改良隔药灸脐法治疗宫寒不孕的临床观察  

Clinical Observation on Infertility Due to Cold of the Uterus by Improved Moxibustion and Navel Therapy

作　　者：范强芳 柯婵 吴晓兰[1] FAN Qiang-fang;KE Chan;WU Xiao-lan(Huanggang TCM Hospital,Huanggang Hubei 438000,China)

机构地区：[1]黄冈市中医医院,湖北黄冈438000

出　　处：《中医药导报》2018年第16期94-96,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：黄冈市科技计划项目(黄科字[2016]78号)

摘　　要：目的:观察改良隔药灸脐法治疗宫寒不孕的临床疗效。方法:选取宫寒不孕患者100例,随机分成两组,改良隔药灸脐50例为A组,传统神阙隔姜灸50例为B组。A组采用涂抹姜汁、铺暖宫散、铺桑皮纸、铺姜绒成饼状、置艾炷并点燃、连续施灸9壮、收集暖宫散、置神阙封固、24 h后去除;B组采用姜片刺孔、覆脐、点燃艾条、啄灸。观察两组治疗前、治疗后第1、第2、第3个月经周期及随访期症状、体征情况,按评分标准对比研究,比较两种方法的有效性和安全性。结果:A组治疗后第1、第2、第3个月经周期及随访期症状、体征评分明显低于B组;A组作用自开始治疗就已显现,B组作用是从第3个月经周期开始;两组比较,差异有统计学意义(P<0.05)。结论:改良隔药灸脐组治疗宫寒不孕,在整体疗效及起效时间上,明显优于传统神阙隔姜灸组。Objective： To observe the clinical curative effect of the improved moxibustion and navel therapy for treating infertility due to cold of the uterus. Methods： We selected 100 patients. These patients were derived were randomly divided into two groups. The 50 cases took improved moxibustion and navel therapy are in group A and the rest 50 cases who took the traditional Shenque ginger moxibustion therapy were in group B. The pa- tients in group A were treated by smearing the ginger juice, spreading uterus-warming powder, spre^iding the mulberry paper, spreading the ginger slice into pie shape, igniting the moxa cone, and twisting 9 small lumps, then collecting the uterus-warming powder, placing and sealing it at Shenque point, and then removal after 24 hours. The patients in group B were treated with ginger puncturing, covering the umbilicus, igniting the moxa cone, pecking moxibustion until they had warm feelings. We observed the symptoms, signs and pregnancies be- fore and after treatment in the first, second and third menstrual cycles and follow-up period. And then we com- pared the effectiveness and safety of the two methods according to the scoring criteria. Results： The total score of the symptoms, signs and pregnancies of group A was significantly lower than that of group B, after treatment in the first, second and third menstrual cycles and follow-up period. The efficacy of group A had been apparent since the beginning of the treatment, while the efficacy of group B started at the third menstrual cycle; Compar- ing the data from two groups, the difference was statistically significant. Conclusion： The overall efficacy and working time of the improved moxibustion and navel therapy for treating infertility due to cold of the uterus is superior to the traditional treatment.

关 键 词：改良隔药灸脐法 宫寒不孕 临床疗效 

分 类 号：R271[医药卫生—中医妇科学]