“四穴八针”针刺法治疗子宫肌瘤的临床观察
|
摘要
目的观察"四穴八针"针刺法治疗子宫肌瘤的临床疗效。方法将98例子宫肌瘤患者分为治疗组(50例)和对照组(48例)。对照组仅临床观察、随访,治疗组予"四穴(足三里、阴陵泉、地机、三阴交)八针"针刺治疗。两组疗程均为3个月,观察临床疗效、主要症状体征积分及瘤体体积的变化情况。结果 (1)治疗组、对照组总有效率分别为76.00%和4.17%;组间临床疗效比较,差异有统计学意义(P<0.05)。(2)治疗前后组内比较,治疗组瘤体体积差异有统计学意义(P<0.05),对照组差异无统计学意义(P>0.05)。组间治疗前后瘤体体积差值比较,差异有统计学意义(P<0.05)。(3)治疗前后组内比较,治疗组症状体征总分及各分项评分差异有统计学意义(P<0.05),对照组症状体征总分及各分项评分差异无统计学意义(P>0.05)。组间治疗后比较,症状体征总分及各分项评分差异有统计学意义,治疗组明显低于对照组(P<0.05)。结论 "四穴八针"针刺法治疗子宫肌瘤的临床疗效满意,可显著改善患者临床症状体征,缩小瘤体。
Objective To observe the clinical effects of four acupoints with eight needles on treating hysteromyoma. Methods Among 98 patients with hysteromyoma,50 were divided into the treatment group and 48 were divide into the control group. Among the treatment group,the four acupoints,including Zusanli( ST 36),Yinlingquan( SP 9),Diji( SP 8) and Sanyinjiao( SP 6),with eight needles were used to treat the patients; among the control group,no acupoints and needles were used,just for comparison. After three months of treatment,measures were taken to observe clinical effects,symptom and sign scores as well as the tumor volume in the two groups. Results(1)The total effective rate of the treatment group was 76.00%,and the control group 4.17%. The clinical efficacy between the groups had statistical significance( P<0.05).(2)After treatment,hysteromyoma size was reduced in the treatment group( P<0.05),but there was no significant difference in the control group( P>0.05). The difference of reduced hysteromyoma size between the two groups had statistical significance( P<0.05).(3)After treatment,there were significant differences in the total scores and sub-scores of symptoms and signs in the treatment group( P<0.05),but there was no significant difference in the control group( P>0.05). After treatment,there were significant differences in the total scores and the sub-scores of symptoms and signs between the two groups,which were significantly lower in the treatment group than in the control group( P<0.05). Conclusion The clinical effect on hysteromyoma treated by the four acupoints with eight needles is satisfactory and it can significantly improve the clinical symptoms and signs of the patients and reduce the volume of the tumor.
Objective To observe the clinical effects of four acupoints with eight needles on treating hysteromyoma. Methods Among 98 patients with hysteromyoma,50 were divided into the treatment group and 48 were divide into the control group. Among the treatment group,the four acupoints,including Zusanli( ST 36),Yinlingquan( SP 9),Diji( SP 8) and Sanyinjiao( SP 6),with eight needles were used to treat the patients; among the control group,no acupoints and needles were used,just for comparison. After three months of treatment,measures were taken to observe clinical effects,symptom and sign scores as well as the tumor volume in the two groups. Results(1)The total effective rate of the treatment group was 76.00%,and the control group 4.17%. The clinical efficacy between the groups had statistical significance( P<0.05).(2)After treatment,hysteromyoma size was reduced in the treatment group( P<0.05),but there was no significant difference in the control group( P>0.05). The difference of reduced hysteromyoma size between the two groups had statistical significance( P<0.05).(3)After treatment,there were significant differences in the total scores and sub-scores of symptoms and signs in the treatment group( P<0.05),but there was no significant difference in the control group( P>0.05). After treatment,there were significant differences in the total scores and the sub-scores of symptoms and signs between the two groups,which were significantly lower in the treatment group than in the control group( P<0.05). Conclusion The clinical effect on hysteromyoma treated by the four acupoints with eight needles is satisfactory and it can significantly improve the clinical symptoms and signs of the patients and reduce the volume of the tumor.
引文
[1]曹泽毅.中华妇产科学[M].北京:人民卫生出版社,1999:2082.
[2]戚昕蕊,龚小辉,李冬华,等.子宫肌瘤的流行病学研究进展[J].中国妇幼保健,2014,29(22):3694.
[3]唱丽荣,孙玉倩,周桂霞.子宫肌瘤发病相关危险因素分析[J].中国妇幼保健,2010,25(20):2800-2802.
[4]刘文红,张彬彬,蒋戈利,等.针灸补泻配温针灸治疗子宫肌瘤50例临床分析[J].中国疗养医学,2015,24(3):275-276.
[5]乐杰.妇产科学[M].6版.北京:人民卫生出版社,2005:295-298.
[6] OKOLO S.Incidence,artiology and epidemiology of uterine fibroids[J].Best Pract Res Clin Obstet Gynecol,2008,22(4):571-588.
[7] WANG L,HUANG H,LIU D,et al.Evaluation of 14-3-3 protein family levels and associated receptor expression of estrogen and progesterone in human uterine leiomyomas[J]. Gynecol Endocri-nol,2012,28(8):665-668.
[8]扬欣.子宫肌瘤药物治疗[J].中国实用妇科与产科杂志,2012,28(12):905-908.
[9]王波,刘希茹,孙爱军,等.李国安针灸治疗子宫肌瘤经验[J].上海中医药杂志,2012,46(8):31-33.
[10]李小花,杨金坤,徐惠群.益气化瘀方治疗气虚血瘀型子宫肌瘤临床观察[J].上海中医药杂志,2015,49(7):50-52.
[2]戚昕蕊,龚小辉,李冬华,等.子宫肌瘤的流行病学研究进展[J].中国妇幼保健,2014,29(22):3694.
[3]唱丽荣,孙玉倩,周桂霞.子宫肌瘤发病相关危险因素分析[J].中国妇幼保健,2010,25(20):2800-2802.
[4]刘文红,张彬彬,蒋戈利,等.针灸补泻配温针灸治疗子宫肌瘤50例临床分析[J].中国疗养医学,2015,24(3):275-276.
[5]乐杰.妇产科学[M].6版.北京:人民卫生出版社,2005:295-298.
[6] OKOLO S.Incidence,artiology and epidemiology of uterine fibroids[J].Best Pract Res Clin Obstet Gynecol,2008,22(4):571-588.
[7] WANG L,HUANG H,LIU D,et al.Evaluation of 14-3-3 protein family levels and associated receptor expression of estrogen and progesterone in human uterine leiomyomas[J]. Gynecol Endocri-nol,2012,28(8):665-668.
[8]扬欣.子宫肌瘤药物治疗[J].中国实用妇科与产科杂志,2012,28(12):905-908.
[9]王波,刘希茹,孙爱军,等.李国安针灸治疗子宫肌瘤经验[J].上海中医药杂志,2012,46(8):31-33.
[10]李小花,杨金坤,徐惠群.益气化瘀方治疗气虚血瘀型子宫肌瘤临床观察[J].上海中医药杂志,2015,49(7):50-52.