俞募配穴治疗子宫内膜异位症的对照研究  

Controlled study on Shu-Mu point combination for treatment of endometriosis

作　　者：孙远征[1] 陈洪琳[1] 

机构地区：[1]黑龙江中医药大学附属第二医院内四病房,哈尔滨150001

出　　处：《中国针灸》2006年第12期863-865,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:比较俞募配穴针刺法与常规针刺法、西药治疗子宫内膜异位症(EM)的临床疗效。方法:将90例患者随机分为俞募针刺组(30例),穴取肝俞、脾俞、肾俞、期门、章门、京门;常规针刺组(30例),穴取合谷、中极、关元、三阴交;西药对照组(30例),口服达那唑。观察3组患者临床症状、体征、肿瘤标志物血清CA125值的变化以及不良反应。结果:3组总疗效相似,但俞募针刺组在痛经、月经不调、腰骶痛、肛门坠胀等症状的改善方面显著优于其他两组(P<0·01),且俞募针刺组治疗后血清CA125值较治疗前显著降低(P<0·01)。结论:俞募配穴针刺法治疗EM临床疗效显著,其不良反应明显低于西药对照组。Objective To compare therapeutic effects of Shu-Mu point combination, routine needling method and western medicine treatment on endometriosis （EM）. Methods Ninety cases were randomly divided into a Shu-Mu point combination group （n = 30） treated with acupuncture at Ganshu （BL 18）, Pishu （BL 20）, Shenshu （BL 23）, Qimen （LR 14）, Zhangmen （LR 13）, Jingmen （GB 25）; a routine needling group （n =30） treated with acupuncture at Hegu （LI 4）, Zhongii （CV 3）, Guanyuan （CV 4）, Sanyinjiao （SP 6） and a western medicine group treated with oral administration of Danazol. Clinical symptoms and signs, tumor marker serum CA125 values and adverse effects in the three groups were investigated before and after treatment. Results The total effective rate was similar in the three groups, The Shu-Mu point combination group was superior to other two groups in improvement of dysmenorrhea, irregular menstuation, lumbago and sacrodynia, anus engorge, etc. （P〈0. 01）, After treatment, serum CA125 in the Shu-Mu point combination group significantly decreased （P〈0.01）. Conclusion Shu-Mu point combination eedling method has an obvious therapeutic effect on endometriosis, with lower adverse effect than that of the western medicine group.

关 键 词：子宫内膜异位症/针灸疗法 穴 输(五输) 穴 募 配穴法 @俞募配穴法 

分 类 号：R246.3[医药卫生—针灸推拿学]