|
|
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 |
|
|
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.
|
|
|
|
|
[1] 陆柳如.基于PI3K/AKT/mTOR信号通路研究补肾活血法修复雷公藤多苷致卵泡发育障碍的分子机制[D].成都:成都中医药大学,2016.
[2] Practice Committee of the American Society for Reproductive Medicine. Testing and interpreting measures of ovarian reserve:a committee opinion [J]. Fertil Steril,2015, 103(3):e9-e17.
[3] 陈海霞,白晓红.卵巢储备功能减退的相关分子遗传学研究进展[J].国际生殖健康/计划生育杂志,2020(5):411-415.
[4] 赵爱民,杜美蓉,李大金,等.自然流产诊治中国专家共识(2020年版)[J].中国实用妇科与产科杂志,2020,36(11):1082-1090.
[5] Wald KA,Shahine LK,Lamb JD,et al. High incidence of diminished ovarian reserve in young unexplained recurrent pregnancy loss patients [J]. Gynecol Endocrinol,2020,36(12):1079-1081.
[6] 庞俏茹,吴丹,庞卓超,等.补肾调经汤对卵巢储备功能下降月经后期、过少患者卵巢功能及性激素水平的影响[J].现代中西医结合杂志,2021,30(14):1544-1547, 1551.
[7] 赵圣佳,钱婧,张争艳,等.电针对卵巢功能减退患者性激素水平及卵巢储备功能的影响[J].上海针灸杂志,2021, 40(6):721-726.
[8] 李芳,岳雯,黄秀锦,等.针刺配合艾灸治疗肾阴虚型卵巢储备功能不足[J].世界中医药,2020,15(14):2163-2165.
[9] 何茜冬,唐妍,苏园园,等.脂肪分解和仿生物电刺激治疗对超重和肥胖的多囊卵巢综合征患者内分泌及代谢的影响[J].中国实用医药,2016,11(18):29-31.
[10] 于传鑫,李诵弦.实用妇科内分泌学[M].2版.上海:复旦大学出版社,2004:312-320.
[11] 曹泽毅.中华妇产科学[M].3版,北京:人民卫生出版社,2014:1078-1080.
[12] 郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:239-243,385-390.
[13] 梁繁荣,王华.针灸学[M].北京:中国中医药出版社,2016:250,253.
[14] 国家技术监督局.中华人民共和国国家标准·中医临床诊疗术语·证候部分[S].北京:中国标准出版社,1997.
[15] 张甜甜.滋肾益经活血汤联合克龄蒙治疗肾虚血瘀型DOR的临床观察[D].太原:山西中医药大学,2020.
[16] 徐珊,张小菜,袁宁霞.滋肾温阳汤联合克龄蒙治疗卵巢储备功能下降45例[J].山东中医杂志,2021,40(1):48-52,64.
[17] 孙美娟.调经汤配合克龄蒙治疗肝肾亏虚夹瘀型DOR的临床观察[D].昆明:云南中医学院,2018.
[18] 王月娇,徐莲薇,刘小菲,等.卵巢储备功能下降的中医研究进展[J].中国中医基础医学杂志,2021,27(6):1047-1050.
[19] 万怡,于莎.针刺联合中药治疗卵巢储备功能减退疗效观察[J].上海针灸杂志,2021,40(5):546-550.
[20] 吴松,严江天.足三里、关元温针灸联合八髎穴隔姜灸治疗卵巢早衰的临床观察[J].中国针灸,2018,38(12):1267-1271.
[21] 梁程程,杨红,齐聪,等.氧化应激对卵巢储备功能下降的影响及中西医抗氧化治疗研究进展[J].中国中西医结合杂志,2021,40(2):1-5.
[22] 陈晔.温针灸治疗肾精亏虚型早发性卵巢功能不全的临床研究[D].福州:福建中医药大学,2019.
[23] 雷凯悦.温针灸治疗月经过少(肾虚血瘀型)的临床研究[D].长春:长春中医药大学,2019.
[24] 李雅丹.仿生物电刺激对卵巢储备功能下降患者的短期治疗作用[J].中外医学研究,2019,17(35):42-44.
[25] 吴妍,童玲,肖丽红.腹腔镜下卵巢良性囊肿剥除术后使用仿生物电刺激对卵巢储备功能的影响[J].中国妇幼保健,2019,34(22):5100-5102. |
|
|
|