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| Effect of the acupuncture combined with kidney tonifying and spleen strengthening method for treating patients with polycystic ovarian syndrome |
| Dazhou Central Hospital, Dazhou, Sichuan Province, 635000 |
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Abstract To exploring the effects of the acupuncture at abdominal acupoints combined with kidney tonifying and spleen strengthening (KTSS) method for treating patients with polycystic ovarian syndrome (PCOS) on their menstrual cycle, serum Iridin level and ovarian function. Methods: 90 patients with PCOS who were admitted to the hospital were selected and were randomly divided into three groups (30 cases in each group) from March 2020 to April 2022. The patients in group A were given the treatment of ethinylestradiol cycloproterone tablets, the patients in group B were given the treatment of KTSS method, and the patients in group C were given the treatment of KTSS method combined with the acupuncture at abdominal acupoints. The menstrual cycle situation, the serum Iridin level and the ovarian function of the patients after treatment were compared among the three groups. Results: The total effective rate (96.7%) of the patients in group C was significantly higher than that (73.3%) of the patients in group A, or that (76.7%) of the patients in group B (P<0.05). The levels of luteinizing hormone (LH) and testosterone (T) of the patients in the three groups after treatment had decreased significantly, and the menstrual cycle of the patients in the three groups after treatment had shortened significantly, and which of the patients in group C were significantly lower than those of the patients in group A and in group B (P<0.05). The levels of follicle stimulating hormone (FSH) and estradiol (E2) of the patients in the three groups after treatment had increased significantly, and which of the patients in group C were significantly higher than those of the patients in group A and in group B (P<0.05). The serum irisin level of the patients in the three groups after treatment had decreased significantly, and which of the patients in group C was significantly lower than that of the patients in group A and in group B (P<0.05). The ovarian volume and the number of follicles of the patients in the three groups after treatment had decreased significantly, and which of the patients in group C were significantly lower than those of the patients in group A and in group B (P<0.05). The endometrial thickness and the pulsatility index (PI) value of the uterine artery of the patients in the three groups after treatment had increased significantly, and which of the patients in group C were significantly higher than those of the patients in group A and in group B (P<0.05). The resistance index (RI) value of the uterine artery of the patients in the three groups after treatment had decreased significantly, and which of the patients in group C was significantly lower than that of the patients in group A and in group B (P<0.05). After treatment, the patients in the three groups were followed up for 6 months, the rates of normal menstruation and pregnancy of the patients in group C were significantly higher than those of the patients in group A and in group B (P<0.05). Conclusion: The acupuncture at abdominal acupoints combined with KTSS method for treating patients with PCOS can effectively regulate their sex hormones levels, promote their menstrual cycle recovery, follicular maturation, normal ovulation and pregnancy, improve their endometrial receptivity and reduce their serum irisin level, and with remarkable effectiveness.
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