隔姜灸配合穴位按摩疗法治疗寒凝血瘀型原发性痛经的临床观察

发布时间：2017-12-27 21:39

本文关键词：隔姜灸配合穴位按摩疗法治疗寒凝血瘀型原发性痛经的临床观察　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究主要观察了隔姜灸配合穴位按摩疗法治疗寒凝血瘀型原发性痛经的临床疗效,并对其进行疗效评估,以期为临床提供一种安全、简便、价廉的治疗方法。研究方法：本研究纳入了66例寒凝血瘀型原发性痛经的患者,随机分为治疗组与对照组两组,每组33例,治疗组采用隔姜灸配合穴位按摩方法进行治疗,对照组口服温经汤组。共治疗3个月经周期。观察两组患者治疗后临床症状、中医证候及痛觉评分改善情况结果：治疗组和对照组临床症状的总有效率分别为90.3%和93.9%,治疗组与对照组治疗后进行统计学分析,P0.05,提示两组治疗效果无明显差异,说明隔姜灸配合穴位按摩与温经汤疗效相近,均可以有效改善患者的临床症状；治疗组与对照组在治疗改善中医证候方面,总有效率分别为87.1%、90.9%,两组相比较,P0.05,无统计学差异,说明两组在改善中医症候方面效果相当。观察两组患者在治疗的第一个月经周期时,治疗组的总有效率为64.5%,对照组的总有效率为62.5%,两组相比,无统计学差异,说明隔姜灸配合穴位按摩疗法与口服温经汤疗效相近,可以较快缓解患者腹痛的症状。在治疗的第二个月经周期,治疗组的总有效率为74.2%,对照组总有效率为78.1%,两组相比较,无统计学差异,提示临床疗效相近。由此推断,隔姜灸配合穴位按摩在改善临床症状、中医证候方面与口服温经汤疗效相当,且起效迅速,能较快的缓解患者的腹痛症状。结论：一、隔姜灸配合穴位按摩能够改善寒凝血瘀型原发性痛经患者的中医症候及临床症状,其总体疗效与口服温经汤相近。二、对于寒凝血瘀型原发性痛经患者,隔姜灸配合穴位按摩可以较快的缓解患者经行腹痛的症状,其总体疗效与口服温经汤相近。三、隔姜灸配合穴位按摩治疗寒凝血瘀型痛经疗效确切,是一种安全、简便、价廉的治疗方法,值得临床推广应用。
[Abstract]:Objective: To observe the clinical efficacy of ginger partitioned moxibustion combined with acupoint massage in the treatment of primary dysmenorrhea due to cold coagulation and blood stasis, and to evaluate its curative effect in order to provide a safe, simple and inexpensive treatment for clinic. Research methods: 66 cases of primary dysmenorrhea with cold coagulation and blood stasis were enrolled in this study. They were randomly divided into two groups, 33 cases in each group. The treatment group was treated with ginger partitioned moxibustion plus acupoint massage, while the control group was given the decoction of warming meridians. A total of 3 menstrual cycles were treated. Observe two groups of patients after treatment, clinical symptoms, syndromes and pain score improvement results: treatment group and control group, the clinical symptoms of the total effective rate was 90.3% and 93.9%, the treatment group were statistically analyzed, and the control group P0.05 after treatment, suggesting that the treatment effect of the two groups had no significant differences, indicating moxibustion and acupoint massage and Wenjing decoction have similar efficacy, can improve the patient's clinical symptoms; the treatment group and the control group to improve the TCM syndromes in the treatment, the total effective rate was 87.1%, 90.9%, two group comparison, P0.05, no significant difference between the two groups in the improvement of TCM syndrome has the same effects. Observe two groups of patients in the first menstrual cycle treatment, the total efficiency of the treatment group was 64.5%, control group total effective rate was 62.5%, compared to the two groups, no significant difference, indicating ginger moxibustion combined with acupoint massage therapy and oral Wenjing decoction have similar efficacy, can relieve the symptoms of abdominal pain. In the second menstrual cycles, the total effective rate of the treatment group was 74.2%, while the total effective rate of the control group was 78.1%. There was no significant difference between the two groups, indicating that the clinical effect was similar. It is concluded that ginger partitioned moxibustion plus acupoint massage is effective in improving clinical symptoms and TCM syndromes, and is effective in relieving abdominal pain. Conclusion: first, ginger partitioned moxibustion plus acupoint massage can improve TCM symptoms and clinical symptoms of primary dysmenorrhea patients with cold coagulation and blood stasis, and its overall efficacy is similar to that of oral administration of Wen Jing Tang. Two, for patients with primary dysmenorrhea with cold coagulation and blood stasis, ginger partitioned moxibustion plus acupoint massage can relieve patients' symptoms of abdominal pain quickly, and its overall efficacy is similar to that of oral administration of Wen Jing Tang. Three. The curative effect of ginger moxibustion and acupoint massage is a safe, simple and inexpensive treatment for cold and blood stasis syndrome. It is worthy of clinical application.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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