瑜伽体式组合治疗原发性痛经的临床疗效观察

发布时间：2019-05-23 14:59

【摘要】：目的:通过随机对照的方法,客观评价该套瑜伽体式组合对原发性痛经治疗的临床疗效,为推广瑜伽治疗原发性痛经提供瑜伽运动处方资料参考,以提高原发性痛经的临床治疗疗效。方法:本课题以广州中医药大学第一附属医院及广州中医药大学符合原发性痛经诊断标准的患者为研究对象,共纳入87名患者,将其随机分为埋线组(30例),运动组(30例,脱落2例)和瑜伽组(30例,中止1例)。埋线组患者根据辨证的情况,进行辨证选穴埋线治疗。运动组采取有氧运动联合核心力量训练的方案。瑜伽组根据生理周期选择不同的瑜伽组合体式方案进行锻炼。3组治疗每周1次,共3个月经周期。以3组在治疗前后及治疗后3个月的痛经分度标准与评分标准、COX痛经症状量表以及SCL-90量表为主对比三组在治疗原发性痛经在症状和心理功能改善中的近期和远期疗效。进而对比三组之间治疗不同严重程度的痛经及不同中医证型的临床疗效。对所收集的数据采用SPSS21.0进行统计分析,评价该套瑜体式组合伽治疗原发性痛经的临床疗效及安全性。结果:(1)CMSS:3组在治疗后、治疗结束后3个月与治疗前相比,痛经症状严重程度与持续时间均有改善,有显著性差异(P0.05)。在治疗后瑜伽组较埋线组相比无显著性差异(P0.05),较运动组相比,有显著性差异(P0.05)。在治疗结束后3个月,瑜伽组患者的痛经症状与持续时间少于埋线组和运动组,且差异有统计学意义(P0.05)。(2)痛经症状积分及有效率比较:3组的痛经症状积分在治疗后、治疗结束后3个月与治疗前相比,均有下降,有显著性差异(P0.05)。在治疗后瑜伽组较埋线组相比无显著性差异(P0.05),较运动组相比,有显著性差异(P0.05)。在治疗结束后3个月,瑜伽组患者的痛经症状积分低于于埋线组和运动组,且差异有统计学意义(P0.05)。瑜伽组的临床总疗效与埋线组、运动组相比,均有显著性差异(P0.05)。瑜伽组的有效率为86.21%,埋线组的有效率为46.67%,运动组的有效率为35.71%。瑜伽组与埋线组、运动组相比,均有显著性差异(P0.05),故瑜伽组的有效率优于埋线组和运动组。(3)痛经的严重程度分类比较,中度痛经患者中,埋线组、运动组、瑜伽组的有效率分别为:60%、16.66%、86.66%,瑜伽组的有效率优于埋线组和运动组(P0.0167)。重度痛经患者中,埋线组、运动组、瑜伽组的有效率分别为:28.51%、43.75%、71.42%,三组有效率无显著性差异(P0.05)。(4)中医证型分类比较,瑜伽组在气滞血瘀型证、寒湿凝滞证的原发性痛经患者治疗中的有效率分别为88.9%、100%。与埋线组相比,无显著差异(P0.05)。(5)SCL-90评分各因子的比较,瑜伽组躯体化、强迫症状、人际关系、抑郁、焦虑、敌对、偏执和精神病性各因子较治疗前相比,有显著性差异(P0.05)。瑜伽组较埋线组在焦虑、抑郁、强迫因子中,P0.05,有显著差异。瑜伽组较运动组在抑郁因子中,P0.05,有显著差异。(6)治疗中未出现运动损伤及其他不良反应事件。结论:该套瑜伽体式组合对治疗原发性痛经有显著疗效,其中以中度痛经及气滞血瘀证、寒湿凝滞证患者疗效佳。而且在改善痛经患者的在经期的不良情绪上优于非运动疗法及其他运动疗法。综上,该套瑜伽体式组合对于原发性痛经的治疗是一种安全、无副作用疗效确切,可用于临床推广。
[Abstract]:Objective: To evaluate the clinical curative effect of the set of yoga body combination on primary dysmenorrhea through a randomized controlled method, and to provide a reference for the promotion of yoga to treat primary dysmenorrhea to improve the clinical curative effect of primary dysmenorrhea. Methods: A total of 87 patients were enrolled in the first Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Guangzhou University of Traditional Chinese Medicine, and 87 patients were randomly divided into two groups (30 cases), exercise group (30 cases,2 out of 2 cases) and yoga group (30 cases). Abort 1 case). According to the condition of the syndrome differentiation, the patients with the line-embedding group were treated with the syndrome differentiation and selection. The exercise group adopts an aerobic exercise combined core force training scheme. In the yoga group, different yoga-body-type programs were selected for exercise according to the physiological cycle.3 groups were treated once a week for 3 menstrual cycles. The short-term and long-term effects of the three groups in the treatment of primary dysmenorrhea in the improvement of symptoms and mental function were compared with the criteria of the criteria for the graduation of the dysmenorrhea, the symptom scale of the COX-2 and the SCL-90 scale in the three groups before and after the treatment. And then compared three groups to treat the dysmenorrhea and the clinical curative effect of different traditional Chinese medicine syndrome types. The data collected were analyzed by SPSS21.0, and the clinical efficacy and safety of the set-in-combination combined with the treatment of primary dysmenorrhea were evaluated. Results: (1) CMSS: After treatment,3 months after the