigate the effect of abdominal acupuncture combined with kidney supplementation and expectorant method on infertility patients with insulin-resistant renal deficiency and phlegm stasis polycystic ovary syndrome.Methods:A total of 90 infertility patients with insulin-resistant renal deficiency and phlegm stasis polycystic ovary syndrome admitted to our hospital from March 2021 to March 2024 were taken as the research objects,and they were divided into observation group and control group,with 45 cases in each group.All patients were treated with routine oral metformin,and the observation group was treated with abdominal acupuncture combined with kidney supplementation and expectorant therapy.After 3 months of continuous menstrual cycles,the clinical efficacy,endocrine indexes,insulin resistance and glucose and lipid metabolism before and after treatment were compared in both groups,and the ovulation rate of the two groups was compared with 6-month follow-up.Results:The total effective rate of the observation group was 91.11%higher(P<0.05),the levels of luteinizing hormone(LH)decreased in the two groups after treatment,and the levels of high-density lipoprotein(HDL-C)and low-density lipoprotein(LDL-C)were not significantly changed,and the levels of insulin resistance index(HOMA-IR),fasting blood glucose(FBG),total cholesterol(TC)and triglycerides(TG)in the two groups decreased after treatment.The TC level was lower(P<0.05),and the ovulation rate of the control group was 68.89%(31/45)and 91.11%(41/45)in the observation group after 6 months of follow-up,which was higher than that in the control group(χ^(2)=6.940,P=0.008<0.05).Conclusions:Patients with insulin-resistant renal deficiency and phlegm stasis PCOS infertility are treated with metformin oral+abdominal acupuncture combined with kidney supplementation and expectorant treatment,which has better clinical comprehensive efficacy,and can promote normal sex hormone secretion,reduce insulin resistance,improve glucose and lipid metabolism,and promot

关 键 词：腹针 补肾祛痰法 肾虚痰瘀型 胰岛素抵抗 多囊卵巢综合征 

分 类 号：R3[医药卫生—基础医学] R246.3R711.6