摘要
目的观察朱琏针法治疗多囊卵巢综合征不孕症的临床疗效及其对患者生活质量的影响。方法将60例多囊卵巢综合征不孕症患者随机分为治疗组和对照组,每组30例。治疗组采用朱琏针法治疗,对照组采用常规针刺治疗。观察两组治疗前后身体质量指数(BMI)、卵巢体积、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、生活质量量表(SF-36)各项评分及各项激素[促黄体生成素/卵泡刺激素(LH/FSH)、泌乳素(PRL)、睾酮(T)]水平的变化情况,并比较两组治疗后排卵率和妊娠率。结果治疗组治疗后SF-36中PF、GH、VT、RE、MH评分均较同组治疗前显著提高(P<0.05);对照组治疗后SF-36各项评分均较同组治疗前显著提高(P<0.05)。两组治疗后SDS评分、SAS评分及各项激素水平均较同组治疗前显著下降(P<0.05)。治疗组治疗后卵巢体积、SDS评分、SAS评分、各项激素水平及SF-36中RE、VT、MH评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组治疗后排卵率及妊娠率分别为51.7%和27.6%,对照组分别为33.3%和18.5%。两组治疗后排卵率比较,差异具有统计学意义(P<0.05)。结论朱琏针法治疗可明显提高多囊卵巢综合征不孕症患者的排卵率,缓解患者抑郁与焦虑状态,调控大脑皮层神经内分泌脉冲模式,降低各激素水平。
Objective To observe the clinical efficacy of ZHU Lian’s acupuncture method in treating infertility related to polycystic ovarian syndrome(PCOS)and its effect on patients’quality of life.Method Sixty infertile patients with PCOS were randomized into a treatment group and a control group,with 30 cases in each group.The treatment group received ZHU Lian’s acupuncture method,and the control group was treated with the conventional acupuncture method.Before and after treatment,the body mass index(BMI),ovary volume,self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score,short form 36(SF-36)health survey questionnaire scores,and hormone levels[luteinizing hormone/follicle-stimulating hormone(LH/FSH),prolactin(PRL),and testosterone(T)]were observed for the two groups.The ovulation and pregnancy rates were compared after treatment.Result After treatment,the SF-36 scores of physical functioning(PF),general health(GH),vitality(VT),role emotional(RE),and mental health(MH)increased notably in the treatment group(P<0.05);the control group also showed a significant increase in each SF-36 component score(P<0.05).The SDS and SAS scores and each hormone level declined significantly in both groups after treatment(P<0.05).After treatment,the ovary volume,SDS score,SAS score,each hormone level,and the SF-36 scores of RE,VT,and MH in the treatment group were significantly different from those in the control group(P<0.05).The ovulation rate was 53.5%and the pregnancy rate was 27.6%after intervention in the treatment group,versus 33.3%and 18.5%in the control group.There was a significant difference in the ovulation rate between the two groups(P<0.05).Conclusion ZHU Lian’s acupuncture method can notably enhance the ovulation rate in PCOS-related infertile patients,reducing their anxiety and depression,regulating the neuroendocrine impulse mode in the cerebral cortex,and down-regulating hormone levels.
作者
岳进
孟凤云
易蕾
方誉
刘春芬
陈敏
苏小莉
YUE Jin;MENG Fengyun;YI Lei;FANG Yu;LIU Chunfen;CHEN Min;SU Xiaoli(Nanning Hospital of Traditional Chinese Medicine,Nanning 530012,China)
出处
《上海针灸杂志》
2022年第6期579-584,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
广西科技计划重大项目(桂科AB16380209)。
关键词
针灸疗法
多囊卵巢综合征
不育
女性
朱琏针法
生活质量
焦虑
抑郁
Acupuncture-moxibustion
Polycystic ovarian syndrome
Infertile,Female
ZHU Lian’s acupuncture method
Quality of life
Anxiety
Depression
