摘要
目的探讨子午流注开穴法治疗子宫内膜异位症痛经的临床疗效和安全性。方法选取2016年1月-2017年10月于广州中医药大学第二附属医院妇科门诊就诊的60例子宫内膜异位症痛经患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各30例,两组均采用子午流注低频治疗仪取该仪器内软件提供的处方痛经方(次髎、中极、足三里、三阴交、地机)进行治疗。观察组在痛经方基础上加用子午流注开穴法因时开穴作为主穴,对照组在痛经方基础上加用假穴。月经前一周每3天治疗1次,经期每天治疗1次,1个月经周期为1个疗程,共治疗3个月经周期,治疗结束次月月经干净第1天随访。比较两组临床疗效、视觉模拟量表(VAS)评分、简明健康状况调查量表(SF-36)评分、子宫内膜异位症专用生存质量评价量表(EHP-5)评分和安全性。结果观察组临床治疗有效率(86.67%)优于对照组(60.00%)(P=0.020);两组治疗后VAS评分较治疗前明显降低,且观察组降低幅度大于对照组(P<0.05);两组治疗后SF-36评分较治疗前明显升高,且观察组升高幅度大于对照组(P<0.05);两组治疗后EHP-5评分较治疗前明显降低,且观察组降低幅度优于对照组(P<0.05);两组血常规、尿常规、肝肾功能检查均未见明显异常。结论子午流注开穴法治疗子宫内膜异位症痛经患者的临床疗效更为显著,有效改善患者的痛经症状,提高患者的生存质量,且安全性高。
Objective To explore the clinical efficacy and safety of midnight - noon ebb - flow acupuncture in treatment of endometriosis-induced dysmenorrhea.Methods Sixty patients with endometriosis-induced dysmenorrhea treated in Outpatient of Gynecology in the Second Affiliated Hospital of Guangzhou University of Chinese Medicine from January 2016 to October 2017 were selected and divided into observation group and control group according to random number table,30 patients in each group.The patients in the two groups were treated by dysmenorrhea prescription provided by the software of low-frequency midnight-noon ebb-flow therapeutic apparatus.The patients in observation group were given midnight-midday ebb flow acupuncture based on dysmenorrhea prescription,and the patients in control group were given false point based on dysmenorrhea prescription.Within one week before menstruation,the patients were treated once every 3 days;during menstrual period,the patients were treated one times per day,one course of treatment included one menstrual cycle,all the patients were treated for three menstrual cycles.After treatment,follow-up was performed on the first day after end of menstruation.The clinical effects,VAS scores,SF-36 scores,EHP-5 scores,and safeties in the two groups were compared.Results The effective rate of clinical treatment in observation group was 86.67%,which was statistically significantly higher than that in control group ( 60.00%) ( P = 0.020) .After treatment,VAS scores in the two groups were statistically significantly lower than those before treatment,VAS score after treatment in observation group was statistically significantly lower than that in control group ( P<0.05) .After treatment,SF-36 scores in the two groups were statistically significantly higher than those before treatment,SF-36 score after treatment in observation group was statistically significantly higher than that in control group ( P<0.05) .After treatment,EHP-5 scores in the two groups were statistically significantly lower than those b
作者
陈秋霞
骆赟韵
郑嘉尧
CHEN Qiu-Xia;LUO Yun-Yun;ZHENG Jia-Yao(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangdong 510120,China)
出处
《中国妇幼保健》
CAS
2018年第23期5339-5342,共4页
Maternal and Child Health Care of China
基金
2016年广东省中医药局项目(20161086)
关键词
子宫内膜异位症
痛经
子午流注开穴法
临床疗效
安全性
Endometriosis
Dysmenorrhea
Midnight-noon ebb-flow acupuncture
Clinical efficacy
Safety
