个体化取穴与标准化取穴针刺治疗多囊卵巢综合征的临床研究

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Abstract Objective To explore the clinical effect of individual acupuncture point selection and standardized acupuncture point selection in the treatment of polycystic ovary syndrome (PCOS), and to provide reference for clinical treatment. Methods A total of 80 PCOS patients from May to December 2017 in the Reproductive Immunity Clinic of Xuzhou Maternal and Child Health Hospital were selected and divided into individualized acupoint selection group and standardized acupoint selection group according to the central random method, with 40 cases in each group. The patients in individualized acupoint selection group were treated according to the corresponding acupoints of syndrome of yang deficiency of spleen and kidney or syndrome of yin deficiency of liver and kidney, while standardized acupoint selection group received fixed acupoint therapy. Both groups were treated with acupuncture on the fifth day after spontaneous menstrual or progesterone withdrawal bleeding, twice a week, with an interval of no less than two days. The treatment lasted for four months, with a total of 32 acupuncture sessions. Body mass index (BMI), waist hip ratio (WHR), fasting blood glucose (FPG), luteinizing hormone/follicle stimulating hormone (LH/FSH), total testosterone (T), homeostasis model assessment of insulin resistance index (HOMA-IR) and recovery of ovulatory menstruation were compared between two groups before and after treatment. Results The levels of BMI, WHR and FPG in two groups after treatment were lower than those before treatment, the differences were statistically (P < 0.05). After treatment, LH/FSH, T and HOMA-IR of two groups were lower than those before treatment, and individualized acupoint selection group was lower than standardized acupoint selection group, the differences were statistically significant (P < 0.05). After treatment, the number of patients in individualized acupoint selection group was higher than that in standardized acupoint selection group (P < 0.05). Conclusion Individualized acupoint selection is superior to standardized acupoint selection in improving menstruation, endocrine disorders and insulin resistance in PCOS.

Key words： Polycystic ovary syndrome Acupuncture Individualized acupuncture point selection Standardized acupuncture point selection Insulin resistance

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	LI Qian1 WU Xiaoke2

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LI Qian1 WU Xiaoke2. Clinical study of individualized acupuncture acupoint selection and standardized acupuncture acupoint selection in the treatment of polycystic ovary syndrome[J]. 中国医药导报, 2021, 18(1): 132-135,152.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I1/132

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