Department of Acupuncture and Massage College, Shandong University of Traditional Chinese Medicine, Jinan, China.
Front Endocrinol (Lausanne). 2024 Sep 2;15:1380444. doi: 10.3389/fendo.2024.1380444. eCollection 2024.
Diminished ovarian reserve (DOR) refers to a decrease in the number or quality of oocytes in the ovarian cortex, which is a degenerative disease of the reproductive system, and can further develop into premature ovarian failure. There are few studies on acupuncture and moxibustion for DOR, which are still in the exploratory stage.
METHODS/DESIGN: This study was a real-world case registry study. According to whether the subjects received conception vessel acupuncture or not, they were divided into the basic treatment combined with conception vessel acupuncture group and the basic treatment group. A total of 1221 patients with DOR were enrolled and treated for 12 weeks. The percentage of patients with ≥30% improvement in anti-Müllerian hormone (AMH) was evaluated at the end of week 12. Secondary outcomes included Antral follicle count (AFC), modified Kupperman scale, basal FSH level, LH level, FSH/LH ratio, positive pregnancy, clinical pregnancy, early spontaneous abortion, ongoing pregnancy, and ectopic pregnancy.
This study provides clinical evidence and theoretical support for the treatment of DOR with conception vessel acupuncture and moxibustion, so as to guide and improve the efficacy of acupuncture and moxibustion.
Acupuncture-Moxibustion Clinical Trial Registry ChiCTR2400080471. Registered on 30 January 2024.
卵巢储备功能降低(DOR)是指卵巢皮质中卵母细胞数量或质量下降,是一种生殖系统退行性疾病,可进一步发展为卵巢早衰。针刺和艾灸治疗 DOR 的研究较少,仍处于探索阶段。
方法/设计:本研究为真实世界病例登记研究。根据患者是否接受促孕穴位针刺,将其分为基础治疗联合促孕穴位针刺组和基础治疗组。共纳入 1221 例 DOR 患者,治疗 12 周。在第 12 周末评估抗苗勒管激素(AMH)改善≥30%的患者比例。次要结局包括窦卵泡计数(AFC)、改良库珀曼量表、基础 FSH 水平、LH 水平、FSH/LH 比值、阳性妊娠、临床妊娠、早期自然流产、持续妊娠和异位妊娠。
本研究为促孕穴位针刺治疗 DOR 提供了临床证据和理论支持,以指导和提高针灸疗效。
针刺-艾灸临床试验注册中心 ChiCTR2400080471。注册于 2024 年 1 月 30 日。