疏肝调神针刺法治疗气滞血瘀型原发性痛经的临床疗效观察

发布时间：2018-05-06 18:36

本文选题：气滞血瘀 + 原发性痛经　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:本研究旨在探索针对气滞血瘀型的原发性痛经在临床实践中,采用疏肝调神针刺法对其进行治疗,并对临床疗效进行观察分析,从而为针灸治疗该病寻找一种更为快捷、方便、高效的治疗方法。方法:将符合诊断的66例患者,运用随机方法,分为试验组和对照组,每组各33例。试验组采用疏肝调神针刺法,取百会、四神聪、神庭、本神、印堂、内关、太冲、中极、三阴交、地机、合谷等穴位。对照组采取常规针刺方法,穴位选用中极、三阴交、地机、十七椎、合谷、太冲、次毼。观察患者在治疗前和治疗后COX痛经症状量表(the COX menstrual symptom scale,CMSS)、视觉模拟评分法(Visual Analogue Scale,VAS)评分的变化。结果:1.试验组和对照组在治疗前后COX痛经症状量表(CMSS)、视觉模拟评分法(VAS)评分方面均具有显著差异性(P0.05)。两组患者在治疗后COX痛经症状量表(CMSS)、视觉模拟评分法(VAS)评分方面均具有差异性(P0.05)。2.临床总疗效,试验组总有效率95%,对照组为85%。经秩和检验,差异有统计学意义(P0.05)。结论:本研究结果表明治疗气滞血瘀型原发性痛经,采用疏肝调神针刺和常规针刺均可缓解该型痛经的临床症状,而且在总体疗效上有统计学意义,再综合COX痛经症状评分、视觉模拟评分的改善情况,说明疏肝调神针刺法的治疗效果明显优于常规针刺。
[Abstract]:Objective: this study aimed to explore the clinical practice of primary dysmenorrhea of qi stagnation and blood stasis type, to treat it with the method of soothing the liver and regulating the mind, and to observe and analyze the clinical curative effect, so as to find a more rapid method for acupuncture treatment of the disease. Convenient and efficient treatment. Methods: 66 patients in accordance with the diagnosis were randomly divided into trial group and control group with 33 cases in each group. The experimental group used the acupuncture method of soothing the liver and regulating the mind, taking Baihui, Sishen Cong, Shenting, this God, Yin Tang, Neiguan, Taichong, Middle Pole, Sanyinjiao, ground machine, Hegu and other acupoints. The control group was treated with conventional acupuncture. The acupoints were selected as middle pole, Sanyinjiao, ground machine, 17 vertebrae, Hegu, Taicong, secondary. The changes of the COX menstrual symptom scale and visual analogue scale were observed before and after treatment in patients with dysmenorrhea. The result is 1: 1. There were significant differences in the scores of COX dysmenorrhea symptom scale and visual analogue score before and after treatment between the experimental group and the control group (P 0.05). There was significant difference in the scores of COX dysmenorrhea symptom scale (COX) and visual analogue score (VAS) between the two groups. The total effective rate was 95% in the experimental group and 85% in the control group. By rank sum test, the difference was statistically significant (P 0.05). Conclusion: the results of this study indicate that the treatment of primary dysmenorrhea with qi stagnation and blood stasis can alleviate the clinical symptoms of dysmenorrhea by soothing the liver and regulating the mind, and there is statistical significance in the overall curative effect. The score of COX dysmenorrhea symptom is also synthesized. The improvement of visual analogue score showed that the therapeutic effect of soothing liver and regulating mind acupuncture was better than that of routine acupuncture.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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