The Clinical Research Of Acupuncture Combined With Shenque Moxibustion In The Treatment Of PCOS

Objective:To evaluate the clinical efficiency of treating polycystic pvarian syndrome with kidney deficiency and blood stasis.Methods:This research topic in strict accordance with the diagnostic criteria and inclusion criteria to choose patients who chose acupuncture clinic orgyna ecology of the first hospital affiliated to guangzhou university of Chinese medicine,between January 2017 and February 2018,the number is a total of 66cases.Using a random number table method,the method of patients will be included in the standard according to the no.1~66 ordinal number,66 random Numbers generated by the random number table method,according to the proportion of 1:1,all patients were randomly assigned to treatment group(including western medicine+acupuncture+moxibustion)and control group(western medicine and traditional Chinese medicine),the sample size for the33 cases in each group,and clinical observation of therapeutic effect.All patients according to the rules of solution treatment,the control group of a traditional line stimulate ovulation drugs gram club drug to stimulate ovulation,5 days to start taking in her menstrual cycle,50 mg qd,Po for5 days for a cycle,at the same time taking give priority to with soup of kidney and promoting blood circulation to remove blood stasis medicinal broth of traditional Chinese medicines,a dose of boiling water to 200 ml,warm clothing after the meal in the morning and evening,until the menstrual period,this is a course;Treatment group for taking g'stimulate ovulation,menstrual cycle to start taking 5 days,50 mg qd,Po for 5 days for a cycle,on the basis of acupuncture and moxibustion,once two days,until the menstrual period,for a period of treatment;Two groups were a total of three courses of treatment.Observing two groups of patients before and after treatment of TCM symptoms,BMI,the basal body temperature(BBT)and the department of gynaecology ovarian oviposit under ultrasound.At the end of the treatment,according to the indicators and clinical curative effect of treatment compared with score before treatment,after final quantitative score,using SPSS 23.0 statistical analysis.Results:This topic research,according to research by the inclusion criteria to select 66 patients in the process of study,the treatment group appear fall off sample in 2 cases(1 case because of other interfering drugs during treatment and withdrew from the study on its own,1 case of poor treatment adherence for patients with acupuncture treatment interruption),the control fall off in 2 cases(2 cases are taking other drugs during treatment interference results interrupted treatment),so the actual cases of the patients were observed 62 patients,two groups of 31 cases.1.All before the start of treatment,the two groups of patient's age,sex,assessments,course,BMI,sex hormones such as baseline data,after statistics analysis,there were no statistical differences(P>0.05),the treatment group and control group in the baseline level no difference,two groups of comparable.2.After completing 3 courses of treatment,the analysis of each observation test index was conducted.(1)traditional Chinese medicine symptom integral,the treatment group total period(87.10%),by the paired samples T test compared group(P=0.000<0.05),the control group total period(61.29%),by the paired samples T test compared group(P=0.000<0.05),two groups of TCM symptoms were improved;The comparison between the two groups before and after the treatment of the difference between the two groups was conducted by independent sample T test,T=-3.387,P=0.001<0.05,which was statistically significant,and the treatment group was superior to the control group.Improve TCM symptoms effectively,treatment group cure 14 cases,8 cases were markedly effective,effective in 5 cases,4 cases were invalid,the total effective rate 87.10%,control group cure in 5 cases,6 cases had marked effect,8 cases,12 cases ineffective,the total effective rate 61.29%,by the rank and inspection,Z=-3.009,P=0.003<0.01,compared with statistical significance.(2)after treatment,BMI(24.98+2.68)was compared in the group before and after treatment,and the paired sample T test showed that P=0.000<0.05,and the BMI was significantly improved,with statistical significance.In the control group,BMI(26.76 plus or minus 3.25)was treated with the paired sample T test,and P=0.415>0.05,with no significant difference in BMI value.The comparison of BMI difference between the two groups before and after treatment was performed by independent sample T test,T=-3.996,P=0.000<0.01,and the treatment group was superior to the control group.(3)two groups of treatment are 90 menstrual cycles,BBT double at for the treatment group(63.33%),the control group(43.33%),by the chi-square test,x~2=7.232,P=0.011<0.05,statistically significant,the treatment group is better than that of control group in terms of improving cycle BBT double at.(4)3 courses of treatment,the last one menstrual cycle the BBT of comparison,the treatment group BBT double at(80.65%)than the control group(51.61%),by the chi-square test,x~2=5.833,P=0.031<0.05,with statistical significance.(5)in 90 menstrual cycles,the development and ovulation rate,treatment group:48.89%,control group:32.22%,by chi-square test,x~2=5.185,P=0.033<0.05,with statistical significance;In terms of non-development,treatment group:18.89%,control group:36.67%,chi-square test,x~2=7.089,P=0.012<0.05,with statistical difference.The treatment group was superior to the control group in improving egg development and ovulation.(6)after three courses of treatment,the pregnancy rate was compared,the treatment group(22.58%),the control group(12.90%),and the chi-square test,x~2=0.995,P=0.508>0.05,no statistical difference;After treatment,the treatment group(7.78%)and the control group(4.44%)were compared with the control group(4.44%).The chi-square test,x~2=0.871,P=0.536>0.05,no statistical difference.(7)the treatment group,10 cases were cured,11 cases were markedly effective,effective in 5 cases,5 cases failed,the total effective rate83.87%,control group cure 8 cases,4 cases were markedly effective,effective in 5 cases,14 cases ineffective,the total effective rate was 54.84%,the rank and inspection Z=-2.016,P=0.044<0.05,comparing the two groups was statistically difference,the treatment group is better than the control group.Conclusion:1.Acupuncture is better than the traditional Chinese medicine group in improving comprehensive efficacy of patients with polycystic ovary syndrome.2.Acupuncture and moxibustion method in the reduction of BMI in patients with PCOS was superior to that of traditional Chinese medicine group.3.Acupuncture is better than traditional Chinese medicine group in improving the TCM symptoms of PCOS patients.4.Acupuncture and moxibustion in the treatment of PCOS were better than the traditional Chinese medicine group in improving the development rate and ovulation rate of PCOS patients.5.There was no significant difference between acupuncture combined with the shenque-acupoint salt moxibustion method in improving the pregnancy rate of PCOS patients.