赖氏通元法治疗绝经前后诸证的临床研究

发布时间：2018-01-13 21:05

  本文关键词：赖氏通元法治疗绝经前后诸证的临床研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

  更多相关文章： 赖新生 绝经前后诸证/围绝经期综合征 通元(针)法

【摘要】：目的:本课题通过临床研究,观察运用通元法对绝经前后诸证患者的治疗效果,探讨通元法治疗绝经前后诸证的理论基础,为绝经前后诸证的临床治疗提供有效的治疗方案。方法:选取于2016年1月--2017年1月在广州中医药大学第一附属医院就诊的绝经前后诸证患者,按诊断标准纳入治疗64例,按随机分组原则,每组各32例。治疗组予通元法治疗;对照组予普通针刺治疗。观察两组治疗前及治疗满2个疗程后的症状变化情况,通过性激素三项(FSH,LH,E2)评估,根据Kupperman评分法及生存质量评分表(QOL-BREF)进行综合评分,并观察两组患者的改善情况。结果:两组患者治疗前后比较E2、FSH和LH数值均未见明显差异(P0.05)。两组患者治疗后比较kupperman评分比较中可以看出失眠、情绪波动两组症状治疗前后有显著性差异(P0.05),其他症状两组改善程度相同。两组间患者治疗后比较生存质量评分,其中主观感受2评分差异有统计学意义(P0.05),其他症状两组改善程度相同。两组患者治疗前后生存质量简表总评分比较差异有统计学意义(P0.05);其中治疗组在治疗前后患者主观感受1、主观感受2、PHYS、PSYCH、SOCIL、ENVIR、102和103评分比较差异有统计学意义(P0.05);对照组在治疗前后主观感受1、主观感受2、PHYS、PSYCH、SOCIL、ENVIR和103评分比较差异有统计学意义(P0.05)。两组患者疗效指数(KI)比较差异无统计学意义(P0.05)。结论:1.常规针灸及通元法针刺组对于绝经前后诸证患者的性激素水平(E2、FSH和LH)未见明显影响。2.患者的一般情况如年龄、身高、病程、病情等对疗效无明显影响。3.治疗组予通元法治疗绝经前后诸证在症状改善上与对照组普通针刺未见明显差异。4.治疗组对绝经前后诸证患者失眠及情绪波动症状的消除和改善明显优于对照组,而对其余症状的消除与改善,两组组间比较无显著性差异。5.通元法治疗绝经前后诸证没有任何不良反应。
[Abstract]:Objective: to observe the therapeutic effect of Tongyuan method on patients with pre-and post-menopausal syndrome by clinical study, and to explore the theoretical basis of Tongyuan method for the treatment of postmenopausal syndrome. Methods: from January 2016 to January 2017 in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine, we selected the patients before and after menopause. 64 cases were treated according to diagnostic criteria, 32 cases in each group according to the principle of random grouping. The treatment group was treated with Tongyuan method. The patients in the control group were treated with common acupuncture. The changes of symptoms before treatment and after two courses of treatment were observed and evaluated by three items of sex hormone (FSHLHN E2). According to the Kupperman score and QOL-BREF, the improvement of the two groups was observed. Results: E2 was compared between the two groups before and after treatment. There was no significant difference in FSH and LH values between the two groups (P 0.05). Insomnia was observed in the comparison of kupperman scores between the two groups after treatment. There was significant difference between the two groups before and after treatment, and the other symptoms were improved to the same extent. The scores of quality of life were compared between the two groups after treatment. The difference of subjective perception 2 score was statistically significant (P 0.05). The improvement of other symptoms in the two groups was the same. There was significant difference in the total score of quality of life between the two groups before and after treatment (P 0.05). Before and after treatment, the patients in the treatment group had 1 subjective feeling and 2 patients' subjective feelings before and after treatment. There was significant difference between 102 and 103 scores (P 0.05). In the control group, the subjective feelings were 1 and 2 respectively before and after treatment. There was significant difference between ENVIR and 103 scores (P 0.05). There was no significant difference in curative effect index (Ki) between the two groups (P 0.05). Conclusion 1.routine acupuncture and Tongyuan method acupuncture group for the patients before and after menopausal sex hormone level of estradiol. FSH and LH) did not significantly affect the general condition of patients such as age, height, course of disease. There is no significant difference in symptoms between the treatment group and the control group before and after the treatment of menopause. 4. Insomnia and emotional waves in the treatment group before and after menopause. The elimination and improvement of motility symptoms were significantly better than those in the control group. There was no significant difference between the two groups in the elimination and improvement of other symptoms. 5. There were no adverse reactions before and after treatment with Tongyuan method.
【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】：R246.3
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本文编号：1420519