温针灸联合雌孕激素周期疗法治疗脾肾阳虚型卵巢早衰临床研究
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R246.3;R271

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Clinical Study on Warming-Needle Moxibustion Combined with Estrogen-Progesto⁃ gen Cyclic Treatment for Premature Ovarian Failure of Spleen-Kidney Yang Deficiency Type
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    摘要:

    目的:观察温针灸联合雌孕激素周期疗法治疗脾肾阳虚型卵巢早衰的疗效。方法:选取68例脾肾 阳虚型卵巢早衰患者,按随机数字表法分为治疗组及对照组各34例。常规处理基础上,对照组予以雌孕激素 周期疗法(地屈孕酮片+戊酸雌二醇片) 治疗,治疗组在对照组基础上加用温针灸治疗。2组均治疗6个月。比 较2组临床疗效及不良反应发生情况,比较2组治疗前后性激素水平[血清促卵泡生成素(FSH)、雌二醇(E2)、 促黄体素生成素(LH) ],中医证候积分、B超检查指标值的变化。结果:治疗组总有效率为88.24%,对照组为 67.65%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组E2 水平均较治疗前升高(P<0.05),LH、 FSH 水平均较治疗前下降(P<0.05);治疗组E2 水平高于对照组(P<0.05),LH、FSH 水平均低于对照 组(P<0.05)。治疗后,2组子宫内膜厚度、卵巢体积及窦状卵泡数均较治疗前升高(P<0.05),治疗组上 述3项指标值均高于对照组(P<0.05)。治疗后,2组中医证候积分均较治疗前下降(P<0.05),治疗组中医 证候积分低于对照组(P<0.05)。治疗组不良反应发生率为2.94%,对照组为8.82%,2组不良反应发生率比 较,差异无统计学意义(P>0.05)。结论:温针灸联合雌孕激素周期疗法治疗脾肾阳虚型卵巢早衰临床疗效确 切,可促进卵巢功能恢复,改善性激素水平与卵巢储备功能,安全性高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of warming-needle moxibustion combined with estrogen-progestogen cyclic treatment on premature ovarian failure of spleen-kidney yang deficiency type. Methods: A total of 68 cases of patients with premature ovarian failure of spleen-kidney yang deficiency type were selected and divided into the treatment group and the control group according to the random number table method, with 34 cases in each group. Based on routine treatment, the control group was treated with estrogen-progestogen cyclic treatment (Dydrogesterone Tablets and Estradiol Valerate Tablets),and the treatment group was additionally treated with warming-needle moxibustion based on the treatment of the control group. Both groups were treated for 6 months. The clinical effects and incidence of adverse reactions were compared between the two groups. The changes in sex hormone levels [serum follicle stimulating hormone (FSH), estradiol (E2), and luteinizing hormone (LH)], traditional Chinese medicine (TCM) syndrome scores,and ultrasound examination indicators were compared before and after treatment between the two groups. Results:The total effective rate was 88.24% in the treatment group, and 67.65% in the control group, the difference being significant (P<0.05). After treatment, E2 levels in the two groups were increased when compared with those before treatment (P<0.05), and levels of LH and FSH were decreased when compared with those before treatment (P<0.05); The E2 level in the treatment group was higher than that in the control group (P<0.05), and the levels of LH and FSH were lower than those in the control group (P<0.05). After treatment, the thickness of endometrium, ovarian volume, and number of sinusoidal follicles in the two groups were increased when compared with those before treatment (P<0.05),and the values of the above three indexes in the treatment group were higher than those in the control group (P<0.05). After treatment, the TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05),and the TCM syndrome scores in the treatment group were lower than those in the control group (P<0.05). The incidence of adverse reactions was 2.94% in the treatment group, and 8.82% in the control group, there being no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Warmingneedle moxibustion combined with estrogen-progestogen cyclic treatment has a definite clinical effect on premature ovarian failure of spleen-kidney yang deficiency type,which can promote ovarian recovery,and improve the levels of sex hormones and ovarian reserve function,with high safety.

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段予,王静.温针灸联合雌孕激素周期疗法治疗脾肾阳虚型卵巢早衰临床研究[J].新中医,2024,56(9):175-179

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  • 在线发布日期: 2024-05-13
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