武氏“蟠龙通督调神针法”治疗围绝经期综合征的疗效观察  

Curative Effect of Wu's Panlong Tongdu Tiaoshen Acupuncture Therapy for Menopausal Syndrome

作　　者：王淑敏[1] 武连仲[2] WANG Shu-Min;WU Lian-Zhong(Acup-moxibustion Physiotherapy Dept. of the General Hospital of Anyang Iron ＆ Steel Group, Ltd., Anyang 455004 Henan, China;Acup-moxibustion Dept. of the First Affiliated Hospital of Tianjin Traditional Chinese Medicine University, Tianjin 300100, China)

机构地区：[1]河南省安阳钢铁集团有限责任公司职工总医院针灸理疗科,河南安阳455004 [2]天津中医药大学第一附属医院针灸部,天津300100

出　　处：《广州中医药大学学报》2018年第3期454-459,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】比较武氏蟠龙通督调神针法、普通针刺法及西医激素替代疗法(HRT)治疗围绝经期综合征(MPS)的临床疗效。【方法】将90例MPS患者随机分为治疗组、普通针刺组和对照组3组,每组各30例。治疗组给予武氏蟠龙通督调神针法选穴治疗,普通针刺组给予临床上常规选穴针刺治疗,对照组给予HRT治疗。治疗3个月后对3组患者的临床疗效及安全性进行评价,并观察3组患者治疗前后血清卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E2)水平的变化情况。【结果】(1)治疗3个月后,治疗组总有效率为100.0%,普通针刺组为86.7%,对照组为70.0%,治疗组疗效优于普通针刺组和对照组(P<0.05)。(2)治疗后,3组患者血清FSH、LH水平均下降(P<0.05),血清E2水平均升高(P<0.05),且治疗组在降低血清FSH、LH水平和升高血清E2水平方面均优于普通针刺组和对照组(P<0.05)。(3)治疗过程中,治疗组和普通针刺组无不良反应情况发生,对照组出现乳房胀痛10例次,阴道出血1例次,消化道不良反应15例次,治疗组和普通针刺组的不良反应发生率明显低于对照组(P<0.05)。【结论】武氏蟠龙调神针法治疗围绝经期综合征优于普通针刺治疗与HRT治疗,疗效确切,且无不良反应。Objective To compare the clinical curative effect of Wu＇s Panlong Tongdu Tiaoshen acupuncturetherapy（a dragon-shape circled needling acupuncture therapy for unblocking Governor Vessel to regulate mind）,conventional acupuncture, and hormone replacement therapy（HRT）for the treatment of menopausal syndrome.Methods Ninety menopausal syndrome patients were randomly divided into observation group, conventionalacupuncture group and HRT control group, 30 cases in each group. The observation group was given Wu＇s Panlong Tongdu Tiaoshen acupuncture,conventinal acupuncture group was treated with conventional acupunctureon routine acupoints,and HRT control group was treated with HRT. After treatment for 3 months,the clinicaltherapeutic effects and safety were evaluated, and the changes of serum follicle stimulating hormone（FSH）,luteinizing hormone（LH）, and estrogen（E2）levels in the 3 groups before and after treatment were observed.Results（1）The total effective rate was 100%（30/30）in the observation group,while it was 86.7%（26/30）and70.0%（21/30）in the conventional acupuncture group and HRT control group,respectively. The observation grouphad stronger effect than the other two groups（P〈0.05）.（2）After treatment, serum FSH and LH levels weredecreased and E2 level was increased in the 3 groups（P〈0.05 compared with those before treatment）,and theeffects on decreasing FSH and LH levels and on increasing E2 level in the observation group were superior to thosein the conventional acupuncture group and HRT control group（P〈0.05）.（3）During the treatment,observationgroup and conventional acupuncture group had no obvious adverse reaction,but HRT control group had 10 casesof distending pain in the breast,one case of vaginal bleeding,and 15 cases of gastrointestinal adverse reaction.The observation group and conventional acupuncture group had less adverse reaction incidence than HRT controlgroup（P〈0.05）. Conclusion Wu＇s Panlong Tongdu Tiaoshen acupuncture therapy is m

关 键 词：围绝经期综合征 蟠龙通督调神针法 激素替代疗法 卵泡刺激素 黄体生成素 雌二醇 

分 类 号：R246.3[医药卫生—针灸推拿学]