本文關鍵詞：不同頻率電針結合中藥治療腎虛型多囊卵巢綜合征的臨床觀察　出處：《湖北中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

  更多相關文章： 多囊卵巢綜合征 電針頻率 臨床療效 性激素水平

【摘要】：目的:以腎虛型多囊卵巢綜合征患者為臨床研究對象,比較經(jīng)低頻電針+中藥、高頻電針+中藥與單純中藥治療后,三組患者的臨床療效,為腎虛型多囊卵巢綜合征患者的治療方案提供最佳的實踐依據(jù)。方法:將符合納入標準的60例患者按照隨機數(shù)字表法分為3組:中藥組(對照組)共20例,予中藥自擬補腎活血湯加減治療;針藥結合組共40例,其中低頻電針結合中藥組(治療組A)20例,服用補腎活血湯加減的同時予以低頻電針(頻率2HZ)治療;高頻電針結合中藥組(治療組B)20例,服用補腎活血湯加減同時予以高頻電針(頻率為50HZ)治療;治療組選取穴位:氣海、關元、大赫(雙)、子宮(雙)、血海(雙)、足三里(雙)、豐隆(雙)、三陰交(雙)、太沖(雙)、合谷(雙)、腎俞(雙)、次毼(雙)進行針刺,并連接電針,共連續(xù)治療3個月經(jīng)周期,比較三組治療前后臨床癥狀及體征的改善情況及卵泡刺激素(FSH)、促黃體生成素(LH)、LH/FSH、雌二醇(E2)、睪酮(T)、體質量及體重指數(shù)(BMI)等指標的變化,評估三組患者的臨床療效,運用SPSS統(tǒng)計軟件對相關指標進行分析比較。結果:(1)治療組A的治愈率為20%,總有效率為90%;治療組B的治愈率為15%,總有效率為85%;中藥組的治愈率為5%,總有效率為70%;治療組療效均較中藥組好,均具有統(tǒng)計學意義(P0.05),兩針藥結合組在總體療效上無明顯差別(P0.05)。(2)血清性激素水平比較:三組治療后,血清LH、LH/FSH、T值均明顯下降,治療前后有差異,均有統(tǒng)計學意義(均P0.05);治療前后的FSH、E2值無明顯差異(P0.05)。與中藥組相比:兩針藥結合組的LH、LH/FSH、T值分別與其比較均有明顯的差異(P0.05);兩針藥結合組之間比較,治療后LH、LH/FSH,治療組A較治療組B降低更甚,差異具有統(tǒng)計學意義(P0.05);治療后T值,治療組B較治療組A降低更甚,差異有統(tǒng)計學意義(P0.05)。(3)體質量、BMI比較:治療后三組患者體質量及BMI均下降;兩針藥結合組分別與中藥組比較,體質量、BMI前后差值有統(tǒng)計學意義(P0.05);兩針藥結合組相比,體質量及BMI前后的差值,治療組B高于治療組A,有統(tǒng)計學意義(P0.05)。結論:(1)電針聯(lián)合中藥對腎虛型PCOS的療效優(yōu)于僅使用中藥組。(2)電針聯(lián)合中藥能夠降低肥胖相關的指數(shù)。兩針藥結合組其體質量及BMI均明顯下降,與中藥組比較具有統(tǒng)計學意義(P0.05)。(3)電針聯(lián)合中藥可以明顯改善性激素含量。兩針藥結合組其LH、LH/FSH、T值均明顯降低,與中藥組比較有統(tǒng)計學意義(P0.05)。(4)不同頻率電針有不同的試驗效果:本試驗在性激素如LH、LH/FSH等改善方面,低頻電針效果優(yōu)于高頻電針;高頻電針比低頻電針能更好的改善性激素T值及肥胖相關指數(shù)。
[Abstract]:Objective: to compare the clinical effects of low frequency electroacupuncture Chinese medicine, high frequency electroacupuncture Chinese medicine and simple Chinese medicine on the patients with polycystic ovary syndrome of kidney deficiency type. Methods: 60 patients with polycystic ovary syndrome were divided into 3 groups according to random digital table: 20 cases in Chinese medicine group (control group). Traditional Chinese medicine self-made tonifying kidney and activating blood decoction treatment; There were 40 cases in the combination group of acupuncture and medicine, of which 20 cases were treated with low frequency electroacupuncture combined with traditional Chinese medicine (treatment group, 20 cases), which were treated with Bushen Huoxue decoction and low frequency electroacupuncture (2HZ). High frequency electroacupuncture combined with traditional Chinese medicine group (treatment group, 20 cases, taking Bu Shen Huoxue decoction, at the same time high frequency electroacupuncture (frequency is 50 HZ) treatment; The treatment group selected acupoints: Qihai, Guan Yuan, Dahe (Shuangli, uterus, Xuehai (Shuangli), Zusanli (Shuangli), Fenglong (Shuangli, Sanyinjiao, Shuangzong, Taichong), Hegu (Shuangli, Shenshu). The patients were treated with acupuncture combined with electroacupuncture for 3 consecutive menstrual cycles. The improvement of clinical symptoms and signs and follicle stimulating hormone FSHs were compared before and after treatment. The changes of luteinizing hormone (LHG) LH / FSHE, estradiol estradiol (E2N), testosterone (TX), body mass index (BMI) and body mass index (BMI) were evaluated in order to evaluate the clinical efficacy of the three groups. Results the cure rate of treatment group A was 20 and the total effective rate was 90. The cure rate of treatment group B was 15 and the total effective rate was 85. The cure rate of TCM group was 5 and the total effective rate was 70. The curative effect of the treatment group was better than that of the traditional Chinese medicine group, which had statistical significance (P0.05). There was no significant difference in the overall curative effect between the two acupuncture and medicine combination group (P 0.05). Comparison of serum sex hormone levels: after treatment, the serum LHH / FSHT decreased significantly in the three groups. There was significant difference before and after treatment (P 0.05). There was no significant difference in E _ 2 between the two groups before and after treatment. Compared with the traditional Chinese medicine group, the LHH / FSH of the combined acupuncture and medicine group was higher than that of the traditional Chinese medicine group. T values were significantly different from those of them (P 0.05). After the treatment, the LHN LH / FSHS in the treatment group A was significantly lower than that in the treatment group B, and the difference was statistically significant (P 0.05). After treatment, the T value of treatment group B was significantly lower than that of treatment group A, and the difference was statistically significant. Compared with the traditional Chinese medicine group, the difference of BMI between the two acupuncture and medicine combination groups was statistically significant (P 0.05). The difference of body weight and BMI before and after treatment group B was higher than that of treatment group A. Conclusion the curative effect of electroacupuncture combined with traditional Chinese medicine on PCOS of kidney deficiency type is better than that of traditional Chinese medicine group only. Electroacupuncture combined with traditional Chinese medicine can reduce the obesity related index. The body weight and BMI of the two acupuncture and medicine combination group were significantly decreased. Compared with the traditional Chinese medicine group, electroacupuncture combined with traditional Chinese medicine can obviously improve the content of sex hormone, and the LHH / FSHT value of the two acupuncture combined group is obviously lower than that of the traditional Chinese medicine group. Compared with the traditional Chinese medicine group, there were significant differences in the effect of different frequency electroacupuncture: in the improvement of sex hormones such as LHH / FSH. The effect of low frequency electroacupuncture is better than that of high frequency electroacupuncture. High frequency electroacupuncture can improve sex hormone T value and obesity related index better than low frequency electroacupuncture.
【學位授予單位】：湖北中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.3

