灵龟八法开穴为主针刺治疗肝肾阴虚型围绝经期综合征的临床观察

发布时间：2018-07-16 20:57

【摘要】：目的:观察灵龟八法开穴为主针刺治疗肝肾阴虚型围绝经期综合征的临床疗效,探讨灵龟八法治疗本病的可行性,为灵龟八法的深入研究积累必要的客观依据。方法:本研究采用随机平行对照的方法,按完全随机化原则,纳入60例符合标准的围绝经期综合征患者,分为灵龟八法开穴组与常规取穴组,每组30例。灵龟八法开穴组的穴位选用灵龟八法开穴,根据患者治疗时间算出当时所开的八脉交会穴,再取三阴交(双)、太溪(双)、太冲(双)。常规取穴组予取穴:百会、关元、太溪(双)、三阴交(双)、太冲、风池(双)。上述诸穴予以针刺治疗,隔天1次,10次为1疗程,共治疗3个疗程。根据临床研究评分标准,对各组患者治疗前后的临床症状改善情况进行评分以及观察性激素水平的变化。结果:灵龟八法开穴组:痊愈5例,显效18例,有效6例,无效1例,总有效率96.67%,常规取穴组:痊愈1例,显效12例,有效13例,无效1例,总有效率86.67%,二组间疗效进行对比,灵龟八法开穴组总有效率和痊愈率均优于常规取穴组。治疗后性激素水平的改善也有统计学意义。结论:1灵龟八法开穴为主针刺能更好地缓解肾阴虚型围绝经期综合征患者的临床症状。2灵龟八法开穴针刺为主能有效调节肝肾阴虚型围绝经期综合征患者的血清性激素E2和FSH水平。3在常规针刺取穴的基础上配合灵龟八法开穴能提高肝肾阴虚型围绝经期综合征的临床疗效。
[Abstract]:Objective: to observe the clinical curative effect of Linggui Bafa opening acupoint in treating peri-menopausal syndrome of liver and kidney yin deficiency type, to explore the feasibility of Linggui eight method in treating this disease, and to accumulate necessary objective basis for further study of Linggui eight method. Methods: according to the principle of complete randomization, 60 patients with perimenopausal syndrome were divided into two groups: Linggui Bafa open point group and routine acupoint extraction group, 30 cases in each group. The acupoints of Linggui Bafa open point group were selected to open the points according to the treatment time of the patients, and then Sanyinjiao (double), Taixi (double), Taichong (double) were calculated according to the treatment time of the patients, and then Sanyinjiao (Shuang), Taixi (Shuang) and Taichong (Shuang) were selected. Routine acupoint collection group: Baihui, Guan Yuan, Taixi (Shuang), Sanyinjiao (Shuang), Taichong, Fengchi (Shuang). The above points were treated with acupuncture, 10 times every other day as a course of treatment, 3 courses of treatment. According to the standard of clinical study, the improvement of clinical symptoms and the changes of sex hormone levels were evaluated before and after treatment. Results: there were 5 cases of cure, 18 cases of remarkable effect, 6 cases of effective, 1 case of ineffectiveness and 96.67% of total effective rate in Lingguishaofa open acupoint group. In routine acupoint extraction group, 1 case was cured, 12 cases were effective, 13 cases were effective, 1 case was ineffective, and the total effective rate was 86.67. The curative effect was compared between the two groups. The total effective rate and cure rate of Linggui Bafa open acupoint group were better than that of conventional acupoint extraction group. There was also a statistically significant improvement in sex hormone levels after treatment. Conclusion the clinical symptoms of patients with peri-menopausal syndrome of kidney yin deficiency type can be better alleviated by acupuncture at the main acupoints opened with Bafa and Bafa of Ling 1 Ling Gui. 2. Linggui Bafa acupuncture can effectively regulate the serum of patients with peri-menopausal syndrome of liver and kidney yin deficiency type. Sex hormone E2 and FSH levels 3 on the basis of routine acupuncture to obtain points combined with Linggui Bafa open point can improve the clinical efficacy of liver and kidney yin deficiency type perimenopausal syndrome.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.3

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