摘要
目的:比较穴位埋线与针刺治疗慢性盆腔炎的疗效差异,并观察穴位埋线对不同证型的疗效差异。方法:将218例患者随机分为埋线组(115例)和针刺组(103例)。两组均以肾俞、关元俞、子宫、腰阳关、关元、气海为主穴,气滞血瘀型加中都、地机等,寒湿凝滞型加地机、三阴交,脾虚瘀浊型加三阴交、足三里。埋线组予埋线疗法,每次选择7～13个穴位,10天埋线1次;针刺组采用常规针刺疗法,每天1次。对患者下腹疼痛程度及发作频率、腰骶酸胀程度、带下异常情况等进行证候积分评估,并比较两组疗效。结果:埋线组总有效率为93.0%(107/115),优于针刺组的83.5%(86/103,P<0.05)。治疗后两组证候积分均降低(均P<0.05),且埋线组中不同证型之间的疗效差异无统计学意义(均P>0.05)。结论:穴位埋线治疗慢性盆腔炎疗效优于单纯针刺,且各证型之间疗效相当。
Objective To compare the clinical efficacy on chronic pelvic inflammation between the acupoint embedding therapy and acupuncture,and to compare the efficacy of different patterns/syndroms in differentiation treated with acupoint embedding therapy.Methods Two hundred and eighteen cases were randomized into an embedding therapy group（115 cases） and an acupuncture group（103 cases）.In both groups,Shenshu（BL 23）,Guanyuanshu（BL 26）,Zigong（EX-CA 1）,Yaoyangguan（GV 3）,Guanyuan（CV 4） and Qihai（CV 6） were selected as the main points.For qi and blood stagnation pattern/syndrome,Zhongdu（LR 6）,Diji（SP 8） and the others were added;for cold and damp stagnation pattern/syndrome,Diji（SP 8） and Sanyinjiao（SP 6） were added;for stasis and phlegm pattern/syndrome due to spleen deficiency,Sanyinjiao（SP 6） and Zusanli（ST 36） were added.In the embedding therapy group,the catgut was embedded at 7-13 acupoints each time,once every 10 days.In the acupuncture group,the conventional acupuncture therapy was applied,once a day.The symptom scores were assessed in the aspects of the lower abdominal pain severity and attack frequency,lumbosacral soreness and distention,abnormality of vaginal discharge and the others.The efficacy was compared between the two groups.Results The total effective rate was 93.0%（107/115） in the embedding therapy group,which was better than 83.5%（86/103） in the acupuncture group（P0.05）.The symptom scores were all reduced after treatment in the two groups（all P0.05）.In the embedding therapy group,the efficacies were not significantly different among different patterns/syndromes（all P0.05）.Conclusion The acupoint embedding therapy achieves the definite efficacy on chronic pelvic inflammation and obtains the similar efficacies among the different differentiated patterns/syndromes of the disease.
出处
《中国针灸》
CAS
CSCD
北大核心
2012年第12期1081-1083,共3页
Chinese Acupuncture & Moxibustion
基金
浙江省中医药科技计划资助项目:2010 ZS 003
关键词
慢性盆腔炎
穴位埋线
针刺疗法
Chronic Pelvic Inflammatory
Acupoint Ligat Thread Embed
Acupuncture Therapy
