穴位贴敷配合针刺治疗气滞血瘀型慢性盆腔炎的临床研究

发布时间：2018-01-23 01:09

本文关键词： 穴位贴敷针刺慢性盆腔炎气滞血瘀型　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：借用疼痛症状评分的方式,观察穴位贴敷联合针刺治疗方法治疗气滞血瘀型慢性盆腔炎的疗效和安全性。通过研究为临床上该疾病的治疗探索更合适的治疗方法。此外也对此治疗方法的治疗机理进行初步探讨。方法：将符合诊断及纳入标准的60例慢性盆腔炎病患者随机分为两组,分组包括穴位贴敷配合针刺治疗组和针刺对照组患者各30例。治疗组给予穴位贴敷配合常规针刺治疗。穴位贴敷选穴：气海、关元、子宫(双)；穴位贴敷药物：三棱、大黄、莪术、冰片,按2：2：2：1的比例,用中药粉碎机粉碎并搅拌均匀备用。针刺取穴：三阴交(双)、气海、关元、合谷(双)、太冲(双)、子宫(双)。对照组予常规针刺。两组针刺的穴位相同。两组患者的治疗均每周3次,治疗1月为一个疗程,治疗频率为隔天进行1次。经期治疗停止。比较两组患者治疗前后的症状、体征积分相关项目,根据结果评价最终的治疗效果。结果：经统计学分析,两组患者治疗前性别、年龄、病程等基线资料皆具有可比性(P0.05)。连续治疗4周后治疗组基本痊愈3例,显效14例,有效10例,无效3例,总有效率90.00%。对照组基本痊愈1例,显效6例,有效15例,无效8例,总有效率73.33%。经Ridit分析,差异有统计学意义(P＜0.05)。提示治疗组经治疗后疗效优于对照组。两组患者症状总积分治疗前后比较：两组间治疗前症状总积分经独立样本t检验(P＞0.05)差异无统计学意义,具有可比性。治疗组：治疗前后自身比较经配对样本t检验(P＜0.05),差异有统计学意义；对照组：治疗前后比较经配对样本t检验(P0.05),差异有统计学意义。两组治疗前后积分组间比较经独立样本t检验(P＜0.01),差异有统计学意义。治疗后两组均能降低患者症状总积分的评分,而治疗组优于对照组。两组患者疼痛症状(下腹疼痛、腰骶胀痛、经行腹痛)治疗前后比较：两组间治疗前疼痛症状评分经独立样本t检验差异无统计学意义,两组具有可比性。治疗组：组内治疗前后比较经配对样本t检验(P0.05),差异有统计学意义；对照组：组内治疗前后比较经配对样本t检验,(P＜0.05),差异有统计学意义。两组治疗前后评分组间比较经独立样本t检验(P＜0.01),差异有统计学意义。治疗后两组均能降低患者疼痛症状的评分,而治疗组优于对照组。两组各出现2例不良反应,经处理后均能完成整个疗程。结论：通过分析研究结果,可发现治疗组与对照组对改善患者症状以及体征均有明显效果。不过根据研究数据结果治疗组比对照组治疗效果更优异。相关数据证实了本研究拟定疗法具有较好的疗效,该疗法或可作为治疗气滞血瘀型慢性盆腔炎的有效方案之一。
[Abstract]:Objective: to use the pain symptom score. To observe the efficacy and safety of acupoint application combined with acupuncture in the treatment of chronic pelvic inflammatory disease of qi stagnation and blood stasis type. Methods:. Sixty patients with chronic pelvic inflammatory disease who met the criteria of diagnosis and inclusion were randomly divided into two groups. The treatment group was divided into two groups: acupuncture group (n = 30) and acupuncture control group (n = 30). The treatment group was treated with acupoint application combined with conventional acupuncture. Acupoint application: Sanleng, rhubarb, zedoary, borneol, according to the ratio of 2: 2: 2: 1, with a traditional Chinese medicine grinder and stir evenly. Acupuncture point: Sanyinjiao (Shuangjiao, Qihai, Guan Yuan). Hegu (Shuangli, Taichong) (Shuangli, Shuangzhu.Contral group) were treated with routine acupuncture. The acupuncture points of the two groups were the same. The two groups were treated three times a week, and the treatment was a course of treatment on January. Treatment frequency for the next day, menstrual treatment stopped. Compared the symptoms and signs of the two groups of patients before and after the treatment of integral items, according to the results of evaluation of the final treatment. Results: through statistical analysis. The baseline data of gender, age and course of disease before treatment were comparable in both groups. After 4 weeks of continuous treatment, 3 cases were cured, 14 cases were effective, 10 cases were effective, and 3 cases were ineffective in the treatment group. The total effective rate was 90.000.In the control group, 1 case was basically cured, 6 cases were markedly effective, 15 cases were effective, 8 cases were ineffective, and the total effective rate was 73.33%. The results were analyzed by Ridit. The difference was statistically significant (P < 0.05), indicating that the curative effect of the treatment group after treatment was better than that of the control group. P > 0.05). The comparison before and after treatment was compared by paired sample t test (P < 0.05), and the difference was statistically significant. Control group: the comparison before and after treatment was compared by paired sample t test (P < 0.05), the difference was statistically significant, and the comparison between the two groups before and after treatment was compared by independent sample t test (P < 0.01). The difference is statistically significant. After treatment, the two groups can reduce the total score of symptoms, but the treatment group is better than the control group. The two groups of patients with pain symptoms (abdominal pain, lumbosacral distended pain). Comparison before and after treatment: there was no significant difference in the scores of pain symptoms between the two groups by independent sample t-test before and after treatment. Two groups are comparable. Treatment group: comparison before and after treatment by paired samples t test P0.05, the difference was statistically significant; Control group: the comparison before and after treatment was compared by paired sample t test (P < 0.05), the difference was statistically significant, and the comparison between the two groups before and after treatment was compared by independent sample t test (P < 0.01). The difference was statistically significant. After treatment, both groups could reduce the score of pain symptoms, but the treatment group was superior to the control group. 2 cases of adverse reactions occurred in each group. After treatment, the whole course of treatment can be completed. Conclusion: through the analysis of the results. It can be found that both the treatment group and the control group have obvious effects on improving the symptoms and signs of the patients. However, according to the results of the study, the treatment group is more effective than the control group. The related data confirm that the proposed therapy in this study is more effective than that in the control group. Good. This therapy may be used as an effective therapy for chronic pelvic inflammatory disease with qi stagnation and blood stasis.
【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】：2016
【分类号】：R246.3

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