摘要
目的:观察针刺加穴位贴敷治疗子宫内膜异位症痛经的临床疗效,探索治疗本病的最佳疗法。方法:将73例子宫内膜异位症痛经患者随机分为针刺加穴贴组(36例)和药物组(37例)。针刺加穴贴组取中极、关元、子宫等穴位针刺,然后用药物贴敷治疗;药物组采用口服加味没竭片。观察治疗前后两组疼痛积分、临床疗效、止痛起效时间和维持时间。结果:针刺加穴贴组对子宫内膜异位症痛经的近期总有效率为91.2%(31/34),优于药物组的83.3%(30/36)(P<0.05);远期总有效率分别为97.1%(33/34)、69.4%(25/36),两组疗效差异具有统计学意义(P<0.05)。两组疼痛积分均较治疗前降低,且针刺加穴贴组较药物组改善程度显著(P<0.01);针刺加穴贴组较药物组止痛起效时间快(P<0.05),维持时间长,止痛效果稳定。结论:针刺加穴位贴敷治疗子宫内膜异位症痛经患者疗效显著,是治疗本病的较佳疗法。
Objective To observe the clinical therapeutic effect of acupuncture combined with acupoint sticking therapy for treatment of dysmenorrhea caused by endometriosis, and to probe into the best therapy for this kind of disease. Methods Seventy-three cases of dysmenorrhea caused by endometriosis were randomly divided into an acupuncture combined with acupoint sticking therapy group （observation group） and a medication group （control group）. The observation group （36 cases） was treated with acupuncture combined with acupoint sticking therapy, Zhongji （CV 3）, Guanyuan （CV 4）, Zigong （EX-CA 1） etc. were selected; the control group （37 cases） was treated with oral administration of Jiowei Mojie tablet. The clinical effects, pain scores, onset time of producing analgesic and duration of both groups were observed before and after treatment. Results The short term total effective rate of 91.2%（31/34） in observation group was better than that of 83.3% （30/36） in control group （P〈0.05）; the long term total effective rates were 97.1% （33/34） and 69.4%（25/36） in observation group and control group respectively, with significant difference between two groups （P〈0.05）. The pain scores of both groups were decreased after treatment, and the improvement degree was more significant in observation group （P〈0. 01） ; the onset time in observation group was shorter than that in control group （P〈0. 05）, the duration of effect in observation group was longer, and with a stable effect. Conclusion The therapeutic effect of acupuncture combined with acupoint sticking therapy is very significant for dysmenorrhea caused by endometriosis, and it is a good therapy for this kind of disease.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第9期725-728,共4页
Chinese Acupuncture & Moxibustion
关键词
针刺
穴位贴敷
子宫内膜异位症
痛经
Acupuncture
Acupoint Sticking Therapy
Endometriosis
Dysmenorrhea
