灸药结合治疗痛经(子宫内膜异位症)临床观察  

Clinical Observation on Effect of Moxibustion Combined with Herbs to Treat Dysmenorrhoea(Endometriosis)

作　　者：牛向馨[1] 牛乾[2] 罗小妹[1] 

机构地区：[1]海南省琼海市中医院妇产科,海南琼海571400 [2]海南医学院中医学院针灸治疗学教研室,海南海口571101

出　　处：《辽宁中医杂志》2012年第6期1090-1092,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局重点专科妇科项目

摘　　要：目的:观察灸药结合疗法对子宫内膜异位症痛经及血清CA125的影响。方法:93例患者随机分为3组:艾灸组31例、药物组29例、灸药结合组33例,分别采用四步艾灸法灸关元、子宫等穴;口服内异症基本方;艾灸药物结合;连续治疗3个月经周期,随访6个月,采用Cox痛经症状量表(CMSS)进行评分,并观察血清CA125水平的变化,比较3组的疗效。结果:3组患者Cox痛经症状量表(CMSS)评分、血清CA125水平在治疗后均显著改善(P<0.05),但灸药结合组疗效显著优于前两组(P<0.05)。结论:灸药结合法治疗子宫内膜异位症痛经疗效确切,优于单纯艾灸或中药治疗,灸药结合可作为该病的首选疗法之一。Objective ：To study the clinical results of moxibustion combined with herbs for treatment of dysmenorrhoea （ endo- metriosis）. Methods ：93 patients were randomly divided into 3 groups ： moxibustion group, herbs group and moxibustion combined with herbs group,which were respectively treated by moxibustion, herbs and moxibustion combined with herbs. Three groups were treated and followed up for 3 consecutive menstrual cycles. Changes in the Cox Menstrual Symptom Scale （ CMSS ） and serum CA125 before and after treatment were observed and compared. Results ：All three groups showed significant improvements in CMSS and serum CA125 （ P 〈 0.05 ）. No significant difference was observed between the moxibustion group and herbs group. But signifi- cant difference was observed between the moxibustion combined with herbs group and moxibustion group or herbs group （ P 〈 0. 05 ）. Conclusion：Moxibustion combined with herbs is effective on dysmenorrhoea（endometriosis） and it can be used as the pre- ferred method of clinical treatment.

关 键 词：痛经 子宫内膜异位症 艾灸 平冲化瘀通络法 临床观察 

分 类 号：R711.51[医药卫生—妇产科学]