观察通元针法联合补肾活血方治疗肥胖型多囊卵巢综合征的临床疗效。【方法】 将68例肥胖型多囊卵巢综合征 患者随机分为观察组和对照组，每组各34例。对照组给予常规西药治疗，观察组在对照组治疗的基础上，给予通元针法联 合补肾活血方治疗，共治疗6个月经周期。治疗6个月后，评价2组临床疗效，观察2组患者治疗后的月经量与月经来潮次 数，比较2组患者治疗前后中医证候积分的变化情况，以及血清促黄体生成素（LH）、睾酮（T）、雌二醇（E2）、泌乳素（PRL） 水平的变化情况。【结果】（1）观察组总有效率为97.06%（33/34），对照组为82.35%（28/34）。观察组疗效优于对照组，差异有 统计学意义（P＜0.05）。（2）治疗后，观察组的月经量明显大于对照组，差异有统计学意义（P＜0.05）。观察组的月经来潮次数 与对照组比较，差异无统计学意义（P＞0.05）。（3）治疗后，2组患者的中医证候积分明显改善（P＜0.05），且观察组在改善中 医证候积分方面明显优于对照组，差异有统计学意义（P＜0.05）。（4）治疗后，2 组患者的 LH、T、E2、PRL 水平明显改善 （P＜0.05），且观察组在改善LH、T、E2、PRL水平方面明显优于对照组，差异有统计学意义（P＜0.05）。【结论】 通元针法联 合补肾活血方治疗肥胖型多囊卵巢综合征，能明显改善患者的临床症状，可有效调节患者的性激素水平，疗效显著。

To observe the clinical efficacy of Tongyuan acupuncture combined with Bushen Huoxue Prescription in the treatment of obese polycystic ovary syndrome （PCOS）. Methods Sixty-eight patients with obese PCOS were randomly divided into the observation group and the control group，with 34 patients in each group. The control group was given conventional western medicine treatment，and the observation group was given Tongyuan acupuncture combined with Bushen Huoxue Prescription on the basis of the treatment of the control group for a total of 6 menstrual cycles. After 6 months of treatment，the clinical efficacy of the two groups was evaluated，and the menstrual flow and the number of menstrual cycles of the two groups were observed， and the changes in the traditional Chinese medicine （TCM） syndromes，as well as the changes in the serum levels of luteinising hormone （LH），testosterone （T），oestradiol （E2），and prolactin （PRL） were compared between the two groups before and after the treatment. Results （1） The total effective rate of the observation group was 97.06% （33/34），and that of the control group was 82.35% （28/34）. The efficacy of the observation group was superior to that of the control group，and the difference was statistically significant （P＜0.05）.（2） After treatment，the menstrual flow of the observation group was significantly greater than that of the control group， and the difference was statistically significant （P＜0.05）. The number of menstrual periods in the observation group was not statistically significant compared with the control group （P＞0.05）.（3） After treatment，the TCM syndrome scores of patients in the two groups were significantly improved（P＜0.05），and the observation group was significantly superior to the control group in improving TCM syndrome scores，with statistically significant differences（P＜0.05）.（4）After treatment， the LH，T，E2 and PRL levels of patients in the two groups were significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving LH，T，E2 and PRL levels，and the difference was statistically significant（P＜0.05）. Conclusion Tongyuan acupuncture combined with Bushen Huoxue Prescription for the treatment of obese PCOS can significantly improve the clinical symptoms of the patients， can effectively regulate the level of sex hormones of the patients，and the therapeutic efficacy is remarkable.

R246.9

高修安广东省名中医传承工作室资助项目（粤中医办函[2020]1号）