穴位注线法治疗子宫肌瘤临床观察  

Clinical Observation of Point Catgut-Embedding Therapy for Uterine Leiomyoma

作　　者：赵霞[1] 刘文霞[1] 张洪涛[1] 

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《新中医》2017年第9期125-127,共3页New Chinese Medicine

基　　金：甘肃省自然科学基金课题(1308RJZA177)

摘　　要：目的:观察穴位注线法治疗子宫肌瘤的临床疗效及对患者雌二醇(E2)和孕酮(P)水平的影响。方法:将100例子宫肌瘤患者随机分为穴位注线组和宫瘤清胶囊组,每组50例。宫瘤清胶囊组给予宫瘤清胶囊治疗,穴位注线组在八髎、关元等穴位进行穴位注线,2组均治疗3月。治疗结束后比较2组临床疗效,观察患者子宫肌瘤体积、E_2和P水平的变化及不良反应发生情况。结果:穴位注线组总有效率(82.0%)高于宫瘤清胶囊组(70.0%),差异有统计学意义(P<0.05)。治疗后,2组子宫肌瘤体积均较治疗前缩小(P<0.05),穴位注线组的子宫肌瘤体积小于宫瘤清胶囊组(P<0.05)。治疗后,2组E_2与P水平均较治疗前下降(P<0.05),穴位注线组的E2与P水平均低于宫瘤清胶囊组(P<0.05)。治疗期间,2组均未发生不良反应。结论:穴位注线法治疗子宫肌瘤,临床疗效显著,可有效调节患者的E_2和P水平,缩小子宫肌瘤体积。Objective： To observe the clinical effect of point catgut-embedding therapy for uterine leiomyoma and its effect on levels of estrogen（E_2） and progesterone（P）. Methods： Divided 100 cases of patients with uterine leiomyoma into point catgut-embedding group and Gongliuqing group randomly, 50 cases in each group. Gongliuqing group was treated with Gongliuqing capsules, while point catgut-embedding group was catgut-embedded on Baliao and Guanyuan points. Both groups received treatment for three months. Compared the clinical effect, and observed changes of uterine fibroid volume and levels of E_2 and P as well as adverse reaction in both groups. Results： The total effective rate in point catgut-embedding therapy group（82.0%） was higher than that（70.0%） in Gongliuqing group（70.0%）（P〈0.05）. After treatment, uterine fibroid volume in both groups was decreased when compared with that before treatment（P〈0.05）, and the uterine fibroid volume in point catgut-embedding group was smaller than that in Gongliuqing group（P〈0.05）. After treatment, levels of E_2 and P in both groups were reduced when compared with those before treatment（P〈0.05）, and levels of E_2 and P in point catgut-embedding group were lower than those in Gongliuqing group（P〈0.05）. There was no adverse reaction being found in both groups during treatment. Conclusion： Point catgut-embedding therapy for uterine leiomyoma has significant curative effect. It can effectively regulate the levels of E_2 and P and decrease uterine fibroid volume.

关 键 词：子宫肌瘤 穴位注线 宫瘤清胶囊 雌二醇(E2) 孕酮(P) 

分 类 号：R711.74[医药卫生—妇产科学]