针灸治疗排卵障碍性不孕症临床观察

目的：研究探讨针灸治疗排卵障碍性不孕症的临床疗效及作用机制。方法：按患者就诊顺序随机分为针灸组和药物组各60例。针灸组：针刺中极、关元、子宫、足三里、三阴交；艾条悬灸神阙、三阴交。药物组：口服克罗米芬50mg。治疗3个月经周期后进行受孕率、基础体温、B超检查及排卵等评定。结果：针灸和口服克罗米芬都有较高的排卵效果，两者之间差异无显著性意义（P〉0．05）；针灸促排卵的受孕率高于口服克罗米芬促排卵的受孕率，差异有显著性意义（P〈0．05），且针灸法流产率低，两者之间差异有显著性意义（P〈0。05）。结论：针灸和口服克罗米芬排卵，可达相同的排卵效果，但针灸治疗受孕率优于口服药物者，流产率低于口服药物者。

Clinical observation on acupuncture for treatment of infertility of ovulatory disturbance

OBJECTIVE: To probe into clinical therapeutic effect of acupuncture on infertility of ovulatory disturbance and the mechanism. METHODS: The patients were randomly divided into an acup-moxibustion group and a medication group in the order of visiting, 60 cases in each group. The acup-moxibustion group were treated with acupuncture at Zhongji (CV 3), Guanyuan (CV 4), Zigong (EX-CA 1), Zusanli (ST 36), Sanyinjiao (SP 6) and suspended moxibustion over Shenque (CV 8), Sanyinjiao (SP 6), and the medication group with oral administration of 50 mg Clomiphene. After treatment for 3 menstrual cycles, pregnancy rate, basal body temperature, B-ultrasonic examination and ovulation were assessed. RESULTS: Acup-moxibustion and oral administration of Clomiphene had higher ovulating effect, with no significant difference between them (P > 0.05); the pregnancy rate in the acup-moxibustion group was significantly higher than that in the medication group (P < 0.05). CONCLUSION: Acup-moxibustion and Clomiphene have a same ovulating effect, and the pregnancy rate is higher and the abortion rate is lower for the patient of acup-moxibustion treatment than that for oral administration of Clomiphene.