摘要
Objective：To observe the effect of acupuncture for infertility due to luteal phase defect （LPD）.Method：Fifty cases were randomized into an acupuncture group （30 cases） and a medication （Clomiphene） group （20 cases）.High phase score （HPS） was adopted to evaluate the luteal function before and after treatments,coupled with observation on the changes of E 2,progesterone （P）,follicles and endometrium.Results：The total effective rate in the acupuncture group was 93.4%,versus 70.0% in the medication group,showing a significant difference （P〈0.05）.Conclusion：Both acupuncture and Clomiphene can substantially improve the luteal function;however,acupuncture can get a better effect in improving the endometrium and a lower miscarriage rate than Clomiphene.
目的:观察针刺对黄体功能不足不孕的影响。方法:将 50 例患者随机分为两组,针刺组 30 例采用针刺治疗;药物组 20 例,口服克罗米酚治疗。治疗前后,采用高温相评分法(High Phase Score,HPS)评价黄体功能,观测血清雌二醇(Estradiol,E2)、孕酮(Progesterone,P)以及卵泡和子宫内膜的改变情况。结果:针刺组总有效率为 93.4%,药物组总有效率为 70.0%,两组差异有统计学意义(P<0.05)。结论:针刺治疗和口服克罗米酚均能明显提高患者黄体功能,针刺在改善子宫内膜方面明显优于克罗米酚,患者妊娠后针刺组的流产率低于药物组。
