针刺对肝肾阴虚型早发性卵巢功能不全患者中医证候及卵巢血流动力学的影响  

The Effects of Acupuncture on TCM Syndromes and Ovarian Hemodynamics in Patients with Premature Ovarian Insufficiency of Liver-Kidney Yin Deficiency Type

作　　者：徐玲丽 谷前伟 XU Lingli;GU Qianwei(Department of Reproductive Health,Weihai City Second Hospital Affiliated to Qingdao University,Weihai,Shandong 264200)

机构地区：[1]青岛大学附属威海市立第二医院生殖健康科,山东威海264200

出　　处：《智慧健康》2025年第4期46-48,55,共4页Smart Healthcare

基　　金：威海市中医药科技项目青年项目《针刺治疗肝肾阴虚型早发性卵巢功能不全患者的临床应用研究》(项目编号:2023N-32)。

摘　　要：目的 观察针刺对肝肾阴虚型早发性卵巢功能不全(POI)患者月经、排卵及卵巢血流动力学的影响。方法 随机选择2023年11月—2024年8月于威海市妇幼保健院生殖健康科和中医科就诊的POI患者100例,随机将其分为针刺组和对照组,每组50例。对照组予以生活方式指导调理,针刺组在此基础上予以针刺治疗,比较两组患者治疗前后中医证候评分变化和卵巢血流动力学变化情况。结果 两组患者治疗前经稀发或者闭经等中医证候评分比较,差异无统计学意义(P>0.05);治疗后,针刺组中医证候评分低于对照组,组间差异具有统计学意义(P<0.05)。治疗前,两组患者双侧卵巢动脉收缩期峰值流速(PSV)和卵巢动脉舒张期峰值流速(EDV)比较,组间差异均无统计学意义(P>0.05);治疗后,针刺组双侧卵巢动脉PSV和卵巢动脉EDV均明显高于对照组,组间差异具有统计学意义(P<0.05)。结论 针刺疗法能够进一步改善肝肾阴虚型POI患者的中医证候评分,改善卵巢的血流动力学,具有良好的临床应用价值。Objective To observe the effects of acupuncture on menstruation,ovulation and ovarian hemodynamics in patients with early-onset ovarian insufficiency with liver and kidney yin deficiency.Methods A total of 100 POI patients who were treated in the Department of Reproductive Health and the Department of Traditional Chinese Medicine of Weihai Maternal and Child Health Hospital from November 2023 to August 2024 were randomly selected and randomly divided into acupuncture group and control group with 50 cases in each group.The control group was given lifestyle guidance and conditioning,and the acupuncture group was treated with acupuncture on this basis,and the changes in TCM symptom scores and ovarian hemodynamics before and after treatment were compared between the two groups.Results There was no statistically significant difference(p>0.05)in the scores of traditional Chinese medicine symptoms such as infrequent menstruation or amenorrhea between the two groups of patients before treatment;After treatment,the TCM syndrome score in the acupuncture group was lower than that in the control group,and the difference between the groups was statistically significant(P<0.05).There was no statistically significant difference in peak systolic velocity(PSV)and peak diastolic velocity(EDV)of bilateral ovarian arteries between the two groups of patients before treatment(P>0.05);After treatment,the peak systolic velocity(PSV)and peak diastolic velocity(EDV)of bilateral ovarian arteries in the acupuncture group were significantly higher than those in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion Acupuncture therapy can further improve the TCM symptom score and ovarian hemodynamics of patients with liver and kidney yin deficiency POI,which has good clinical application value.

关 键 词：针刺 肝肾阴虚 早发性卵巢功能不全 中医证候 卵巢血流动力学 

分 类 号：R246.3[医药卫生—针灸推拿学]