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温经汤联合调补冲任针法灸法改善卵巢早衰虚寒证患者血清性激素及卵巢功能的临床观察

Clinical Observation on the Improvement of Serum Sex Hormone and Ovarian Function in Premature Ovarian Failure Patients with Deficiency-Cold Syndrome by Combining Wenjing Decoction with Tiaobu Chongren Acupuncture and Moxibustion.

作者信息

Yi Anlun, Qin Xianbing, Du Zhiyin, Wang Tingling, Liu Fang

机构信息

Laboratory of Chongqing Hechuan Maternal and Child Health Hospital, Hechuan District, Chongqing 401520, China.

Chongqing Yongchuan District Hospital of Traditional Chinese Medicine Laboratory, No. 2, Yingbin Avenue, Yongchuan District, Chongqing 402160, China.

出版信息

Evid Based Complement Alternat Med. 2021 Sep 11;2021:3926822. doi: 10.1155/2021/3926822. eCollection 2021.

Abstract

OBJECTIVE

To explore the effect of Wenjing Decoction and Tiaobu Chongren acupuncture and moxibustion therapy on serum sex hormones and ovarian function recovery in premature ovarian failure (POF) patients with deficiency-cold syndrome.

METHODS

From February 2018 to October 2019, 119 POI patients with deficiency-cold syndrome who met the selection criteria were randomly divided into the control group ( = 59) and the observation group ( = 60). The control group was treated with hormone replacement therapy, and the observation group was treated with Wenjing Decoction and Tiaobu Chongren acupuncture and moxibustion therapy on the basis of the control group. Both groups were treated continuously for 3 months. After treatment, the clinical efficacy of the two groups was compared, the Chinese medicine syndrome score, serum estradiol ( ), follicle-stimulating hormone (FSH), luteinizing hormone (LH), anti-mullerian hormone (AMH) and bilateral antral follicle count (AFC), mean ovarian volume, and endometrial thickness of the two groups before and after treatment were compared.

RESULT

The effective rate of the observation group (93.10%) was higher than that of the control group (77.59%) ( < 0.05). After treatment, the index scores of traditional Chinese medicine syndromes in two groups were lower than before ( < 0.05), and the observation group was lower than the control group ( < 0.05). The serum and AMH levels in the two groups increased, while FSH and LH levels decreased compared with before treatment, and the observation group improved significantly compared with the control group ( < 0.05). The bilateral AFC, mean ovarian volume, and endometrial thickness of the two groups increased compared with before treatment, and the observation group was higher than the control group ( < 0.05).

CONCLUSION

On the basis of hormone replacement therapy, the combination of Wenjing Decoction and Tiaobu Chongren acupuncture and moxibustion therapy is effective in treating POF patients with deficiency-cold syndrome, which can effectively regulate their serum sex hormone levels and promote the recovery of ovarian function.

摘要

目的

探讨温经汤联合调补冲任针灸疗法对肾阳虚型卵巢早衰(POF)患者血清性激素及卵巢功能恢复的影响。

方法

选取2018年2月至2019年10月符合纳入标准的肾阳虚型POI患者119例,随机分为对照组(n = 59)和观察组(n = 60)。对照组采用激素替代疗法,观察组在对照组基础上加用温经汤联合调补冲任针灸疗法。两组均连续治疗3个月。治疗后,比较两组的临床疗效,比较两组治疗前后的中医证候评分、血清雌二醇( )、卵泡刺激素(FSH)、黄体生成素(LH)、抗苗勒管激素(AMH)及双侧窦卵泡计数(AFC)、平均卵巢体积、子宫内膜厚度。

结果

观察组有效率(93.10%)高于对照组(77.59%)(P < 0.05)。治疗后,两组中医证候指标评分均低于治疗前(P < 0.05),且观察组低于对照组(P < 0.05)。两组血清 及AMH水平升高,FSH及LH水平较治疗前降低,且观察组改善情况明显优于对照组(P < 0.05)。两组双侧AFC、平均卵巢体积、子宫内膜厚度较治疗前增加,且观察组高于对照组(P < 0.05)。

结论

在激素替代疗法基础上,温经汤联合调补冲任针灸疗法治疗肾阳虚型POF患者疗效显著,能有效调节其血清性激素水平,促进卵巢功能恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c01f/8449719/a5397d5187e7/ECAM2021-3926822.001.jpg

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