本文選題：頭穴電針 + 痰濕型多囊卵巢綜合征�。� 參考：《黑龍江省中醫(yī)藥科學(xué)院》2016年碩士論文

【摘要】：目的:通過對痰濕型多囊卵巢綜合征患者性激素、體重指數(shù)、胰島素抵抗、卵巢動脈血流及卵巢狀況的觀察,驗證頭穴電針治療痰濕型多囊卵巢綜合征患者的臨床療效。方法:選取符合痰濕型多囊卵巢綜合征納入標準的84例患者,按照隨機對照原則,分為治療組(頭穴電針配合常規(guī)針刺)和對照組(常規(guī)針刺)兩組,每組各42例。兩組患者均每日治療1次,連續(xù)21次為1療程,1個療程結(jié)束后休息7天,然后開始下一療程,連續(xù)治療3個療程。觀察及記錄治療前、后的性激素、體重指數(shù)、胰島素抵抗、卵巢動脈血流及卵巢狀況。結(jié)果:1.治療組臨床總有效率為87.8%,對照組臨床總有效率為72.5%,兩組比較差異具有顯著性(P0.05)。2.兩組患者治療后LH、T水平及LH/FSH比值均較治療前下降,與治療前相比具有顯著差異性(P0.01),且治療組對LH、T水平及LH/FSH比值的改善程度明顯優(yōu)于對照組,兩組組間比較有統(tǒng)計學(xué)意義(P0.05)。3.治療后兩組患者的BMI、HOMA-IR較治療前下降,與治療前相比具有顯著差異性(P0.01),但兩組組間比較無統(tǒng)計學(xué)意義(P0.05)。4.治療后兩組患者卵巢體積、卵泡數(shù)目均有所改善,與治療前相比具有顯著差異性(P0.01),且治療組卵巢情況改善程度明顯優(yōu)于對照組,兩組組間比較有統(tǒng)計學(xué)意義(P0.05)。5.治療后兩組患者的卵巢動脈PI和PSV有所降低,RI有所提高,與治療前相比具有顯著差異性(P0.01),且治療組卵巢血流改善程度明顯優(yōu)于對照組,兩組組間比較有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.頭穴電針結(jié)合常規(guī)針刺組與常規(guī)針刺組治療痰濕型多囊卵巢綜合征均有較好的療效,但頭穴電針結(jié)合常規(guī)針刺的療效優(yōu)于常規(guī)針刺組,說明頭穴電針能提高臨床療效。2.頭穴電針能有效改善痰濕型多囊卵巢綜合征患者的性激素水平、降低卵巢動脈血流PI及PSV、提高RI,改善卵巢血液循環(huán)和卵巢狀況。
[Abstract]:Objective: to investigate the clinical efficacy of scalp acupuncture in the treatment of phlegm-wet polycystic ovary syndrome (PCOS) by observing sex hormone, body mass index, insulin resistance, ovarian artery blood flow and ovarian status. Methods: 84 patients with phlegm-wet polycystic ovary syndrome (PCOS) were divided into two groups according to the principle of randomized control: treatment group (scalp point electroacupuncture combined with routine acupuncture) and control group (conventional acupuncture) with 42 cases in each group. The patients in both groups were treated once a day, 21 consecutive times as a course of treatment, rest 7 days after the end of one course of treatment, and then began the next course of treatment, 3 consecutive courses of treatment. Sex hormone, body mass index, insulin resistance, ovarian artery blood flow and ovarian status were observed and recorded before and after treatment. The result is 1: 1. The total clinical effective rate was 87.8 in the treatment group and 72.5 in the control group. The difference between the two groups was significant (P0.05). After treatment, the levels of LHH T and the ratio of LH / FSH in the two groups were significantly lower than those before treatment (P0.01), and the improvement of LHT level and the ratio of LH- / FSH in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). After treatment, the BMIOHOMA-IR of the two groups was significantly lower than that before treatment (P0.01), but there was no significant difference between the two groups (P0.05). 4. After treatment, the ovarian volume and the number of follicles in the two groups were improved, compared with before treatment, there was a significant difference (P0.01), and the degree of ovarian improvement in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). After treatment, the ovarian artery Pi and PSV of the two groups decreased and the RI increased, which was significantly different from that before treatment (P0.01), and the improvement degree of ovarian blood flow in the treatment group was significantly better than that in the control group, and there was statistical significance between the two groups (P0.05). Conclusion 1. The therapeutic effect of scalp acupuncture combined with conventional acupuncture and routine acupuncture on phlegm-wet polycystic ovary syndrome was better, but the curative effect of scalp point electroacupuncture combined with routine acupuncture was better than that of routine acupuncture group, indicating that scalp point electroacupuncture could improve the clinical curative effect. Scalp electroacupuncture can effectively improve the level of sex hormones in patients with phlegm-wet type polycystic ovary syndrome, reduce the blood flow Pi and PSV of ovarian artery, increase RI, improve ovarian blood circulation and ovarian status.
【學(xué)位授予單位】：黑龍江省中醫(yī)藥科學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.3
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本文編號：2111225