针刺治疗多囊卵巢综合征不孕症的研究进展
Research Progress on Acupuncture Treatment for Polycystic Ovary Syndrome Infertility
DOI: 10.12677/tcm.2026.151018, PDF,    科研立项经费支持
作者: 谢杰慧, 刘嘉佳, 苏 岚, 杨 洁*：成都中医药大学针灸推拿学院，四川 成都
关键词: 针刺；多囊卵巢综合征；不孕症；排卵障碍；研究进展；Acupuncture； Polycystic Ovary Syndrome； Infertility； Ovulation Disorders； Research Progress
摘要: 多囊卵巢综合征(PCOS)是育龄女性中常见的内分泌代谢疾病，也是导致不孕的重要因素之一。主要与卵子发育异常、排卵障碍和子宫内膜容受性降低等原因相关。西医治疗PCOS不孕症以改善激素紊乱和促排卵为主，但可能带来卵巢过度刺激综合征、抑制子宫内膜生长和多胎妊娠等副作用。研究显示针刺治疗可促进卵泡发育与排卵、调节激素水平、改善子宫内膜，可能与调节下丘脑–垂体–卵巢轴功能、降低卵巢颗粒细胞自噬、抑制炎症和氧化应激作用等机制相关。通过综合近5年针刺治疗PCOS不孕症的临床研究与起效机制进展，为针刺治疗PCOS不孕症的进一步研究和临床应用提供了参考。
Abstract: Polycystic ovary syndrome (PCOS) is a common endocrine and metabolic disease in women of childbearing age, and it is also one of the important factors leading to infertility. It is mainly related to abnormal egg development, ovulation disorders and reduced endometrial receptivity. Western medicine treatment of PCOS infertility is mainly to improve hormone disorders and ovulation induction, but it may bring side effects such as ovarian hyperstimulation syndrome, inhibition of endometrial growth and multiple pregnancy. Studies have shown that acupuncture treatment can promote follicular development and ovulation, regulate hormone levels, and improve endometrium, which may be related to the mechanisms of regulating hypothalamus pituitary ovarian axis function, reducing autophagy of ovarian granulosa cells, inhibiting inflammation and oxidative stress. By synthesizing the progress of clinical research and action mechanism of acupuncture in the treatment of PCOS infertility in recent five years, it provides a reference for further research and clinical application of acupuncture in the treatment of PCOS infertility.
文章引用：谢杰慧, 刘嘉佳, 苏岚, 杨洁. 针刺治疗多囊卵巢综合征不孕症的研究进展[J]. 中医学, 2026, 15(1): 123-129. https://doi.org/10.12677/tcm.2026.151018

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