| 摘要: |
| 目的：观察逍遥丸方加减配合电针治疗对多囊卵巢综合征（PCOS）肾虚肝郁证患者内分泌、月经状况的影响。方法：将60 例PCOS肾虚肝郁证患者随机分为治疗组和对照组，每组各30 例。对照组采用电针治疗，治疗组在对照组基础上加用逍遥丸方加减治疗，疗程均为6个月。比较2组治疗前后体质量指数（BMI）、腰臀比（WHR），统计2组治疗期间来月经次数，检测2组治疗前后血清卵泡刺激素（FSH）、黄体生成激素（LH）、睾酮（T）水平。结果：治疗后2组患者BMI、WHR均较治疗前下降，差异均有统计学意义（P＜0.05），但组间比较，差异无统计学意义（P>0.05）。治疗期间患者来月经次数治疗组多于对照组，差异有统计学意义（P＜0.05）。治疗后2组LH、LH/FSH、T均较治疗前下降，治疗组T水平低于对照组，差异均有统计学意义（P＜0.05）。结论：连续6个月电针治疗或针药结合治疗均可降低PCOS患者BMI、WHR，改善内分泌和月经状况，但针药结合治疗在降低雄激素和改善月经状况方面优于单用电针治疗。 |
| 关键词: 多囊卵巢综合征 肾虚肝郁证 逍遥丸 电针 |
| DOI： |
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| Clinical effect of modified Xiaoyao pills combined with electroacupuncture in treatment of polycystic ovary syndrome with kidney deficiency and stagnation of liver Qi:An analysis of 30 cases |
| WANG Suling,MENG Yanbing |
| (Department of Traditional Chinese Medicine，The Fifth Affiliated Hospital of Guangzhou Medical University，Guangzhou 510700，Guangdong，China) |
| Abstract: |
| Objective:To investigate the effect of modified Xiaoyao pills combined with electroacupuncture on endocrine and menstruation of patients with polycystic ovary syndrome (PCOS) with kidney deficiency and stagnation of liver Qi.Methods:A total of 60 patients with PCOS with kidney deficiency and stagnation of liver Qi were randomly divided into treatment group and control group，with 30 patients in each group.The patients in the control group were given electroacupuncture，and those in the treatment group were given modified Xiaoyao pills in addition to the treatment in the control group.The course of treatment was 6 months for both groups.The two groups were compared in terms of body mass index (BMI)，waist-to-hip ratio (WHR)，times of menstruation during treatment，and serum levels of follicle-stimulating hormone (FSH)，luteinizing hormone (LH)，and testosterone (T) before and after treatment.Results:Both groups had significant reductions in BMI and WHR after treatment (P<0.05)，while there were no significant differences between the two groups (P>0.05).The treatment group had significantly more times of menstruation during treatment than the control group (P<0.05).Both groups had significant reductions in LH，LH/FSH，and T after treatment，and the treatment group had a significantly lower level of T than the control group (P<0.05).Conclusion:In patients with PCOS，electroacupuncture or acupuncture-medicine therapy for 6 consecutive months can reduce BMI and WHR and improve endocrine and menstruation，while acupuncture-medicine therapy has a better clinical effect than electroacupuncture alone in reducing androgen and improving menstruation. |
| Key words: polycystic ovary syndrome kidney deficiency and stagnation of liver Qi Xiaoyao pills electroacupuncture |
