摘要
目的:观察三联针法治疗围绝经期综合征的临床疗效。方法:将100例围绝经期综合征患者随机分成观察组和对照组,每组50例。观察组采用三联针法,即电针、水针、火针疗法联合治疗;对照组仅采用电针治疗,2组疗程均为10d。治疗结束及3个月后随访,进行改良Kupperman量表评定。结果:与治疗前相比,两组在治疗结束及3个月后随访的改良Kupperman评分均明显降低(P<0.05);与对照组相比,观察组在治疗结束及3个月后随访的改良Kupperman评分明显降低(P<0.05)。观察组的总有效率为94%(47/50),优于对照组的80%(40/50,P<0.05)。结论:三联针法治疗围绝经期综合征临床疗效优于单纯电针治疗。
Objective To observe the clinical efficacy of joint application of electroacupuncture（EA）,acupoint-injection and fire-needle in the treatment of menopausal syndrome（MS）women.Methods One hundred MS patients were randomized into control group and combined treatment group（n=50 patients in each）.The combined treatment group was treated by joint application of EA,acupoint-injection and fire-needle stimulation,and the control group treated by EA stimulation alone.EA was applied to Shenshu（BL 23）,Xinshu（BL15）,Taixi（KI 3）,Sanyinjiao（SP 6）,Laogong（PC 8）,Pishu（BL 20）,etc.,for 30 min,once daily for 10 days.Point-injection of red ginseng-ophiopogon root injection（0.5 mL）or red-hot needle stimulation was applied to bilateral BL15,BL 20,SP 6 and BL 23 once daily for 10 days and once every other day for 5 times,respectively.The modified Kupperman index scale was used to evaluate symptoms（hot flashes and night sweats：4 points;paresthesia,insomnia,dyspareunia,irritability and problems of urinary system：2 point each;depression,dizziness,fatigue,joint pain or muscular pain,headache,palpitation,skin formication：1 point each）of the perimenopausal syndrome,and 3 months＇ follow-up survey was conducted after the treatment.Each symptom score was calculated as the product of the symptom severity score（0,no;1,mild;2,moderate;3,severe）multiplied by the points of symptom index.The total Kupperman score was the sum of the scores of all the items.The therapeutic effect was also evaluated according to the ＂Guiding Principles for Clinical Trials of New Drugs of Chinese Materia Medica＂（2002）.Results The Kupperman scores were significantly decreased following the 10 days＇ treatment and 3 months thereafter in both control and combined treatment groups in comparison with their individual pre-treatment（P〈0.05）,and were obviously lower in the combined treatment group than in the control group after treatment（P〈0.05）.Of the both 50 patients in the control and combined treatment groups,22（44%）and 35（70%）experienced a remarkably improvement,18（36%）and12（24%）were effective,and 10（20%）and 3（6%）ineffective,with the total effective rates being 80% and 94%,respectively.The therapeutic effect of the combined treatment group was notably superior to that of the control group（P〈0.05）.Conclusion The joint application of electroacupuncture（EA）,acupoint-injection and fire needle is significantly superior to that of simple EA in improving the symptoms of patients with menopausal syndrome.
作者
彭易雨
景绘涛
栾兰
涂赢赢
PENG Yi-yu;JING Hui-tao;LUAN Lan;TU Ying-ying(Department of Acu-moxibustion and Massage, the Second Hospital of Huangshi , Huangshi 435000, Hubei Province, Chin)
出处
《针刺研究》
CAS
CSCD
北大核心
2018年第4期260-262,268,共4页
Acupuncture Research
关键词
围绝经期综合征
三联针法
电针
火针疗法
穴位注射
Menopausal syndrome
Combined treatment
Electroacupuncture
Fire-needle therapy
Acupoint injection
