针刺与中药结合对多囊卵巢综合征脂代谢水平、高雄血征发生情况及临床治疗效果分析

摘 要： 目的：探讨针刺联合中药对多囊卵巢综合征患者脂代谢,高雄血症发生率的影响及其治疗效果。方法：回顾性分析2015年3月-2016年8月在我院接受治疗的85例多囊卵巢综合征患者的临床资料，根据其治疗方式分为中药治疗组和针刺联合中药治疗组。观察两组患者治疗前后血脂水平,激素水平,高雄血症发生率和临床症状积分的差别。结果：针刺联合中药组患者高雄血症发生率为2.22%，明显低于中药组（Χ2值=7.070，P=0.008）；两组患者治疗前血脂水平无差别，治疗后，针刺联合中药治疗组TC,LDL-C和TG水平明显低于中药组，而HDL-C水平高于中药组（t=1.817,-3.627,2.554,2.226，P<0.05）；两组患者治疗前激素水平无差别，治疗后，针刺联合中药组明显低于中药组；治疗前，两组患者中医症状积分无差别，治疗后，针刺联合中药组症状积分明显低于中药组。结论：针刺联合中药对多囊卵巢综合征有较好的治疗效果，可明显改善患者的血脂水平，降低高雄血症发生率，具有良好的临床应用价值。

Effect of Acupuncture Combined with Traditional Chinese Medicine on Lipid Metabolism And Hyperandrogenism in Patients with Polycystic Ovary Syndrome

Abstract: This study was aimed to investigate the effect of acupuncture combined with traditional Chinese medicine (TCM) on the incidence of lipid metabolism and the incidence of hyperandrogenism in patients with polycystic ovary syndrome (PCOS). The clinical data of 85 PCOS cases in our hospital from March 2015 to August 2016 were retrospectively analyzed. There were TCM treatment group and acupuncture combined with TCM group according to the treatment method. The difference of blood lipid level, hormone level, incidence rate of hyperandrogenism and clinical symptom score before and after treatment in both groups were observed. The results showed that the incidence rate of hyperandrogenism was 2.22% in the acupuncture combined with TCM group, which was significantly lower than TCM group (x2 = 7.070, P = 0.008). There was no difference on blood lipid level before treatment in both groups. After treatment, levels of TC, LDL-C and TG of the acupuncture combined with TCM group were significantly lower than those of the TCM group; however, level of HDL-C was higher than that of the TCM group (t = 1.817, -3.627, 2.554, 2.226, P < 0.05). There was no difference on hormone levels before treatment. After treatment, hormone levels of the acupuncture combined with TCM group were significantly lower than the TCM group. Before treatment, there was no difference on TCM symptom score between both groups. After treatment, the TCM symptom score of the acupuncture combined with TCM group was significantly lower than that of the TCM group. It was concluded that acupuncture combined with TCM had a better therapeutic effect on PCOS. It can improve the blood lipid level of patients and reduce the incidence of hyperandrogenism. It had good clinical value.