A Randomized Controlled Study on the Success Rate of Warm Acupuncture on Tube Baby in Elderly Patients with Kidney-Yang Deficiency and its Effect on Menstruation and Endometrial Level
To investigate the effects of warm acupuncture on the success rate of tube baby,menstruation and endometrial level in elderly patients with kidney-yang deficiency.Methods:A total of 68 cases of elderly infertility patients in Sanya Municipal People's Hospital from Jan.2015 to Dec.2016 were selected and randomly divided into an observation group and a control group,with 34 cases in each group.The control group was treated with Gn-RH-/PSH-r/HMG/HCG superovulation program for in vitro fertilization and embryo transfer(IVF-ET); and the observation group combined with warm acupuncture for treatment on the basis of the control group,and continuously treated for 3 months.The 2 groups were performed embryo transfer after the level of endometrium was stabilized.The scores of kidney-yang deficiency syndrome and the change of menstrual status before and after treatment were compared between the 2 groups.The endometrium improvement and sex hormone levels were detected and compared between the 2 groups before and after treatment.The clinical efficacy and outcome of pregnancy of the 2 groups were observed after the treatment.Results:After treatment,the total effective rate of the observation group and the control group were 90.32%,50.00% respectively,and the total efficiency of the observation group was significantly higher than that of the control group(P<0.01).After treatment,the scores of kidney-yang deficiency syndrome and menstruation in the 2 groups were obviously decreased than before treatment,and the observation group was lower than those of the control group(P<0.01).Compared with before treatment,the endometrial thickness,the proportion of endometrial type A and serum E2 and P levels increased significantly in the observation group,and which were higher than those in the control group(P<0.01).After treatment,the clinical pregnancy rate in the observation group was significantly higher than that in the control group(P<0.05),and there was no significant difference between the 2 groups in biochemical pregnancy rate and early pregnancy miscarriage rate(P>0.05).Conclusion:Warm acupuncture can improve the success rate of clinical pregnancy in elderly patients with kidney-yang deficiency.It may be related to the improvement of the symptoms of kidney-yang deficiency,the regulation of menstruation and the endometrial level.