First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.
School of Pharmacy, Harbin Medical University, Harbin, China.
BMJ Open. 2019 May 28;9(5):e027498. doi: 10.1136/bmjopen-2018-027498.
Approximately 5%-20% of reproductive women suffer from polycystic ovary syndrome (PCOS). Auricular points acupressure (AA) may serve as alternative management for PCOS for its benefits in both physical and psychological well-being. However, the effects of AA for insulin resistance (IR) in overweight/obese PCOS women have not been confirmed.
The present study is designed as a randomised, placebo-controlled pilot trial to evaluate the effectiveness and safety of AA in treating IR in women with PCOS. A total of 60 eligible PCOS subjects will be randomised into an intervention group (AA group) and a control group (sham AA group) in a ratio of 1:1. Magnetic beads will be taped to the auricular points by the same senior acupuncture specialist from the First Affiliated Hospital, Heilongjiang University of Chinese Medicine. The treatment will last for 12 weeks. Primary outcome measure will be changes in homeostasis model assessment of IR between baseline and after 3 months of AA/sham AA treatment. Secondary outcomes include hormonal profile, weight, waist/hip circumference, body mass index, blood pressure, Ferriman-Gallwey score, acne and the assessment of health-related quality of life. Outcome measures are collected at baseline and the end of treatment visit.
The protocol has been approved by the ethics committee of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine (HZYLLKY201800301). Written informed consent will be obtained from all participants. The results will be disseminated through peer-reviewed journals for publications.
NCT03546595; Pre-results.
大约 5%-20%的育龄妇女患有多囊卵巢综合征(PCOS)。耳穴按压(AA)可能是 PCOS 的一种替代治疗方法,因为它对身体和心理健康都有好处。然而,AA 对超重/肥胖的 PCOS 妇女胰岛素抵抗(IR)的影响尚未得到证实。
本研究设计为随机、安慰剂对照的试验,以评估 AA 在治疗 PCOS 妇女 IR 方面的有效性和安全性。共有 60 名符合条件的 PCOS 患者将按 1:1 的比例随机分为干预组(AA 组)和对照组(假 AA 组)。将磁珠贴于耳穴,由黑龙江中医药大学第一附属医院的同一位资深针灸专家进行操作。治疗将持续 12 周。主要结局指标为 AA/假 AA 治疗 3 个月后,稳态模型评估的 IR 变化。次要结局包括激素谱、体重、腰围/臀围、体重指数、血压、Ferriman-Gallwey 评分、痤疮和健康相关生活质量评估。在基线和治疗结束时收集结果。
该方案已获得黑龙江中医药大学第一附属医院伦理委员会的批准(HZYLLKY201800301)。将从所有参与者处获得书面知情同意书。结果将通过同行评审期刊发表。
NCT03546595;预结果。