穴位不同针刺深度对绝经过渡期患者生活质量和生殖内分泌的影响

发布时间：2018-05-06 09:21

本文选题：针刺深度 + 绝经过渡期　；参考：《中华中医药杂志》2017年10期

【摘要】：目的:评价不同针刺深度对绝经过渡期患者生活质量和内分泌的影响。方法:将90例患者随机分配到深刺组(30例)、安慰针组(30例)和浅刺组(30例)。采用围绝经期生活质量量表(MENQOL)、以及生殖内分泌相关激素指标卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)的变化情况作为主要评价指标进行评价。结果:(1)3组患者MENQOL总分治疗后各时点比较,除第4周外,深刺组与安慰针组、浅刺组比较,差异均有统计学意义(P0.05);而浅刺组与穴位安慰针组同期比较,仅在第8周时点比较,差异有统计学意义(P0.05)。(2)MENQOL量表各维度比较:深刺组与安慰针组比较,血管舒缩症状维度评分在治疗后各时点以及心理、生理维度评分在治疗第8周、治疗后1个月和治疗后3个月,差异均有统计学意义(P0.05);深刺组与浅刺组同期比较,生理维度评分在治疗第8周,差异有统计学意义(P0.05)。(3)内分泌改变:深刺组与浅刺组均能降低LH水平,且深刺组下降幅度较浅刺组大,与安慰针组比较,差异有统计学意义(P0.05)。结论:穴位不同针刺深度影响绝经过渡期患者生活质量,深刺疗效优于浅刺,浅刺优于安慰针刺;深刺以及浅刺对患者生殖内分泌有良性调整趋势,需待进一步研究。
[Abstract]:Objective: to evaluate the effect of different acupuncture depth on life quality and endocrine of menopausal transitional period patients. Methods: 90 patients were randomly divided into deep needling group (n = 30), comfort needle group (n = 30) and superficial needling group (n = 30). The changes of quality of life (MENQOLN), follicle stimulating hormone (FSH), luteinizing hormone (LHN) and estradiol (E _ 2) were used to evaluate. Results there were significant differences in the total MENQOL scores of the three groups after treatment except for the 4th week, there were significant differences between the deep needling group, the comfort acupuncture group and the shallow needling group (P 0.05), but the comparison between the shallow needling group and the acupoint comfort acupuncture group was only at the 8th week. There were significant differences in the dimensions of MENQOL: compared with the placebo acupuncture group, the scores of vasomotor symptom dimension and psychological and physiological dimensions were at the 8th week of treatment, 1 month after treatment and 3 months after treatment in the deep needling group and the comfort needle group. The differences were statistically significant (P 0.05), the physiological dimension scores of deep needling group and shallow needling group were significantly different at the 8th week of treatment (P 0.05, P < 0.05) endocrine changes: both deep pricking group and shallow needling group could decrease LH level. The decrease of deep needling group was larger than that of shallow needling group, and the difference was statistically significant compared with that of comfort needle group (P 0.05). Conclusion: different acupuncture depths at acupoints affect the quality of life of patients with menopausal transitional period. The curative effect of deep acupuncture is better than that of shallow acupuncture, and shallow acupuncture is superior to comfort acupuncture, and deep needling and shallow pricking have a tendency of benign adjustment on reproductive endocrine of patients, which should be further studied.
【作者单位】：深圳市宝安区人民医院;中山大学附属第三医院;广西中医药大学第一附属医院;广东省中医院;
【基金】：“十二五”国家科技支撑计划项目(No.2012B A I24B01) 国家自然科学基金项目(No.81173348) 广东省中医药局项目(No.20161210)~~
【分类号】：R711.75

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