摘要
目的观察火针联合左归疏肝汤对多囊卵巢综合征不孕症患者排卵情况、血清睾酮(TSTO)水平及妊娠率的影响。方法依据随机数字表法将134例多囊卵巢综合征不孕症患者分为两组,对照组67例接受左归疏肝汤治疗,观察组67例接受火针联合左归疏肝汤治疗,评价两组疗效,统计排卵情况,测定血清TSTO水平,比较妊娠率、卵巢过度刺激综合征(OHSS)发生率。结果观察组总有效率明显高于对照组(P<0.05);观察组排卵数量、排卵例数明显高于对照组(P<0.05);治疗后两组血清TSTO水平较治疗前明显下降(P<0.05),且观察组明显低于对照组(P<0.05);对照组妊娠率明显低于观察组(P<0.05);两组OHSS发生率比较差异无统计学意义(P>0.05)。结论火针联合左归疏肝汤在增进多囊卵巢综合征不孕症患者临床疗效、增加排卵数量与排卵例数、降低血清TSTO水平、提高妊娠率等诸多方面具有突出优势。
Objective To observe the effects of fire-needle therapy combined with Zuo Gui Shu Gan decoction on ovulation,serum testosterone(TSTO)level and pregnancy rate in infertile patients with polycystic ovary syndrome(PCOS).Method A total of 134 infertile patients with PCOS were divided into two groups by random number table method.Sixty-seven patients in the control group received Zuo Gui Shu Gan decoction for treatment,and 67 patients in the observation group were treated with fire needle therapy plus Zuo Gui Shu Gan decoction.In both groups,the efficacy was evaluated,ovulation was counted,the serum level of TSTO was detected,and the pregnancy rate and incidence rate of ovarian hyperstimulation syndrome(OHSS)were compared.Result The total effective rate was significantly higher in the observation group than in the control group(P<0.05).The number of eggs and ovulation cases were markedly higher in the observation group than in the control group(P<0.05).The serum level of TSTO decreased significantly after treatment in both groups(P<0.05),and was significantly lower in the observation group than in the control group(P<0.05).The control group had a significantly lower pregnancy rate compared with the observation group(P<0.05).There was no significant difference comparing the incidence rate of OHSS between the two groups(P>0.05).Conclusion In the treatment of infertile patients with PCOS,fire-needle therapy plus Zuo Gui Shu Gan decoction has significant advantages in many aspects,including enhancing the clinical efficacy,increasing the number of eggs and ovulation cases,down-regulating the serum level of TSTO and raising the pregnancy rate.
作者
耿翊宁
GENG Yi-ning(Hainan General Hospital,Haikou 570000,China)
出处
《上海针灸杂志》
2020年第4期406-410,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
火针疗法
针药并用
多囊卵巢综合征
不孕症
排卵
睾酮
妊娠
Fire-needle therapy
Acupuncture medication combined
PCOS
Infertility
Ovulation
Testosterone
Pregnancy
