针药并用治疗更年期综合征临床观察
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摘要
目的观察针药结合治疗更年期综合征临床疗效。方法治疗组(48例)取穴足三里、三阴交、太溪针刺补法,丰隆、太冲针刺泻法,百会、神庭、内关针刺平补平泻法,留针30min,每天治疗1次,连续6d后休息1d,共治疗8周;治疗组同时服用中成药二至丸,9g/次,2次/d,连续8周。对照组(48例)每天给予中成药二至丸,9g/次,2次/d,连续治疗8周,观察比较两组治疗后临床疗效。结果经治疗后,治疗组48例中临床治愈28例,显效14例,有效5例,无效1例,总有效率为97.9%;对照组50例中临床治愈13例,显效22例,有效9例,无效9例,总有效率为81.3%,两组总有效率比较,差异有统计学意义(P<0.05)。两组Kuperman、MENQOL评分比较,差异有统计学意义(P<0.05)。结论针药并用治疗更年期综合征疗效显著,能明显改善更年期综合征临床症状。
Objective To observe the clinical efficacy of acupuncture combined with Chinese medicine in treatment of climacteric syndrome. Methods 48 cases in treatment group were treated by acupuncture of supplementation at Zusanli,Sanyinjiao and Taixi, acupuncture of catharsis at Fenglong and Taichong, acupuncture of mild reinforcing-reducing method at Baihui, Shenting and Neiguan. Keep the needle for 30 min,once a day for 6 d,rest for Id, continuously treat for 8 weeks as a course; treatment group added Erzhi pills, 9 g/time, 2 times a day for 8 weeks. Control group(48 cases) was given Erzhi pills,9 g/times, 2 times/d. The clinical effect of the two groups after treatment was observed. Results After treatment, 28 cases were cured, 14 cases were markedly effective, 5 cases were effective and 1 case was ineffective in treatment group, the total effective rate was 97.92%; 13 cases were cured, 22 cases were markedly effective, 9 cases were effective and 9 cases were ineffective in control group, the total effective rate was 81.25%. There was a significant difference between the two groups(P<0.05); compared with the scales of Kuperman and MENQOL, there were significant differences in the two groups(P<0.05). Conclusion Acupuncture combined with Chinese medicine can significantly improve the clinical symptoms, it is effective in treatment of climacteric syndrome.
Objective To observe the clinical efficacy of acupuncture combined with Chinese medicine in treatment of climacteric syndrome. Methods 48 cases in treatment group were treated by acupuncture of supplementation at Zusanli,Sanyinjiao and Taixi, acupuncture of catharsis at Fenglong and Taichong, acupuncture of mild reinforcing-reducing method at Baihui, Shenting and Neiguan. Keep the needle for 30 min,once a day for 6 d,rest for Id, continuously treat for 8 weeks as a course; treatment group added Erzhi pills, 9 g/time, 2 times a day for 8 weeks. Control group(48 cases) was given Erzhi pills,9 g/times, 2 times/d. The clinical effect of the two groups after treatment was observed. Results After treatment, 28 cases were cured, 14 cases were markedly effective, 5 cases were effective and 1 case was ineffective in treatment group, the total effective rate was 97.92%; 13 cases were cured, 22 cases were markedly effective, 9 cases were effective and 9 cases were ineffective in control group, the total effective rate was 81.25%. There was a significant difference between the two groups(P<0.05); compared with the scales of Kuperman and MENQOL, there were significant differences in the two groups(P<0.05). Conclusion Acupuncture combined with Chinese medicine can significantly improve the clinical symptoms, it is effective in treatment of climacteric syndrome.
引文
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[6]张豪斌,景向红,王莹莹,等.针刺治疗围绝经期综合征30例[J].中国针灸,2018(1):55-58.
[7]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2012:157.
[8]卞金玲,张春红.石学敏院士针刺手法量学的概念及核心[J].中国针灸,2003,23(5):287-289.
[9]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[10]葛秦生.实用女性生殖内分泌学[M].北京:人民卫生出版社,2008:296.
[11]张豪斌,景向红,王莹莹,等.针刺治疗围绝经期综合征30例[J].中国针灸,2018(1):55-58.
[12]杨洪艳,成芳平,王小云,等.绝经期生存质量量表中文版本的临床应用与评价[J].中华流行病学杂志,2005,26(1):47-50.
[13]曹映汝.更年期综合征从肾论治[J].现代中西医结合杂志,2009,18(6):672-673.
[14]丁超,卢苏.从脾胃论治更年期综合征[J].吉林中医药,2011,31(2):137-138.
[15]宋书昌,卢智,陈华,等.足三里穴证治机理探讨[J].中医临床研究,2013(22):38-40.
[2]董胜莲,刘瑞华,陈长香.22省(市)女性更年期综合征现状调查和影响因素分析[J].中国妇幼保健,2010,25(25):3604-3605.
[3]李瑞奇,苗艳艳,苗明三.更年期综合征发病特点及防治述评[J].中医学报,2011,26(12):1521-1523.
[4]口锁堂,吴耀持.针药结合治疗更年期综合征临床研究[J].中华中医药学刊,2015(1):128-131.
[5]中华人民共和国卫生部.中药新药临床研究指导原则[M].中华人民共和国卫生部,1997:3.
[6]张豪斌,景向红,王莹莹,等.针刺治疗围绝经期综合征30例[J].中国针灸,2018(1):55-58.
[7]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2012:157.
[8]卞金玲,张春红.石学敏院士针刺手法量学的概念及核心[J].中国针灸,2003,23(5):287-289.
[9]国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994.
[10]葛秦生.实用女性生殖内分泌学[M].北京:人民卫生出版社,2008:296.
[11]张豪斌,景向红,王莹莹,等.针刺治疗围绝经期综合征30例[J].中国针灸,2018(1):55-58.
[12]杨洪艳,成芳平,王小云,等.绝经期生存质量量表中文版本的临床应用与评价[J].中华流行病学杂志,2005,26(1):47-50.
[13]曹映汝.更年期综合征从肾论治[J].现代中西医结合杂志,2009,18(6):672-673.
[14]丁超,卢苏.从脾胃论治更年期综合征[J].吉林中医药,2011,31(2):137-138.
[15]宋书昌,卢智,陈华,等.足三里穴证治机理探讨[J].中医临床研究,2013(22):38-40.