| Purpose:Based on the level of insulin resistance,this study studied the clinical efficacy of warm acupuncture and moxibustion combined with Tonifying kidney and huatan prescription in the treatment of kidney deficiency and phlegm-dampness polycystic ovary syndrome,providing a theoretical basis for the treatment of kidney deficiency and phlegm-dampness polycystic ovary syndrome.Material and method:Methods A total of 100 patients with polycystic ovary syndrome(PCOS)with kidney deficiency and phlegm-dampness syndrome and insulin resistance who were treated in the department of Gynecology of Liaoning University of Traditional Chinese Medicine Affiliated Hospital from October 2019 to September 2021 were randomly divided into observation group and control group(50 cases in each group).The observation group was treated with warm acupuncture and moxibustion combined with Bushen Huatan recipe and Metformin tablets,and the control group was only treated with Bushen Huatan recipe and metformin tablets orally.Compared two groups of patients before and after treatment of traditional Chinese medicine symptom integral,body mass index,waist hip ratio,sex hormone levels,sugar metabolism and lipid metabolism,serum uric acid level indicators and comprehensive curative effect after treatment,Three consecutive menstrual cycles were recorded after treatment,and the average value of menstrual cycles was compared,and the data collected in this study were statistically analyzed.Results:1.Comprehensive efficacy analysis:after treatment,the cure rate,significant efficiency and effective rate of the observation group were 19.15%,31.91%and 42.55%respectively,and the cure rate,significant efficiency and effective rate in the control group were 4.26%,19.15%and 48.94%respectively.After this treatment,the total effective rate of the observation group was higher than that of the control group(P<0.05).2.TCM syndrome integral analysis:TCM syndrome integral of both groups decreased after treatment(P<0.05),and the effect of observation group was better than control group(P<0.05).3.Analysis of BMI and WHR:after treatment,BMI and WHR decreased in both groups(P<0.05);The decrease of BMI in the observation group was greater than that in the control group(P<0.05),while there was no significant difference in WHR value(P>0.05).4.LH/FSH,T,and SHBG analysis showed that sex hormone levels in both groups were improved after treatment compared with before treatment(P<0.05),and the improvement degree of sex hormone levels in observation group was greater than that in control group(P<0.05).5.Analysis of glucose metabolism indexes(FINS,HOMA-IR)showed that the indexes of FINS and HOMA-IR in 2 groups were decreased after treatment(P<0.05),and the improvement degree of glucose metabolism indexes in observation group was better than that in control group after treatment(P<0.05).6.The analysis of serum TG,TC,HDL-C,LDL-C and UA showed that the above metabolic indexes were improved in both groups after treatment(P<0.05),and the improvement of serum TC,HDL-C,LDL-C and UA in the observation group was better than that in the control group(P<0.05),but the effect of reducing TG level was similar in the two groups(P>0.05).7.The results of menstrual cycle follow-up showed that during the follow-up period,the number of people with normal menstrual cycle in the observation group was more than that in the control group(RR=1.5>1,P<0.05).Conclusion:1.Warming acupuncture and moxibustion combined with Bushen Huatan recipe and metformin are better than Bushen Huatan recipe and metformin alone in improving sex hormone disorder in patients with polycystic ovary syndrome with kidney deficiency and phlegm dampness syndrome;2.Warming acupuncture combined with Bushen Huatan recipe and metformin can more effectively reduce the level of insulin resistance in patients with polycystic ovary syndrome than Bushen Huatan recipe and metformin alone;3.Combination of acupuncture and medicine in the treatment of kidney deficiency phlegmdampness syndrome of PCOS lasting effect,small side effects. |
PDF Full Text Request