针灸治疗肥胖型多囊卵巢综合征的临床疗效观察

目的：观察针灸治疗肥胖型多囊卵巢综合征的临床疗效。方法：将40例符合肥胖型多囊卵巢综合征患者根据中医辨证为脾肾阳虚、痰湿阻滞型,采用针刺加隔药灸治疗,观察其体重（BW）、体重指数（BMI）、腰臀比值（WHR）、空腹血糖（FPG）、空腹胰岛素（FINS）、胰岛素敏感指数（ISI）和相关性激素睾酮（testosterone,T）、雌二醇（estradiol, E）及黄体生成素（luteotropic hormone, LH）/卵泡刺激素（follicle stimulating hormone, FSH）比值的变化。结果：临床总有效率为82.5%,BW、BMI、WHR、T及LH/FSH值均有显著降低（P〈0.01）,E有显著升高（P〈0.01）,FINS也有一定程度降低,ISI则有所升高（P〈0.05）。结论：针灸治疗肥胖型多囊卵巢综合征具有较好的疗效。

Clinical study on Acupuncture and Moxibustion Therapy for Polycystic Ovary Syndrome of Obesity Type

Objective： To observe the effect of PCOS in obesity type by acupuncture and moxibustion therapy. Methods： 40 cases of obese PCOS of kidney and spleen yang deficiency resulting in stagnation of phlegm-damp type were treated with acupuncture and herb-partition moxibustion. The therapeutic effect and levels of body weight（BW）, body mass index（BMI）, waist-to-hipratio（WHR）, fasting plasma glucose（FPG）, fasting insulin（FINS）, insulin sensitivity index （ISI）, testosterone （T）, estradiol （E）, luteotropic hormone（LH）/ follicle stimulating hormone （FSH） were observed respectively. Results： The total effective rate was 82.5%.There weresignificant difference in the change of related index BW, BMI, WHR, T, E, LH/FSH （P〈0.01） and FINS, ISI （P〈0.05） after acupuncture and moxibustion therapy to PCOS in obesity type. Conclusion： Acupuncture and moxibustion therapy effect is good for PCOS in obesity type.