雷火灸配合穴位埋线治疗肥胖型和非肥胖型多囊卵巢综合征的临床观察
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摘要
目的:探讨雷火灸配合穴位埋线治疗肥胖型和非肥胖型多囊卵巢综合征的临床影响。方法:30例患者分成肥胖组(BMI≥25 kg/m~2)和非肥胖组(BMI <25 kg/m~2)。两组均运用雷火灸配合穴位埋线治疗,观察治疗前后两组体质量、BMI、GLU、INS、HOMA-IR、LH/FSH、T、AMH的变化。结果:治疗后,仅肥胖组患者的体质量、BMI下降(P <0. 05);两组GLU、INS、HOMA-IR、LH/FSH均下降(P <0. 05),且肥胖组疗效更优(P <0. 05);两组AMH均下降,且改善相当(P> 0. 05)。结论:雷火灸配合穴位埋线对肥胖型和非肥胖型PCOS患者均适用,且对肥胖的患者改善更明显。
Objective: To explore the clinical effect of thunder-fire moxibustion combined with acupoint catgut embedding on polycystic ovary syndrome( PCOS) of obese and non-obese. Methods: 30 PCOS cases were divided into the obese group( BMI≥25 kg/m~2) and the non-obese group( BMI < 25 kg/m~2). The two groups were both treated with thunder-fire moxibustion combined with acupoint catgut embedding. The changes of BW,BMI,GLU,INS,HOMA-IR,LH/FSH,T and AMH were observed before and after the treatment in the two groups. Results: After the treatment,BW and BMI were decreased only in the obese group( P < 0. 05).The levels of GLU,INS,HOMA-IR,and LH/FSH all decreased in the two groups( P < 0. 05); and the decreases were more significant in the obese group( P < 0. 05). AMH was decreased in the both groups,of which there was no statistical difference between the two groups( P > 0. 05). Conclusion: Thunder-fire moxibustion combined with acupoint catgut embedding is suitable for PCOS of obese and non-obese. It is more effective for obese patients.
Objective: To explore the clinical effect of thunder-fire moxibustion combined with acupoint catgut embedding on polycystic ovary syndrome( PCOS) of obese and non-obese. Methods: 30 PCOS cases were divided into the obese group( BMI≥25 kg/m~2) and the non-obese group( BMI < 25 kg/m~2). The two groups were both treated with thunder-fire moxibustion combined with acupoint catgut embedding. The changes of BW,BMI,GLU,INS,HOMA-IR,LH/FSH,T and AMH were observed before and after the treatment in the two groups. Results: After the treatment,BW and BMI were decreased only in the obese group( P < 0. 05).The levels of GLU,INS,HOMA-IR,and LH/FSH all decreased in the two groups( P < 0. 05); and the decreases were more significant in the obese group( P < 0. 05). AMH was decreased in the both groups,of which there was no statistical difference between the two groups( P > 0. 05). Conclusion: Thunder-fire moxibustion combined with acupoint catgut embedding is suitable for PCOS of obese and non-obese. It is more effective for obese patients.
引文
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[16]伊凡,田亚黎,尹改珍.穴位埋线疗法对多囊卵巢大鼠FSH、LH等性腺功能的影响[J].新疆中医药,2013,31(1):28-29.
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[3]赵海波,宋晖,于月成.二甲双胍治疗前后多囊卵巢综合征患者血清抗苗勒氏管激素水平的变化[J].解放军医学杂志,2009,34(1):6.
[4]崔琳琳,陈子江.多囊卵巢综合征诊断标准和诊疗指南介绍[J].国际生殖健康/计划生育杂志,2011,30(5):405-408.
[5]张欣,邓琳琳.雄激素抑制剂对PCOS患者血清AMH等指标的影响初探[J].现代妇产科进展,2012,21(6):482-483.
[6]徐江红,佟杰,杨洪波.耳针与中药并用对多囊卵巢综合征胰岛素抵抗的影响[J].世界中医药,2011,6(1):61-62.
[7]Rotterdam ESHRE/ASRM-sponsored PCOS Consensus Workshop Group.Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome(PCOS)[J].Human Reproduction,2004,19(1):41-47.
[8]陶莉莉,傅艳红,谢蓬蓬,等.穴位埋线联合健脾祛痰中药对肥胖型多囊卵巢综合征胰岛素抵抗及脂肪细胞因子的影响[J].广州中医药大学学报,2009,26(2):134-137.
[9]王君,李霞,原迪,等.二甲双胍对多囊卵巢不孕症患者卵巢功能、雌激素水平及胰岛素抵抗的影响[J].现代生物医学进展,2015,15(32):6305-6307.
[10]Wei Y,Zou Z,Becker N,et al.EGFR-mediated Beclin 1 phosphorylation in autophagy suppression,tumor progression,and tumor chemoresistance[J].Cell,2013,154(6):1269-1284.
[11]周萍.穴位埋线治疗伴胰岛素抵抗的肥胖型多囊卵巢综合征35例[J].甘肃中医学院学报,2013,30(4):57-59.
[12]高霞,唐奕,蔡素芬,等.多囊卵巢综合征血浆生物标志物研究进展[J].长治医学院学报,2015,29(6):473-476.
[13]江欢,朱伟杰.抗苗勒氏管激素在多囊卵巢综合征患者卵巢功能调节中的作用[J].生殖与避孕,2011,31(11):757-760.
[14]文怡,任爱玲,邓琳雯.耳穴联合温盒灸治疗肾阳虚型排卵障碍性疾病的探讨[J].湖南中医杂志,2013,29(2):72-73.
[15]段芳燕,曾科学.雷火灸结合针刺治疗痰湿型多囊卵巢综合征30例[J].湖南中医杂志,2015,31(2):78-79.
[16]伊凡,田亚黎,尹改珍.穴位埋线疗法对多囊卵巢大鼠FSH、LH等性腺功能的影响[J].新疆中医药,2013,31(1):28-29.