穴位埋线配合耳穴贴压治疗肝肾亏虚型更年期综合征及其对雌二醇的影响  

Effects of acupoint catgut embedding combined with auricular point pressure on menopausal syndrome of liver-kidney deficiency type and estradiol

作　　者：金新美 丁立钧 夏德鹏[1] 陈培芳[1] 

机构地区：[1]日照市中医医院针灸推拿科,山东日照276800

出　　处：《中国针灸》2017年第8期836-839,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察穴位埋线配合耳穴贴压与尼尔雌醇治疗肝肾亏虚型更年期综合征患者的疗效差异及其对雌二醇(E_2)的影响。方法:将60例肝肾亏虚型更年期综合征患者随机分为埋线配合耳穴贴压组与西药组,每组30例。埋线配合耳穴贴压组采用穴位埋线配合耳穴贴压王不留行籽,埋线穴取太溪、三阴交、肾俞、肝俞和太冲,耳穴取肝、肾、内分泌、神门、皮质下,每周治疗1次,连续4周;西药组予尼尔雌醇1 mg口服,每日1次,配合谷维素20 mg口服,每日3次,连续4周。于治疗前、后及随访时观察两组患者的更年期综合征临床症状分级量化积分,于治疗前后观察两组患者E_2水平的变化,并对两组患者临床疗效进行比较。结果:(1)治疗后及随访时,两组患者临床症状积分较治疗前明显降低,差异均有统计学意义(均P<0.05),随访时埋线配合耳穴贴压组临床症状积分明显低于西药组,差异有统计学意义(P<0.05)。随访时与治疗前差值,埋线配合耳穴贴压组大于西药组,差异有统计学意义(P<0.05)。(2)治疗后,两组患者较治疗前E_2水平均升高,差异均有统计学意义(均P<0.05);两组E_2水平治疗前后差值比较,埋线配合耳穴贴压组大于西药组,差异有统计学意义(P<0.05)。(3)治疗后,埋线配合耳穴贴压组总有效率为93.33%(28/30),西药组总有效率为90.00%(27/30),两组间差异无统计学意义(P>0.05)。结论:与尼尔雌醇相比,穴位埋线配合耳穴贴压王不留行籽能够更好地改善肝肾亏虚型更年期综合征患者的临床症状,提高E_2水平。Objective To observe the efficacy differences between acupoint catgut embedding combined with auricular point pressure with beans and nilestriol on menopausal syndrome of liver-kidney deficiency type, and to explore their effects on estradiol（E2）. Methods Sixty patients with menopausal syndrome of liver-kidney deficiency type were randomly divided into an acupoint stimulation group and a medication group, 30 cases in each group. The patients in the acupoint stimulation group were treated by acupoint catgut embedding at Taixi（KI 3）, Sanyinjiao（SP 6）, Shenshu（BL 23）, Ganshu（BL 18） and Taichong（LR 3）, combined with auricular point pressure at Gan（CO12）, Shen（CO10）, Neifenmi（CO18）, Shenmen（TF4）, Pizhixia（AT4）; the treatment was given once a week for consecutive four weeks. The patients in the medication group were treated with oral administration of nilestriol, 1 mg, once a day, combined with oral administration of oryzanol, 20 mg, three times per day for consecutive four weeks. The clinical symptom score was compared between the two groups before and after treatment as well as in follow-up visit. The level of E2 was obserced before and after treatment, and the clinical effect was compared. Results（1） Compared before treatment, the clinical symptom score in the two groups was significantly reduced after treatment and in follow-up visit（all P〈0.05）; In follow-up visit, the clinical symptom score in the acupoint stimulation group was significantly lower than that in the medication group（P〈0.05）. The different value before treatment and at follow-up in the acupoint stimulation group was better than that in the medication group（P〈0.05）.（2） Compared before treatment, the level of E2 in the two groups were increased after treatment（both P〈0.05）; compared before and after treatment, the difference in the treatment group was significantly higher than that in the medication group（P〈0.05）.（3） After treatment, the total effective rate was 93.3

关 键 词：更年期综合征 穴位埋线 耳穴贴压 雌二醇 

分 类 号：R246.3[医药卫生—针灸推拿学]