摘要
目的观察温针灸子宫和关元穴联合隔药灸脐治疗子宫腺肌病的临床疗效。方法将60例子宫腺肌病患者随机分为观察组和对照组,每组30例。对照组采用温针灸子宫和关元穴治疗;观察组在对照组基础上联合隔药灸脐治疗。比较两组治疗前后痛经疼痛强度视觉模拟量表(VAS)评分和月经失血量(PBAC)积分的变化,并比较两组临床疗效。结果两组治疗后痛经VAS评分和月经失血量积分均较同组治疗前下降,差异具有统计学意义(P<0.05);且观察组治疗后优于对照组(P<0.05)。观察组总有效率为96.7%,对照组总有效率为90.0%,组间比较差异无统计学意义(P>0.05);观察组显效率为80.0%,明显高于对照组的6.7%(P<0.05)。结论温针灸联合隔药灸脐可有效缓解子宫腺肌病患者的痛经,减少月经出血量,疗效优于单纯温针灸。
Objective To investigate the clinical efficacy of warm needling at points Zigong(EX-CA1)and Guanyuan(CV4)plus herbal-partitioned moxibustion on the navel for adenomyosis.Method Sixty adenomyosis patients were randomized to an observation group and control group,with 30 cases in each group.The control group received warm needling at points Zigong and Guanyuan and the observation group,herbal-partitioned moxibustion on the navel in addition.The visual analog scale(VAS)scores for dysmenorrhea pain severity and the pictorial blood loss assessment chart(PBAC)scores were compared between the two groups before and after treatment.The clinical therapeutic effects were also compared between the two groups.Result After treatment,the dysmenorrhea VAS score and the pictorial blood loss assessment chart score were lower in the two groups than before with statistically significant differences(P<0.05);menstrual bleeding amount decreased in the two groups compared with before(P<0.05)and was smaller in the observation group than in the control group(P<0.05).The total efficacy rate was 96.7%in the observation group and 90.0%in the control group with a statistically significant difference(P<0.05).The marked efficacy rate was 80%in the observation group,which was significantly higher than 6.7%in the control group(P<0.05).Conclusion Warm needling moxibustion plus herbal-partitioned moxibustion on the navel can effectively relieve dysmenorrhea and reduce menstrual bleeding amount in adenomyosis patients and is more effective than warm needling moxibustion alone.
作者
张开心
邓婷婷
董志斌
马玉侠
ZHANG Kaixin;DENG Tingting;DONG Zhibin;MA Yuxia(Shandong University of Traditional Chinese Medicine,Jinan 250014,China)
出处
《上海针灸杂志》
2022年第6期585-588,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
山东省中医药高层次人员培训项目[鲁卫中医药科教字(2021)6号]
齐鲁卫生与健康领军人才培育工程专项[鲁卫人才字(2020)3号]。
关键词
灸法
温针疗法
隔药灸
穴
子宫
穴
关元
子宫腺肌病
痛经
月经出血量
Moxibustion
Warm needling therapy
Herbal-partitioned moxibustion
Point,Zigong(EX-CA1)
Point,Guanyuan(CV4)
Adenomyosis
Dysmenorrhea
Menstrual bleeding amount
作者简介
张开心(1996-),女,硕士生,Email:1974880061@qq.com;通信作者:马玉侠(1976-),女,教授,E-mail:myxia1976@163.com。
