摘要
本文报道在电针促排印有效的基础上,对10例确诊为无排卵的患者进行电针治疗前后血 FSH、LH 水平变化的结果。其中,电针后排卵者5例(当月妊娠者3例),其血FSH、LH 值及 FSH 脉冲频率数在电针后均上升(3例显著上升);电针后 BBT 双相而无其他排卵证据者3例,电针后 FSH 值均上升,LH 值上升不著,FSH 脉冲频率电针前后均在正常范围;电针后无排卵者2例,其 FSH、LH 值均无明显变化。提示电针是通过中枢神经系统调节 FSH、LH 分泌起促排卵作用的。
Changes in serum FSH,LH and follicular sizes were observed in chronically anovulatory patients during electroacupuncture treatment(EAT)for induction of ovulation.7 cases were diagnosed as PCOD,3 as dysfunctional uterine bleeding,and 1 as hypogonadotropic amenorrhea. Among them 8 cases complained of infertility for 2.7 years on average.Ovulation was confirmed by pregnancy or the combination of biphasic BBT and ultrasonographic evidence.During one cycle with 3-day EAT on acupoints Ren 3,4,Extra 16 and Sp 6,ovulation resulted in 5 patients(ovulatory group) and among the 5 cases,3 of 4 infertile cases became pregnant.The other 5 cases remained in anovulation(anovulatory group);of them 3 cases got biphasic BBT,but no typical ovulatory signs were found on ultrasonography;2 cases remained in monophasic BBT.Serum FSH,LH values were elevated in ovulatory group,and FSH pulsatile frequency increased significantly during EAT(from 2.10±0.42/4h to 3.70±1.64/4h),but not in anovulatory group.No apparent changes were found in serum LH pulsatile frequency and pulsatile amplitudes of FSH and LH in this study.In ovulatory group diameters of ovarian follicles increased markedly,while diameters of anovulatory group stopped to grow at 14～16 mm.It is suggested that ovulation may be induced by EAT via a regulation on hypothalamic-pituitary function leading to normal secretion of FSH and LH.
出处
《中西医结合杂志》
CSCD
北大核心
1989年第4期199-202,195,共4页
