机构地区:[1]佳木斯市中医医院妇科,黑龙江佳木斯154002 [2]佳木斯市妇幼保健院,黑龙江佳木斯154002 [3]黑龙江省胜利农场医院,黑龙江双鸭山155100
出 处:《辽宁中医杂志》2025年第2期156-159,共4页Liaoning Journal of Traditional Chinese Medicine
摘 要:目的探究“子午流注”针法联合温经汤加减治疗实寒型功能性月经病的临床研究。方法选取该院2021年12月-2022年10月收治的107例实寒型功能性月经病患者作为研究对象,采用随机对照法其分为两组,试验组53例,对照组54例。两组均进行西医常规治疗,对照组在常规治疗基础上采用温经汤加减进行治疗;试验组在对照组基础上联合“子午流注”针法进行治疗。比较两组治疗后临床疗效,治疗前后两组临床症状严重程度[COX痛经症状评估量表(COX Menstrual Symptom Scale,CMSS)]、子宫及卵巢动脉血流参数[收缩期峰值流速(peak systolic velocity,PSV)、阻力指数(resistance index,RI)、搏动指数(pulsatility index,PI)]及生殖激素[促卵泡素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)、雌二醇(estradiol,E_(2))、孕酮(progesterone,P)、睾酮(testosterone,T)]差异。结果治疗后,试验组临床疗效为92.45%(49/53),显著高于对照组85.19%(42/54)(P<0.05);治疗后,两组子宫及卵巢动脉血流参数PSV与FSH、LH、E_(2)、P、T较治疗前显著升高,且试验组高于对照组(P<0.05);治疗后两组CMCC、子宫及卵巢动脉血流参数RI与PI显著降低,且试验组低于对照组(P<0.05)。结论“子午流注”针法联合温经汤加减能有效缓解实寒型功能性月经病患者临床症状,改善子宫及卵巢动脉血流,调节患者内分泌功能,疗效确切,可在临床推广应用。Objective To explore the clinical study of“midnight-midday ebb flow”acupuncture combined with Modified Wenjing Decoction(温经汤加减)in the treatment of cold syndrome type functional menstrual disease.Methods A hundred and seven patients with cold syndrome type functional menstrual disease admitted to the hospital from December 2021 to October 2022 were selected as research subjects,and were divided into two groups by randomized control method,including 53 cases in experimental group and 54 cases in control group.Both groups received conventional western medicine treatment,and the control group was treated with Modified Wenjing Decoction on the basis of conventional treatment,and the experimental group was combined with“midnight-midday ebb flow”acupuncture treatment on the basis of the control group.The clinical efficacy after treatment,clinical symptom severity[COX Menstrual Symptom Scale(CMSS)],uterine and ovarian artery blood flow parameters[peak systolic velocity(PSV),resistance index(RI),pulsatility index(PI)]and reproductive hormones[follicle stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E_(2)),progesterone(P),testosterone(T)]before and after treatment were compared between both groups.Results After treatment,the clinical efficacy in the experimental group was 92.45%(49/53),which was significantly higher than that(85.19%,42/54)in the control group(P<0.05).The levels of uterine and ovarian artery blood flow parameter(PSV),FSH,LH,E_(2),P and T after treatment were significantly increased in both groups compared with those before treatment,and the indicators in the experimental group were higher than those in the control group(P<0.05).After treatment,the CMCC and uterine and ovarian artery flow parameters(RI and PI)in both groups were significantly decreased,and the indicators were lower in the experimental group than those in the control group(P<0.05).Conclusion“Midnight-midday ebb flow”acupuncture combined with Modified Wenjing Decoction can effectively relieve the clinical sympt
分 类 号:R246.3[医药卫生—针灸推拿学]
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