【參考文獻】

相關期刊論文 前10條

1 謝靜;李宜為;溫川飆;;針灸治療多囊卵巢綜合征用穴規(guī)律研究[J];亞太傳統(tǒng)醫(yī)藥;2016年24期

2 唐培培;談勇;;多囊卵巢綜合征中醫(yī)證型分布規(guī)律及性激素水平、糖代謝特點[J];中國中西醫(yī)結合雜志;2016年07期

3 馮麗萍;潘文;;近5年多囊卵巢綜合征中醫(yī)證型及用藥規(guī)律研究[J];中醫(yī)藥臨床雜志;2016年07期

4 朱鴻秋;劉皎潔;張路;曹婷;韓姣姣;;中醫(yī)三聯(lián)療法對腎虛肝郁型多囊卵巢綜合征不孕患者促排卵的臨床觀察[J];河北中醫(yī);2016年03期

5 孫東霞;翟軍;王靖媛;董方莉;張瑩瑩;;二甲雙胍對體外受精/卵胞質內(nèi)單精子顯微注射中多囊卵巢綜合征患者妊娠結局有效性的系統(tǒng)評價[J];生殖與避孕;2016年02期

6 虞莉青;謝菁;張馥晴;施茵;曹蓮瑛;;針灸治療腎虛痰濕型多囊卵巢綜合征的臨床研究[J];針灸臨床雜志;2016年02期

7 高金金;侯麗輝;李妍;;多囊卵巢綜合征的病理機制和針刺治療機制的研究進展[J];中華中醫(yī)藥學刊;2016年02期

8 謝桂珍;劉陽;周卓秀;;中藥人工周期療法治療多囊卵巢綜合征40例[J];實用中西醫(yī)結合臨床;2015年10期

9 黃金珠;李蘊璐;黃葉芳;蒲麗萍;曾倩;;215例多囊卵巢綜合征的中醫(yī)臨床證候分布規(guī)律研究[J];時珍國醫(yī)國藥;2015年07期

10 陳霞;程潔;朱毅;徐斌;于美玲;盧圣鋒;;基于數(shù)據(jù)挖掘的針藥結合治療多囊卵巢綜合征臨床規(guī)律分析[J];中華中醫(yī)藥雜志;2015年07期

相關博士學位論文 前1條

1 洪士翔;多囊卵巢綜合征近20年的中醫(yī)和中西醫(yī)結合文獻研究[D];廣州中醫(yī)藥大學;2013年

，

本文編號：1382611