摘要
目的:探究基于“任主胞宫”理论针灸治疗薄型子宫内膜不孕症患者临床疗效。方法:选取薄型子宫内膜不孕症患者80例,根据患者意愿纳入对照组(40例)与观察组(40例)。对照组常规服用拜耳戊酸雌二醇片治疗,观察组在对照组基础上采用基于“任主胞宫”理论针灸治疗,评估治疗后两组子宫内膜厚度、A型子宫内膜形态占比、子宫内膜血流微循环[子宫内膜下血流搏动指数(PI)与阻力指数(RI)]、雌激素含量[黄体期雌激素(E2)、孕酮(P)和促卵泡生成素(FSH)、黄体生成素(LH)等性激素]及1年内妊娠情况。结果:治疗后观察组子宫内膜厚度高于对照组(P<0.05);治疗后观察组A型子宫内膜形态比例高于对照组(P<0.05);两组治疗前PI与RI比较无统计学差异(P>0.05),治疗后观察组PI与RI水平低于对照组(P<0.05);治疗后观察组E2、P与LH水平高于对照组,而FSH水平低于对照组(P<0.05);观察组一年内妊娠率50.00%,对照组为25.00%,观察组明显高于对照组(P<0.05)。结论:基于“任主胞宫”理论针灸可提升薄型子宫内膜不孕症患者的子宫内膜厚度,促进子宫内膜生长,并可改善患者子宫内膜内血流微循环及生殖相关激素水平,提高1年内妊娠率,可优化临床疗效。
Objective:To explore the clinical efficacy of acupuncture and moxibustion based on the theory of“conception vessel governing uterus”in the treatment of patients with thin endometrium infertility.Methods:80 patients with thin endometrium infertility were selected and included in the control group(40 cases)and observation group(40 cases)according to the patient’s wishes.The control group received routine treatment with Bayer valerate estradiol tablets(Bujiale),On the basis of the control group,the observation group adopted acupuncture and moxibustion treatment based on the theory of“conception vessel governing uterus”,and evaluated the endometrial thickness,the proportion of type A endometrial morphology,endometrial blood flow microcirculation(subendometrial blood flow pulsation index[PI]and resistance index[RI]),estrogen content(luteal estrogen[E2],progesterone[P],follicle stimulating hormone[FSH],luteinizing hormone[LH]and other sex hormones)of the two groups after treatment and the pregnancy status within one year.Results:The endometrial thickness of the observed group was higher than that of the control group after treatment(P<0.05).Type A endometrial morphology observation group after treatment ratio is higher than the control group(P<0.05).The two groups before treatment PI no difference compared with RI(P>0.05),a set of PI and RI were observed after treatment is lower than the control group(P<0.05).Observation group after treatment of E2,P and LH levels higher than the control group,and FSH levels lower than the control group(P<0.05).Pregnancy rate was 50.00%within one year of observation group,the control group was 25.00%,the observation group is significantly higher than the control group(P<0.05).Conclusion:Acupuncture based on the theory of“conception vessel governing uterus”can improve endometrial thickness of patients with thin endometrial infertility,promote endometrial growth,improve blood flow microcirculation and reproduction related hormone levels,and increase the pregnancy rate within one year.
作者
汪秀梅
孙飒
张秀红
袁红丽
刘欢
周钰
WANG Xiumei;SUN Sa;ZHANG Xiuhong;YUAN Hongli;LIU Huan;ZHOU Yu(Department of Acupuncture and Massage,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
出处
《陕西中医》
CAS
2024年第1期120-123,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
新疆维吾尔自治区自然科学基金资助项目(2022D01C775)。
关键词
任主胞宫
薄型子宫内膜不孕症
子宫内膜厚度
A型子宫内膜形态
子宫内膜内血流微循环
雌激素
妊娠
Conception vessel governing uterus
Thin endometrial infertility
Endometrial thickness
Type A endometrial morphology
Endometrial blood flow microcirculation
Estrogen
Pregnancy
