针灸治疗气虚血瘀型子宫内膜异位症痛经的效果分析  

Effect analysis of acupuncture in the treatment of dysmenorrhea in endometriosis with qi deficiency and blood stasis

作　　者：张春敏 吴天思 王颖颖[1] 王晔博 康国辉[1] 高秀领[1] 王俊玲[1] 于改弟[1] ZHANG Chunmin;WU Tiansi;WANG Yingying;WANG Yebo;KANG Guohui;GAO Xiuling;WANG Junling;YU Gaidi(Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang 050013,China;The First Hospital of Hebei Medical University,Shijiazhuang 050030,China)

机构地区：[1]河北省中医院,石家庄050013 [2]河北医科大学第一医院,石家庄050030

出　　处：《天津中医药大学学报》2024年第5期439-443,共5页Journal of Tianjin University of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(2022067)。

摘　　要：[目的]分析针灸治疗气虚血瘀型子宫内膜异位症痛经的效果。[方法]选取河北省中医院及河北医科大学第一医院2022年1月—2022年6月诊治的60例气虚血瘀型子宫内膜异位症痛经患者,按照随机数字表法分为三组,分别为西药组(口服屈螺酮炔雌醇片(Ⅱ))20例、中药组(益气化瘀中药免煎颗粒)20例、针灸组(主穴:中脘、气海、关元、中极穴等)20例,比较三组治疗效果。[结果]针灸组总有效率高于中药组、西药组(P<0.05);治疗前,三组疼痛控制情况比较(P>0.05);治疗第4周、8周、12周,针灸组VAS评分低于中药组、西药组(P<0.05);治疗前,三组中医证候评分比较(P>0.05);治疗后,针灸组中医证候评分低于中药组、西药组(P<0.05);治疗前,三组血流动力学指标比较(P>0.05);治疗后,针灸组子宫内膜血流搏动指数(PI)、阻力指数(RI)低于中药组、西药组(P<0.05);治疗前,三组免疫功能指标比较(P>0.05);治疗后,针灸组CD4^(+)/CD8^(+)、CD4^(+)高于中药组、西药组(P<0.05),CD8^(+)低于中药组、西药组(P<0.05);治疗前,三组生存质量评分比较(P>0.05);治疗后,针灸组生存质量评分低于中药组、西药组(P<0.05)。组间不良反应发生对比无显著差异(P>0.05)。[结论]针灸治疗气虚血瘀型子宫内膜异位症痛经,可改善患者内分泌功能与血流动力学状态,增强患者的免疫功能,提高镇痛效果。[Objective]To analyze the effect of acupuncture in the treatment of endometriosis dysmenorrhea with qi deficiency and blood stasis.[Methods]A total of 60 patients with endometriosis with qi deficiency and blood stasis and dysmenorrhea diagnosed and treated by Hebei Provincial Hospital of Traditional Chinese Medicine and the First Hospital of Hebei Medical University from January 2022 to June 2022 were selected and divided into three groups according to the random number table method,including 20 cases in the Western medicine group(oral drospirenone ethinylestradiol tablets(Ⅱ.),20 cases in the traditional Chinese medicine group(Chinese medicine non-decoction granules for qi and blood stasis),and 20 cases in the acupuncture group(main acupoints:Zhongguan,Qihai,Guan Yuan,Zhongji acupoints,etc.),and the treatment effects of the three groups were compared From January 2022 to June 2022,60 patients with endometriosis dysmenorrhea diagnosed and treated by our hospital were selected and divided into three groups according to the random number table method,including 20 cases in the western medicine group,20 cases in the traditional Chinese medicine group and 20 cases in the acupuncture group,and the treatment effects of the three groups were compared.[Results]The total effective rate of the acupuncture and moxibustion group was higher than that of the traditional Chinese medicine group and the western medicine group(P<0.05);Comparison of pain control among the three groups before treatment(P>0.05);At the 4th,8th and 12th week of treatment,the VAS score of the acupuncture and moxibustion group was lower than that of the traditional Chinese medicine group and the western medicine group(P<0.05);Before treatment,compare the TCM syndrome scores of the three groups(P>0.05);After treatment,the TCM syndrome score of the acupuncture and moxibustion group was lower than that of the traditional Chinese medicine group and the western medicine group(P<0.05);Comparison of hemodynamic indicators among the three groups before treatment

关 键 词：针灸 气虚血瘀型 子宫内膜异位症 痛经 

分 类 号：R711.71[医药卫生—妇产科学] R245.31[医药卫生—临床医学]