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温针灸联合仿生物电刺激治疗肾虚血瘀型卵巢储备功能减退患者的临床效果
胡静1      袁钰宁2      程思1
1.湖北省黄石市妇幼保健院妇女保健科,湖北黄石   435000;
2.长江大学文理学院,湖北荆州   434000
Clinical effect of warming acupuncture combined with imitating bioelectric stimulation in the treatment with diminished ovarian reserve patients of kidney deficiency and blood stasis syndrome #br#
HU Jing1   YUAN Yuning2   CHENG Si1
1.Women’s Health Care Department, Huangshi Maternal and Child Health Care Hospital, Hubei Province, Huangshi   435000, China; 
2.College of Arts and Sciences, Yangtze University, Hubei Province, Jingzhou   434000, China
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摘要 目的 探讨温针灸联合仿生物电刺激对肾虚血瘀证卵巢储备功能减退(DOR)患者的临床疗效。 方法 筛选湖北省黄石市妇幼保健院2021年1月至6月确诊的60例DOR患者,依据随机数字表法分为联合组和西药组,各30例。联合组用温针灸联合仿生物电刺激,西药组用戊酸雌二醇片/雌二醇环丙孕酮片,两组均治疗3个疗程。比较两组中医证侯疗效;比较治疗前后的中医证候积分、卵泡刺激素(FSH)、FSH/黄体生成素(LH)、卵巢血流收缩期峰流速(PSV)、阻力指数(RI)、搏动指数(PI)、卵巢体积(OV)、抗苗勒管激素(AMH)及窦卵泡计数(AFC)。 结果 联合组中医证候疗效优于西药组,差异有统计学意义(P < 0.05)。治疗前,两组中医证候积分比较,差异无统计学意义(P > 0.05);治疗后,两组中医证候积分低于治疗前,且联合组低于西药组,差异有统计学意义(P < 0.05)。治疗前,两组FSH、FSH/LH、AMH、AFC、OV、PSV、RI、PI比较,差异无统计学意义(P > 0.05)。治疗后,联合组AMH高于治疗前,且联合组高于西药组,差异有统计学意义(P < 0.05);治疗后,两组AFC、OV大于治疗前,差异有统计学意义(P < 0.05),但两组AFC、OV比较,差异无统计学意义(P > 0.05);治疗后,两组PSV高于治疗前,且联合组高于西药组,差异有统计学意义(P < 0.05);治疗后,两组FSH、FSH/LH、RI、PI低于治疗前,差异有统计学意义(P < 0.05),但两组FSH、FSH/LH、RI、PI比较,差异无统计学意义(P > 0.05)。 结论 温针灸联合仿生物电刺激能有效缓解肾虚血瘀证DOR患者的临床症状,增加卵巢血流灌注,增大卵巢体积,调节性激素水平,改善AFC及AMH,提高卵巢储备功能。
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胡静1 袁钰宁2 程思1
关键词 温针灸仿生物电刺激卵巢储备功能减退肾虚血瘀证    
Abstract:Objective To observe the clinical effect of warming acupuncture combined with imitating bioelectric stimulation in the treatment with diminished ovarian reserve (DOR) patients of kidney deficiency and blood stasis syndrome. Methods A total of 60 patients with DOR from Huangshi Maternal and Child Health Care Hospital, Hubei Province from January to June 2021, they were divided into combination group and western medicine group, according to the random number table method, with 30 cases in each group. The combination group was treated with warming acupuncture combined with imitating bioelectric stimulation, and western medicine group was treated with Estradiol Valerate Tablet/Cycloproterone Estradiol Tablets, both groups were treated for three courses. The curative effect of traditional Chinese medicine syndrome was compared, traditional Chinese medicine clinical syndrome scores, follicle stimulating hormone (FSH), FSH/luteinizing hormone (LH), peak systolic velocity (PSV), resistance index (RI), pulse index (PI), ovarian volume (OV), anti-mullerian hormone (AMH), and antral follicle count (AFC) before and after treatment were compared. Results The curative effect of traditional Chinese medicine syndrome in combined group was better than that in western medicine group, and the difference was statistically significant (P < 0.05). Before treatment, there were no significant differences in traditional Chinese medicine syndrome scores between two groups (P > 0.05); after treatment, the traditional Chinese medicine syndrome scores of two groups were lower than those before treatment, and combined group was lower than western medicine group, and the differences were statistically significant (P < 0.05). Before treatment, there were no significant differences in FSH, FSH/LH, AMH, AFC, OV, PSV, RI, and PI between two groups (P > 0.05). After treatment, AMH in combination group was higher than that before treatment, and combination group was higher than western medicine group, and the differences were statistically significant (P < 0.05); after treatment, AFC and OV in two groups were higher than those before treatment, and the differences were statistically significant (P < 0.05); but there were no statistical significance in AFC and OV between two groups (P > 0.05); after treatment, PSV in both groups were higher than those before treatment, and combination group was higher than western medicine group, and the differences were statistically significant (P < 0.05); after treatment, FSH, FSH/LH, RI, and PI in two groups were lower than those before treatment, and the differences were statistically significant (P < 0.05); but there were no statistical significance in FSH, FSH/LH, RI, and PI in two groups (P > 0.05). Conclusion Warming acupuncture combined with imitating bioelectric stimulation can effectively relieve the clinical symptoms of DOR patients with kidney deficiency and blood stasis syndrome, increase ovarian blood perfusion, increase the ovarian volume, regulate sex hormone levels, improve AMH and AFC, and then improve the ovarian reserve capacity.
Key wordsWarming acupuncture    Imitating bioelectric stimulation    Diminished ovarian reserve    Kidney deficiency and blood stasis syndrome
    
基金资助:湖北省卫生健康委员会中医药科研项目(ZY2021 M082)。
通讯作者: 程思(1992.8-),女,硕士;研究方向:中西医妇科。   
作者简介: 胡静(1975.7-),女,副主任医师;研究方向:中西医妇科,妇科内分泌。
引用本文:   
胡静1 袁钰宁2 程思1. 温针灸联合仿生物电刺激治疗肾虚血瘀型卵巢储备功能减退患者的临床效果[J]. 中国医药导报, 2022, 19(8): 72-76.
HU Jing1 YUAN Yuning2 CHENG Si1. Clinical effect of warming acupuncture combined with imitating bioelectric stimulation in the treatment with diminished ovarian reserve patients of kidney deficiency and blood stasis syndrome #br#. 中国医药导报, 2022, 19(8): 72-76.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I8/72

 

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