Observation Of Acupuncture Treatment Of Tongyuan Polycystic Ovary Syndrome With Infertility

ObjectivesObservation of Tong Yuan acupuncture treatment of polycystic ovary syndrome with infertility clinical curative effect, evaluation the clinical effectiveness of Tongyuan acupuncture, and preliminarily explore the mechanism, to prove the advantage of Tongyuan acupuncture and further multi center, large sample clinical studies provide reference and clinical reference.MethodsUsing randomized controlled method, will meet the inclusion criteria of 60 patients were randomly divided into two groups, acupuncture group, western medicine group, each group of 30 cases, respectively, in the menstrual cycle fifth days to the following treatment:1. acupuncture groupAbdominal group main acupoints:Guanyuan, Qihai, double Tianshu, double GuilaiMatch points:hand three needle, foot three needleThe back group main point:Baihui, double XinYu, Shenshu, Geshu, Pangguang shuMatch points:Weizhong,Taixi, YongquanThe first needle abdominal group, then the needle back group, each position for 20 minutes, once every other day. Since the 5th day of menstruation (natural cycle or oral progesterone capsules 100mg bid 5 days withdrawal bleeding) treatment, until the next menstrual cramps stop.2. western medicine groupMenstrual cycle (natural cycle or oral progesterone capsules 100mg bid 5 days withdrawal bleeding) 5 days started taking clomiphene citrate 50mg/D x 5 days, detection of follicles from day tenth, when maximum follicle diameter is more than or equal to 18 mm and diameter is equal to or more than 14mm follicle number is less than or equal to 1 ~5, intramuscular injection of human chorionic gonadotropin (hCG) 10000 IU daily, and guide her, B ultrasonic check after 48h. If there is no ovulation, in the next menstrual cycle will J Romy Finn Fagafaga amount to 100mg/d.Two groups of the treatment of three menstrual cycle and treatment during pregnancy stop treatment. Before and after treatment record age, course of disease, BMI, menstrual symptom score, TCM symptom scores, number of follicles, after treatment by ovulation, menstruation integral and syndromes of traditional Chinese medicine evaluation Tongyuan acupuncture clinical curative effect.Results1. general situation comparison before treatmentBefore treatment, the two groups of TCM dialectical type, age, course of disease compared to P values were greater than 0.05, the difference was not statistically significant, it showed that the baseline level of the two groups were comparable.2. Comparison of BMI before and after treatment in 2 groupsBefore treatment, the two groups of BMI compared to P>0.05, the difference was not statistically significant, compared with P<0.05 after treatment, the difference was statistically significant. The acupuncture group was better than western medicine group in improving BMI.3. Comparison of the number of folliclesIn terms of the number of follicles before and after the treatment of two groups compared to P>0.05, the difference was not statistically significant between the two compared to P<0.05 the difference was statistically significant.4. Comparison of the integral of menstruation symptoms and clinical symptoms of Chinese MedicineBefore treatment, two groups of menstrual symptoms integral compared to P> 0.05, the difference was not statistically significant, after treatment in the two groups compared to P< 0.05, the difference is statistically significant, the acupuncture group in improving the menstrual symptom score is superior to western medicine group.Before treatment, two groups of TCM clinical syndrome integral compared to P> 0.05, the difference was not statistically significant, after treatment compared P< 0.05, and the difference is statistically significant, the acupuncture group in traditional Chinese medicine clinical symptoms improved better than western medicine group.5. The comparison of the two groups of ovulation, pregnancy rateTwo groups of treatment after the treatment of ovulation, pregnancy rates were not statistically significant difference (P>0.05), the two groups in promoting ovulation, improve pregnancy outcome in terms of efficacy after treatmentConclusionsTong Yuan acupuncture can improve the BMI of patients with PCOS, menstruation and TCM symptoms, reduce the number of follicles in, reduce weight, improve menstrual and TCM symptoms, promote ovulation thanwestern medicine has advantage. Tongyuan acupuncture is a safe and effective method for treatment of PCOS.