针刺配合中药治疗气滞血瘀型子宫肌瘤的疗效观察

发布时间：2018-01-15 04:07

本文关键词：针刺配合中药治疗气滞血瘀型子宫肌瘤的疗效观察　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：本研究课题采用针刺配合中药治疗气滞血瘀型子宫肌瘤,针刺以选取下腹部穴位(关元、子宫穴(双)、中极、三阴交、天枢等)为主,配合口服中药香棱丸加减方,观察本疗法对气滞血瘀型子宫肌瘤患者的临床疗效,通过对患者临床症状的观察及肌瘤体积大小的变化来判断本疗法的临床疗效,并对此法进行疗效评价,为本疗法在临床上广泛应用提供理论依据。方法：本课题共收集符合诊断纳入标准的子宫肌瘤患者96例,将96例患者随机分成三组,即针药组、中药组、针刺组。针药组采用针刺结合口服中药香棱丸加减方,中药组口服香棱丸加减方,针刺组采用针刺疗法。观察治疗前后三组患者的中医证候改善情况,超声检查肌瘤大小变化情况,所有研究数据均用SPSS21.0进行统计学分析。结果：1.中医证候积分比较：三组患者治疗后,中医证候积分较治疗前均下降,P0.001,差异有统计学意义,且治疗后针药组分别与单纯中药组及针刺组比较,P0.05,表明针药组在改善子宫肌瘤临床症状方面分别优于单纯中药组和针刺组；2.肌瘤体积比较：三组患者治疗后,肌瘤体积较治疗前均减小,P0.00 1,差异有统计学意义,且治疗后针药组分别与单纯中药组及针刺组比较,P0.05,表明针药组的缩瘤效果分别优于单纯中药组和针刺组；3.中医证候疗效比较：治疗后针药组、中药组、针刺组的总有效率分别为83.3%、64.5%和60.0%,针药组分别与单纯中药组及针刺组比较,P0.05,差异有统计学意义,表明针药组在改善子宫肌瘤临床症状方面疗效分别优于单纯中药组和针刺组；4.肌瘤疗效比较：治疗后针药组、中药组、针刺组的总有效率分别为76.7%、48.4%和46.7%,针药组分别与单纯中药组及针刺组比较,P0.05,差异有统计学意义,表明针药组对缩小肌瘤体积方面疗效分别优于单纯中药组和针刺组。结论：研究表明,针刺配合口服中药香棱丸加减方治疗气滞血瘀型子宫肌瘤疗效确切,在中医证候改善及缩小肌瘤体积方面优于单纯中药治疗和针刺治疗,此外,该传统疗法可以保留育龄女性的生育功能,安全有效,无副作用,值得在临床推广应用。
[Abstract]:Objective: to study the treatment of hysteromyoma of qi stagnation and blood stasis type by acupuncture combined with traditional Chinese medicine. The main acupuncture method is to select the points of lower abdomen (Guan Yuan, uterus points (Shuangli, middle pole, Sanyinjiao, Tianshu, etc.). To observe the clinical effect of this therapy on patients with hysteromyoma of Qi stagnation and blood stasis type, and to judge the clinical effect of this therapy by observing the clinical symptoms of the patients and the changes of the volume of myoma. The therapeutic effect of this method was evaluated to provide a theoretical basis for its wide clinical application. Methods: 96 patients with uterine leiomyoma who met the criteria of diagnosis and inclusion were collected. 96 patients were randomly divided into three groups: acupuncture group, traditional Chinese medicine group and acupuncture group. The acupuncture group was treated with acupuncture. The improvement of TCM syndromes and the changes of myoma size were observed in the three groups before and after treatment. All the data were analyzed by SPSS21.0. Results: 1. Comparison of TCM syndrome score: after treatment, TCM syndrome score decreased P0.001. The difference was statistically significant, and after treatment, the acupuncture and medicine group was better than the traditional Chinese medicine group and the acupuncture group in improving the clinical symptoms of uterine leiomyoma compared with the traditional Chinese medicine group and the acupuncture group respectively, which indicated that the acupuncture group was superior to the traditional Chinese medicine group and the acupuncture group in improving the clinical symptoms of uterine leiomyoma. 2. Comparison of the volume of myoma: after treatment, the volume of myoma in the three groups decreased compared with that before treatment, the difference was statistically significant, and the acupuncture and medicine group was compared with the traditional Chinese medicine group and the acupuncture group after treatment. P0.05 showed that the effect of acupuncture and medicine group was better than that of traditional Chinese medicine group and acupuncture group. 3. Comparison of TCM syndromes: after treatment, the total effective rates of acupuncture and medicine group, traditional Chinese medicine group and acupuncture group were 83.3% and 64.5% respectively, and the acupuncture and medicine group were compared with simple Chinese medicine group and acupuncture group respectively. P0.05, the difference was statistically significant, indicating that the acupuncture and medicine group in improving the clinical symptoms of uterine myoma were better than the traditional Chinese medicine group and acupuncture group respectively. 4. Comparison of curative effect of myoma: the total effective rate of acupuncture and medicine group, traditional Chinese medicine group and acupuncture group were 76.78.4% and 46.7%, respectively, and the acupuncture and medicine group were compared with simple Chinese medicine group and acupuncture group respectively. P0.05, the difference is statistically significant, indicating that acupuncture and medicine group in reducing the volume of myoma, respectively, is better than the traditional Chinese medicine group and acupuncture group. Conclusion: the study shows. Acupuncture combined with oral Chinese medicine Xiangleng pills plus subtractive prescription in the treatment of Qi stagnation and blood stasis type uterine leiomyoma is effective, in TCM syndrome improvement and reduce the volume of myoma is better than simple Chinese medicine treatment and acupuncture treatment, in addition. The traditional therapy can preserve the reproductive function of women of childbearing age, is safe and effective, and has no side effects, so it is worth popularizing in clinic.
【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】：R273

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