手针和电针治疗围绝经期综合征:随机对照试验  

Manual acupuncture versus electroacupuncture for menopausal syndrome:a randomized controlled trial

作　　者：文彩玉珠 刘亚飞[2] 潘小丽[1] 毛珍[1] 周利[3] 张红星[3] WEN Caiyuzhu LIU Yafei PAN Xiaoli MAO Zhen ZHOU Li ZHANG Hongxing(College of Acupuncture and Orthopedies, Hubei University of CM, Wuhan 430061, China the First Affiliated Hospital of Zhengzhou Universily Wuhan Municipal Hospital of Integrated Chinese Medieine and Western Medicine, Wuhan 430022, Hubei Povince)

机构地区：[1]湖北中医药大学针灸骨伤学院,武汉430061 [2]郑州大学第一附属医院 [3]武汉市中西医结合医院,湖北武汉430022

出　　处：《中国针灸》2017年第5期491-495,共5页Chinese Acupuncture & Moxibustion

基　　金："十二五"国家科技支撑计划项目:2012BAI 24B01

摘　　要：目的:比较手针和电针治疗围绝经期综合征的临床疗效差异及安全性。方法:将50例患者随机分为手针组(25例)和电针组(25例)。手针组采用普通针刺加假电针的方式,穴取关元、子宫、天枢、三阴交;电针组取穴同手针组,采用电针加假手针(针刺过程中不行手法操作)的方式,疏密波,频率10Hz/50 Hz,强度0.5~1.0 mA。两组均留针30 min,隔日治疗1次,每周3次,共治疗8周。观察治疗前、治疗第4周、第8周绝经症状评价量表(MRS)、围绝经期生存质量量表(MENQOL)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,血清促卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)水平及不良反应发生情况。结果:与治疗前比较,两组在治疗第4周、第8周MRS、MENQOL、SAS、SDS评分均降低(均P<0.05),且第8周低于第4周(均P<0.05),但两组间比较差异无统计学意义(均P>0.05);与治疗前比较,两组治疗后血清FSH、LH降低,血清E2升高,但差异无统计学意义(均P>0.05),且两组间比较差异亦无统计学意义(均P>0.05);两组治疗过程中均未出现严重的不良反应。结论:手针及电针均可改善围绝经期患者抑郁、焦虑症状,提高生活质量,且安全、无不良反应,对血清性激素无明显改变。Objective To compare the clinical therapeutic effects and safety on menopausal symptoms between manual acupuncture （MA） and electroacupuncture （EA）.Methods Fifty patients were randomized into an MA group （25 cases） and an EA group （25 cases）.In the MA group, the regular needling technique and pseudo-EA were used at Guanyuan （CV 4）, Zigong （EX-CA 1）, Tianshu （ST 25） and Sanyinjiao （SP 6）.In the EA group, the acupoints were the same as the MA group and stimulated with EA and pseudo-MA （no manipulation applied in treatment）, with disperse-dense wave, 10 Hz/50 Hz, 0.5 to 1.0 mA.In the two groups, the needles were retained for 30 min.The treatment was given once every two days, three times a week, totally for 8 consecutive weeks.The results of the menopause rating scale （MRS）, the menopause-specific quality of life （MENQOL）, the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS）, follicle stimulating hormone （FSH）, luteinizing hormone （LH） and estradiol （E2） as well as adverse reactions were evaluated before treatment, in 4 and 8 weeks of treatment separately.Results Compared with those before treatment, the scores of MRS, MENQOL, SAS and SDS were all reduced in the 4 and 8 weeks of treatment in the two groups （all P〈0.05）.The results in 8 weeks of treatment were lower than those in 4 weeks of treatment in the two groups （all P〈0.05）.The differen-ces were not significant statistically between the two groups （all P〉0.05）.Compared with those before treatment, the levels of FSH and LH reduced and E2 increased after treatment in the two groups, without significant differences （all P〉0.05）.The differences were not significant statistically between the two groups （all P〉0.05）.The severe adverse reactions were not found in the treatment of the two groups.Conclusion Both manual acupuncture and electroacupuncture relieve the symptoms of depression and anxiety in menopausal syndrome,improve the living quality an

关 键 词：围绝经期综合征 手针 电针 随机对照试验 

分 类 号：R246.3[医药卫生—针灸推拿学]