“四穴八针”针刺法治疗子宫肌瘤的临床观察  

Clinical observation of four acupoints with eight needles for hysteromyoma

作　　者：刘希茹[1] 蓝悦 杨园园 李国安[1] 王波[1] 沈卫东[1] LIU Xiru;LAN Yue;YANG Yuanyuan;LI Guo'an;WANG Bo;SHEN Weidong

机构地区：[1]上海中医药大学附属曙光医院针灸科,上海201203

出　　处：《上海中医药杂志》2019年第1期73-75,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市卫计委"针灸特色诊疗项目建设"资助项目(ZJ2016004)

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.

关 键 词：子宫肌瘤 针灸疗法 非药物疗法 瘤体体积 

分 类 号：R246.5[医药卫生—针灸推拿学]