腹针配合八髎穴隔姜灸治疗子宫内膜异位症盆腔相关性疼痛临床观察  

Clinical Observation of Abdominal Acupuncture plus Ginger-partitioned Moxibustion at Baliao Points for Pelvic Pain in Endometriosis

作　　者：张花[1] 张迎春[1] 陈明[2] ZHANG Hua;ZHANG Ying-chun;CHEN Ming(Hubei Maternal and Child Health Hospital,Wuhan 430070,China;Wuhan Hospital of Traditional Chinese and Western Medicine,Wuhan 430022,China)

机构地区：[1]湖北省妇幼保健院,武汉430070 [2]武汉市中西医结合医院,武汉430022

出　　处：《上海针灸杂志》2018年第12期1349-1353,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖北省卫生计生委中西医结合项目(2016Z-Y39)

摘　　要：目的观察腹针配合八髎穴隔姜灸治疗子宫内膜异位症盆腔相关性疼痛的临床疗效。方法将84例子宫内膜异位症盆腔相关性疼痛患者随机分为观察组和药物组,每组42例。观察组采用腹针配合八髎穴隔姜灸,药物组口服加味没竭片。观察两组疼痛积分、临床疗效、止痛起效时间和维持时间、血清中糖类抗原125(CA125)水平。结果观察组对子宫内膜异位症盆腔相关性疼痛的近期总有效率为90.5%(38/42),优于药物组的82.9%(34/41)(P<0.05);远期总有效率分别为85.7%(36/42)、70.7%(29/41),差异均有统计学意义(P<0.05)。两组治疗后疼痛积分均较治疗前降低(P<0.01),且观察组较药物组改善效果显著(P<0.05);观察组较药物组止痛起效时间快、维持时间长(P<0.05);两组治疗前后CA125水平比较差异均有统计学意义(P<0.05),两组治疗前后CA125差值比较差异有统计学意义(P<0.05)。结论腹针配合八髎穴隔姜灸在改善子宫内膜异位症盆腔相关性疼痛,降低血清C125水平方面都优于口服加味没竭片,是治疗本病的较佳疗法。Objective To observe the clinical efficacy of abdominal acupuncture plus ginger-partitioned moxibustion at Baliao points in treating pelvic pain in endometriosis. Method Eighty-four patients with pelvic pain due to endometriosis were randomized into an observation group and a medication group, with 42 cases in each group. The observation group was intervened by abdominal acupuncture plus ginger-partitioned moxibustion at Baliao points, while the medication group was prescribed with oral administration of Jia Wei Mo Jie tablets. The pain score, clinical efficacy, starting and lasting time of pain releasing, and the level of human carbonhydrate antigen 125 （CA125） in serum in the two groups were observed. Result The short-term total effective rate of abdominal acupuncture plus ginger-partitioned moxibustion for pelvic pain due to endometriosis was 90.5% （38/42）, higher than 82.9% （34/41） of the medication group （P〈0.05）; the long-term total effective rates were 85.7% （36/42） and 70.7% （29/41）, respectively, and the difference was statistically significant （P〈0.05）. The pain scores declined after the treatment in the two groups （P〈0.01）, and the improvement in the observation group was more significant than that in the medication group （P〈0.05）; the observation group took a faster action in easing pain and the action lasted longer compared with themedication group （P〈0.05）; the levels of CA125 changed significantly after the treatment in the two groups （P〈0.05）, and there was a significant difference comparing the change in the level of CA125 between the two groups （P〈0.05）. Conclusion Abdominal acupuncture plus ginger-partitioned moxibustion at Baliao points is superior to oral administration of Jia Wei Mo Jie tablets in improving pelvic pain in endometriosis and decreasing the serum level of CA125, and thus it is a good treatment option for this disease.

关 键 词：针刺疗法 腹针 隔姜灸 子宫内膜异位症 盆腔疼痛 穴 八髎 

分 类 号：R246.3[医药卫生—针灸推拿学]