肖晓玲 周玉琴 刘华平 钟素琴 雷琳君

*基金项目：江西省中医药科技计划项目（2023B0007）

【摘要】 目的：研究基于血流动力学参数探讨雷火灸联合针刺干预肥胖型多囊卵巢综合征的效果。方法：选取2021年8月—2023年8月赣州市妇幼保健院收治的肥胖型多囊卵巢综合征患者78例，按照随机数字表法将其分为对照组（n=39）和观察组（n=39）。对照组予以常规西药治疗，观察组采用雷火灸联合针刺干预。比较两组治疗前后体重指标[体重、体重指数（BMI）、腰臀比（WHR）]、卵巢形态学参数、血流动力学参数[收缩期峰值流速（PSV）、舒张末期血流速度（EDV）、阻力指数（RI）]。结果：较治疗前，两组治疗后体重、BMI及WHR均明显降低，且观察组均低于对照组，差异均有统计学意义（P<0.05）。较治疗前，治疗后两组卵巢体积明显减小、卵泡数明显减少、子宫内膜厚度明显增加，且观察组均优于对照组，差异均有统计学意义（P<0.05）。较治疗前，治疗后两组RI均明显降低，EDV、PSV均明显升高，且观察组均优于对照组，差异均有统计学意义（P<0.05）。结论：肥胖型多囊卵巢综合征采用雷火灸联合针刺干预可改善卵巢形态及血流动力学。

【关键词】 肥胖型多囊卵巢综合征 雷火灸 针刺干预 血流动力学

Exploring the Effect of Thunder Fire Moxibustion Combined with Acupuncture on Obese Polycystic Ovarian Syndrome Based on Hemodynamic Parameters/XIAO Xiaoling， ZHOU Yuqin， LIU Huaping， ZHONG Suqin， LEI Linjun. //Medical Innovation of China， 2024， 21（14）： 0-099

[Abstract] Objective： To investigate the effect of thunder fire moxibustion combined with acupuncture on obese polycystic ovary syndrome based on hemodynamic parameters. Method： A total of 78 patients with obese polycystic ovary syndrome admitted to Ganzhou Women and Children's Health Care Hospital from August 2021 to August 2023 were selected， divided into control group （n=39） and observation group （n=39） by random number table method. The control group was treated with conventional western medicine， while the observation group was treated with thunder fire moxibustion combined with acupuncture intervention. The body weight parameters [body weight， body mass index （BMI）， waist-to-hip ratio （WHR）]， ovarian morphological parameters and hemodynamic parameters [peak systolic flow velocity （PSV）， end-diastolic flow velocity （EDV）， resistance index （RI）] of the two groups were compared before and after treatment. Result： Compared with before treatment， the body weight， BMI and WHR of the two groups after treatment were significantly reduced， and those in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. Compared with before treatment， the ovarian volume of the two groups after treatment were smaller and follicle number were less， and the endometrial thickness were significantly increased， and those in the observation group were better than those in the control group， the differences were statistically significant （P<0.05）. Compared with before treatment， RI were significantly decreased， EDV and PSV were significantly increased in the two groups after treatment， and those in the observation group were better than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： The intervention of thunder fire moxibustion combined with acupuncture in obese polycystic ovary syndrome can improve the ovarian morphology and hemodynamic parameters of the ovary.

[Key words] Obese polycystic ovary syndrome Thunder fire moxibustion Acupuncture intervention Hemodynamics

First-author's address： Department of Ultrasound Medicine， Ganzhou Women and Children's Health Care Hospital， Ganzhou 341000， China

doi：10.3969/j.issn.1674-4985.2024.14.023

肥胖型多囊卵巢综合征患者常见月经异常、多毛、痤疮、不孕等临床症状，目前临床普遍认为肥胖型多囊卵巢综合征发病与体重增加、内分泌紊乱、代谢异常等有关，若无及时治疗，可导致患者不孕不育，严重影响患者生活质量[1-2]。中医理论学认为肥胖型多囊卵巢综合征属于“闭经”“不孕”等范畴，其中以痰湿型为常见证型，治疗也应以调节脏腑功能、祛湿化浊等为主[3-4]。针刺是中医常用的治疗技术，通过针刺患者穴位达到相应的治疗目的；雷火灸是艾灸的一种，具有祛湿化痰、健脾化湿等功效，与针刺相结合用于肥胖型多囊卵巢综合征患者治疗中，可标本兼治、攻补兼施[5-6]。为给临床治疗肥胖……