世界中医药
文章摘要
引用本文:夏贞茹1,2,王杨1,佟喆1,2,刘志顺1.针灸治疗卵巢储备功能下降诊疗特点分析[J].世界中医药,2015,10(09):.  
针灸治疗卵巢储备功能下降诊疗特点分析
Analysis of Diagnosis and Treatment of Acupuncture and Moxibustion for Diminished Ovarian Reverse
投稿时间:2014-12-18  
DOI:10.3969/j.issn.1673-7202.2015.09.027
中文关键词:  针灸  卵巢储备功能下降  文献回顾
English Keywords:Acupuncture and moxibustion  Diminished ovarian reverse  Literature review
基金项目:中央级公益性科研院所基本科研业务费专项资金资助项目(编号:ZZ0708081)
作者单位
夏贞茹1,2,王杨1,佟喆1,2,刘志顺1 1 中国中医科学院广安门医院针灸科北京100053 2 北京中医药大学北京100029 
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中文摘要:
      中医治疗卵巢储备功能下降(Diminished Ovarian Reverse,DOR)以针灸结合药物为主,本文仅分析总结针灸的诊疗特点。针灸治疗DOR主要以辨证选穴为主,肾虚是主要证型。体穴常用任脉关元、足太阴脾经三阴交、足太阳膀胱经肾俞,耳穴以内分泌、卵巢、子宫多见。治疗频次、疗程随干预方式的不同而有所差异。针药结合治疗期间可改善月经经期、经量及伴随症状,降低血清卵泡促激素(Follicle-Stimulating Hormone,FSH)、促黄体生成素(Luteinizing Hormone,LH)水平,提高血清雌二醇(E2)水平,增加窦状卵泡数量,提高妊娠率,改善卵巢储备功能,未见严重不良反应。
English Summary:
      Diminished ovarian reverse (DOR) is usually treated by the method of acupuncture and moxibustion combined with medicine in Chinese medicine. This paper only aims to analyze the diagnosis and treatment of acupuncture and moxibustion. DOR is mainly treated by acupuncture based on syndrome differentiation. Kidney deficiency is the major syndrome. RN 4(guanyuan) on conception vessel, SP 6(sanyinjiao) on spleen channel of foot taiyin and BL 23(shenshu) on urinary bladder channel of foot taiyang in body as well as endocrine region, ovarian region and uterus region in ears are mainly chosen to treat DOR. The frequencies of the therapy and treatment course vary from different interventions. During the treatment course by acupuncture and moxibustion combined with medicine, the menstrual period and the menstrual volume and some associated symptoms are improved, FSH and LH level reduced, E2 level improved, antral follicles increased, pregnancy rate improved, the ovarian reserve function improved. No severe adverse effects are seen in the treatment of DOR.
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