end of treatment, the severity and duration of the symptoms of dysmenorrhea were improved, and there was a significant difference (P <0.05). There was no significant difference in the yoga group after treatment (P0.05). In 3 months after the end of treatment, the symptoms and duration of the dysmenorrhea in the yoga group were less than that of the catgut group and the exercise group, and the difference was statistically significant (P0.05). (2) The integration of the symptoms of the dysmenorrhea and the effective rate: the integration of the symptoms of the dysmenorrhea in the 3 groups had a significant difference (P0.05), compared with the pre-treatment,3 months after the end of the treatment. There was no significant difference in the yoga group after treatment (P0.05). In the 3-month period after the end of treatment, the symptoms of dysmenorrhea in the yoga group were lower than that of the catgut group and the exercise group, and the difference was statistically significant (P0.05). The total curative effect of the yoga group was significantly different from that of the catgut group and the exercise group (P0.05). The effective rate of the yoga group was 86.21%, the effective rate of the group was 46.67%, and the effective rate of the exercise group was 35.71%. The effective rate of the yoga group was better than that of the catgut and the exercise group. (3) The effective rate of the yoga group was 60%, 16.66%, 86.66%, and the effective rate of the yoga group was superior to that of the catgut group and the exercise group (P0.05). In the patients with severe dysmenorrhea, the effective rate was 28.51%, 43.75% and 71.42%, respectively, and there was no significant difference between the three groups (P0.05). (4) The effective rate of the traditional Chinese medicine syndrome is 88.9% and 100%, respectively. There was no significant difference (P0.05). (5) There was a significant difference in the scores of SCL-90 scores, the somatization of the yoga group, the forced symptom, the interpersonal relationship, the depression, the anxiety, the hostility, the paranoia and the psychotic factors (P0.05). There was a significant difference in the anxiety, depression and obsessive-compulsive factors of the yoga group in the group of anxiety, depression and obsessive-compulsive. There was a significant difference between the group and the exercise group in the depression factor, P <0.05. (6) No motion damage and other adverse reaction events were observed in the treatment. Conclusion: The combination of this type of yoga has a remarkable curative effect on the treatment of primary dysmenorrhea, in which the patients with moderate dysmenorrhea and qi stagnation and blood stasis and cold-dampness stagnation syndrome have good curative effect. But also is superior to the non-motion therapy and other sports therapy in the bad mood of the patients with dysmenorrhea in the menstrual period. In general, the combination of the set of yoga and the like has the advantages of safety, no side effect and exact curative effect for the treatment of primary dysmenorrhea, and can be used for clinical popularization.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R711.51

【参考文献】