远近配穴法针刺配合局部艾灸治疗气滞血瘀型慢性盆腔炎临床研究

发布时间：2018-05-05 07:19

本文选题：远近配穴 + 针刺　；参考：《安徽中医药大学》2016年硕士论文

【摘要】：目的通过观察远近配穴针刺法配合局部艾灸与单纯局部取穴针刺法配合局部艾灸治疗气滞血瘀型慢性盆腔炎的临床疗效,明确远近配穴针刺法配合局部艾灸治疗气滞血瘀型慢性盆腔炎的治疗优势,为远近配穴针灸治疗方法的临床推广应用提供可行性依据。方法本研究按照诊断标准,共纳入70例气滞血瘀型慢性盆腔炎患者,并随机分为远近配穴组和局部取穴组,每组各35例患者。远近配穴组采用针刺腰腹部近端及四肢远端部穴位配合局部艾灸的方法进行治疗,从月经干净后开始治疗,直到下一月经来潮时停止,为一个疗程。局部取穴组采用针刺腰腹部局部穴位配合局部艾灸的方法进行治疗,具体疗法同远近配穴组。两组患者均每周治疗3次,三个疗程后评定疗效,分别记录治疗前后症状和体征积分,建立数据库进行统计学处理分析。结果1.远近配穴组和局部取穴组经过三个疗程的治疗后,其症状积分、体征积分、综合积分均较治疗前有所下降,治疗前后比较有显著性差异(P0.01)。表明远近配穴组和局部取穴组的治疗均能改善气滞血瘀型慢性盆腔炎患者的症状和体征。2.远近配穴组和局部取穴组经过三个疗程的治疗后,远近配穴组症状积分、体征积分、综合积分均低于局部取穴组,比较差异有统计学意义(P0.05)。表明远近配穴组在改善气滞血瘀型慢性盆腔炎患者的症状和体征方面优于局部取穴组。3.远近配穴组经过三个疗程的治疗后,其症状疗效、体征疗效及综合疗效的总有效率均高于局部取穴组,比较差异有统计学意义(P0.05)。表明远近配穴组治疗气滞血瘀型慢性盆腔炎临床疗效优于局部取穴组。结论1.远近配穴针刺法配合局部艾灸与局部取穴针刺法配合局部艾灸均对治疗气滞血瘀型慢性盆腔炎的症状和体征有改善作用。2.远近配穴针刺配合局部艾灸法对气滞血瘀型慢性盆腔炎的临床疗效优于局部取穴组。
[Abstract]:Objective to observe the clinical effect of local moxibustion and local acupuncture combined with local moxibustion on chronic pelvic inflammatory disease of blood stasis type. It is clear that the treatment of chronic pelvic inflammatory disease of qi stagnation and blood stasis type with acupuncture of far and near points combined with local moxibustion provides a feasible basis for the clinical application of acupuncture and moxibustion therapy of far and near points. Methods according to the diagnostic criteria, 70 patients with chronic pelvic inflammatory disease of Qi stagnation and Blood stasis type were randomly divided into far and near point matching group and local acupoint extraction group, 35 patients in each group. The far and near point matching group was treated by acupuncture at the proximal end of waist and abdomen and distal part of extremities combined with local moxibustion. The treatment began after menstruation was clean and stopped at the beginning of next menstruation for a course of treatment. The local acupoints group was treated by acupuncture of local points of waist and abdomen combined with local moxibustion. The patients in both groups were treated three times a week. After three courses of treatment, the scores of symptoms and signs before and after treatment were recorded, and a database was established for statistical analysis. Result 1. After three courses of treatment, the symptom integral, physical sign integral and comprehensive integral of the far and near point matching group and the local acupoint extraction group were all decreased compared with those before and after treatment, and there was significant difference before and after treatment (P 0.01). The results showed that the treatment of far and near point matching group and local acupoint extraction group could improve the symptoms and signs of chronic pelvic inflammatory disease of qi stagnation and blood stasis type. 2. After three courses of treatment, the symptom integral, physical sign integral and comprehensive integral of the far and near point matching group were lower than that of the local acupoint group, and the difference was statistically significant (P 0.05). The results showed that the far and near point matching group was superior to the local acupoint extraction group in improving the symptoms and signs of chronic pelvic inflammatory disease with Qi stagnation and blood stasis. After three courses of treatment, the total effective rate of symptoms, signs and comprehensive curative effect in the far and near point matching group was higher than that in the local acupoint extraction group, and the difference was statistically significant (P 0.05). The results showed that the treatment of chronic pelvic inflammatory disease with Qi stagnation and blood stasis in far and near points group was better than that in local point extraction group. Conclusion 1. The combination of local moxibustion and local moxibustion and local moxibustion can improve the symptoms and signs of chronic pelvic inflammatory disease of qi stagnation and blood stasis type. The clinical effect of acupuncture combined with local moxibustion on chronic pelvic inflammatory disease of qi stagnation and blood stasis type was better than that of local acupoint extraction group.
【学位授予单位】：安徽中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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