针刺八脉交会穴治疗围绝经期综合征临床观察  

Clinical Observation of Acupuncture at the Eight Confluent Points for Perimenopausal Syndrome

作　　者：宋晶[1,2] 

机构地区：[1]黑龙江中医药大学附属第二医院,哈尔滨150001 [2]黑龙江中医药大学针灸推拿学院,哈尔滨150001

出　　处：《上海针灸杂志》2016年第4期433-436,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的评价针刺八脉交会穴治疗围绝经期综合征的临床疗效。方法将60例围绝经期综合征患者随机分为针刺组30例和西药组30例。针刺组取双侧公孙、内关、足临泣、外关、列缺、申脉、后溪、照海穴,留针30 min,每日1次,10d为1个疗程;每个月在月经后15~18 d开始治疗,已绝经者可从任何1日起开始治疗。西药组给予替勃龙片（利维爱）,每天2.5 mg,每日1次,30 d为1个疗程。两组均治疗3个月。观察两组治疗前后Kupperman评分变化,以及血清雌二醇（E2）、促卵泡激素（FSH）和促黄体生成素（LH）的水平变化,并对统计结果进行分析。结果两组治疗前后血清中E2、FSH、LH比较均有显著差异（P〈0.05）,针刺组血清E2升高水平明显高于西药组（P〈0.05）。两组治疗后Kupperman评分均有明显下降（P〈0.05）,针刺组对症状的改善优于对照组（P〈0.05）。针刺组总有效率（96.7%）明显高于西药组（83.3%）（P〈0.05）。结论针刺八脉交会穴治疗围绝经期综合征确实有一定疗效,疗效优于西药组。Objective To evaluate the clinical efficacy of acupuncture at the eight confluent points in treating perimenopausal syndrome（PMS）.Method Sixty PMS patients were randomized into an acupuncture group of 30 cases and a Western medication group of 30 cases.In the acupuncture group,bilateral Gongsun（SP4）,Neiguan（PC6）,Zulinqi（GB41）,Waiguan（TE5）,Lieque（LU7）,Shenmai（BL62）,Houxi（SI3）,and Zhaohai（KI6）were selected,30 min for each treatment,once a day,10 d as a treatment course;the treatment was given 15-18 d after each menstruation cycle,while for the menopausal patients,the treatment could start anytime.The Western medication group was prescribed with Tibolone tablets,2.5 mg per dose,once a day,30 d as a course.The intervention lasted 3 months for both groups.The Kupperman Index,serum estradiol（E2）,follicle-stimulating hormone（FSH）,and luteinizing hormone（LH）were observed before and after treatment,and the statistical results were then analyzed.Result Serum E2,FSH,and LH were significantly changed after intervention in both groups（P〈0.05）,and the increase of serum E2 in the acupuncture group was more significant than that in the Western medication group（P〈0.05）.The Kupperman score decreased significantly in both groups after intervention（P〈0.05）,and the improvements of symptoms in the acupuncture group were more significant than that in the Western medication group（P〈0.05）.The total effective rate in the acupuncture group（96.7%）was significantly higher than that in the Western medication group（83.3%）.Conclusion Acupuncture at the eight confluent points is effective in treating PMS,and its therapeutic efficacy is more significant than that of the Western medication.

关 键 词：针刺 穴 八脉交会 围绝经期综合征 更年期综合征 

分 类 号：R246.3[医药卫生—针灸推拿学]