针灸治疗排卵障碍性不孕症的选穴规律研究

发布时间：2018-06-04 11:48

本文选题：不孕症 + 排卵障碍　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的通过整理、分类研究近10年中国期刊网上的临床报道,总结出运用针灸疗法治疗排卵障碍性不孕症的取穴规律,以及临床上常用经络规律,并为探寻有效的取穴处方提供参考。方法通过计算机检索检索时间范围为2005年到2015年,发表于中国期刊网的关于针灸治疗排卵障碍性不孕症的中文临床文献资料,根据纳入标准进行筛选。将符合标准的临床文献中全文下载,导入Excle软件中进行系统地整理,对文献中的腧穴、腧穴归经、所属部位等进行统计,并总结分析规律。结果通过中国期刊网进行计算机搜索,共收集相关文献390篇,排除重复文献198篇,非排卵性障碍病因引起的不孕症文献31篇,关于个案和经验探索文献18篇,综述类27篇,其他文献69篇。最终纳入分析的文献47篇。近10年临床上治疗排卵障碍性不孕症上常用穴位共计51个,总频次共计302个。当中临床上较常用的排名前10位的腧穴分别为三阴交、关元、子宫、中极、足三里、肾俞、气海、神阙、血海、丰隆。常用的经脉前5位主要有足太阳膀胱经(25.490%)、足阳明胃经(13.725%)、任脉(11.765%)、督脉(11.765%)、足少阴肾经(7.843%)。并总结出腹部和腰骶部选用穴位最多,均为12个,约占腧穴总数的47.06%。而统计过程中暂时未有选用胸部、肩部及臀部的腧穴。结论(1)现代研究针灸治疗排卵障碍性不孕的选穴规律：阴经和任脉取穴为主,搭配经外奇穴子宫穴辅助治疗。(2)针刺治疗取穴原则方面,以局部取穴搭配循经取穴。腧穴分布部位以腹部和腰骶部为主,下肢穴位为次。
[Abstract]:Objective through sorting out and classifying the clinical reports of Chinese journals in the past 10 years, to summarize the rule of acupoint extraction and the regularity of meridians commonly used in clinical treatment of ovulatory infertility with acupuncture and moxibustion therapy. And to find out an effective prescription for acupoints to provide reference. Methods the Chinese clinical literature on acupuncture and moxibustion for treatment of ovulatory infertility was searched by computer from 2005 to 2015 and was screened according to the inclusion criteria. The full text of the clinical literature which accords with the standard is downloaded and introduced into the Excle software for systematic arrangement. The statistics of acupoints, acupoints returning to the meridian and their parts in the literature are carried out, and the rules of analysis are summarized. Results A total of 390 literatures were collected, 198 were excluded, 31 were related to infertility caused by non-ovulation disorder, 18 were about cases and experiences, 27 were reviewed. Other 69 papers. Finally, 47 papers were included in the analysis. In recent 10 years, 51 points and 302 frequency points were used to treat ovulatory infertility. The ten most commonly used acupoints in clinic are Sanyinjiao, Guanyuan, uterus, middle pole, Zusanli, Shenshu, Qihai, Shenque, Xue Hai, Fenglong. In the first five main meridians, there were 25.490 suns of bladder Meridians, 13.725 of stomach Meridians of Yangming foot, 11.765 of Meridians, 11.765 of Meridians, 7.843 of Kidney Meridians with insufficient Yin and Kidney Meridians. It was concluded that the abdominal and lumbosacral points were the most selected, which accounted for 47.06% of the total number of acupoints. The statistical process did not select the chest, shoulder and buttocks acupoints. Conclusion 1) A modern study on the rule of acupoint selection in the treatment of ovulatory dysfunction infertility by acupuncture: Yin meridian and Renmai acupoints are the main points, combined with the uterine points of the Meridian Qi points to assist treatment .Zhou2) the principle of acupuncture treatment is to select points by local acupoints and acupoints along the meridian. The distribution of acupoints was mainly abdominal and lumbosacral, and lower extremity acupoints were secondary.
【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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