针灸期待值对针灸治疗围绝经期综合征疗效影响的临床评价
发布时间：2018-08-07 08:39
【摘要】：目的：针灸期待值是指患者对自己病情发展的预见和对针刺疗法的接受程度,与针灸疗效存在一定的相关性。本研究以围绝经期综合征患者为研究对象,观察针灸期待值对针灸治疗该病疗效的影响。方法：本研究为“绝经过渡期患者针灸干预优效性随机对照研究”的部分内容,将符合纳入标准的围绝经期综合征患者纳入试验,共103例,按照针灸期待值的高低分为高期待值组和低期待值组。两组均采用针刺和耳穴贴压治疗,主穴选取关元,双侧子宫,双侧足三里,双侧三阴交,每次治疗30min,前4周每周治疗3次,后8周每周治疗2次,12周共计28次；耳穴选穴为心、肝、肾、内分泌、神门等穴,每周2次,双耳交替,共治疗12周。针灸期待值于基线期进行评价；主要疗效指标为绝经症状评分量表(MRS)、次要疗效指标包括围绝经期生存质量量表(MENQOL)和平均24h烘热积分,分别于入组时、入组第4周、第12周、第16周、第24周和第36周进行疗效指标的评价,观察针灸期待值对疗效的影响。结果：1.两组基线均衡两组研究对象的一般情况基线比较,其差异无统计学意义(P0.05),主要疗效指标MRS中的泌尿生殖症状维度积分、心理症状维度积分、躯体症状维度积分基线比较,差异无统计学意义(P≥0.05)；次要指标MENQOL的躯体症状维度积分、血管舒张症状维度积分、社会心理症状维度积分基线比较,差异无统计学意义(P0.05),生殖内分泌症状维度积分基线比较差异有统计学意义(P0.05),但治疗期与治疗后的组间比较,差异无统计学意义(P0.05),故无需进行协方差检验；两组平均24h烘热积分基线比较的差异无统计学意义(P0.05)。组间均衡,两组可进行比较。2.组内比较：MRS量表各维度值在第0周与第4周、第0周与第12周的差异有统计学意义(P0.05)；第0周与第16、第24、第36周,第12周与第16、第24、第36周的差异有统计学意义(P0.05)。MENQOL量表各维度值在第0周与第4周、第0周与第12周的差异有统计学意义(P0.05)；第0周与第16、第24、第36周,第12周与第16、第24、第36周的差异有统计学意义(P0.05)。平均24h烘热积分值在第0周与第4周、第0周与第12周的差异有统计学意义(P0.05)；第0周与第16、第24、第36周,第12周与第16、第24、第36周的差异有统计学意义(P0.05)。3.组间比较：主要指标MRS各维度积分改善值组间比较,第4周、第12周、第16周、第24周、第36周积分改善值的差异均无统计学意义(P0.05)。次要指标MENQOL的社会心理症状维度、血管舒张症状维度、生殖内分泌症状维度的积分改善值在第4周、第12周、第16周、第24周、第36周组间比较,其差异均无统计学意义(P0.05)；躯体症状维度积分改善值在第12周、第16周、第24周的组间比较,差异有统计学意义(P0.05)。次要指标平均24h烘热积分改善值在各评价时间点的组间比较,其差异均无统计学意义(P0.05)。结论：1.针灸治疗围绝经期综合征有效,能改善其症状,提高患者生活质量。2.期待值高低对围绝经综合征的多数症状影响不明显,但患者高期待值即积极期待者可能对围绝经期疼痛症状有更好的改善作用,高期待对针灸疗效可能具有更积极的影响作用使得针灸的总疗效高于低期待者。
[Abstract]:Objective: the expectant value of acupuncture and moxibustion refers to the patient's foresight of the development of his illness and the degree of acceptance of acupuncture therapy. There is a certain correlation with the effect of acupuncture and moxibustion. In this study, the effect of acupuncture expectant value on the treatment of the disease was observed with perimenopausal syndrome. A total of 103 cases of perimenopausal syndrome were divided into high expectant and low expectant groups according to the expectations of acupuncture and moxibustion. The two groups were treated with acupuncture and auricular point sticking, the main points were selected, bilateral uterus, bilateral Zusanli, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, and bilateral. The treatment of 30min, 3 times a week for the first 4 weeks, 2 times a week for the first 8 weeks and 28 times for 12 weeks, the auricular point selection was the heart, the liver, the kidney, the endocrine, the Shen men and other points, 2 times a week, and the double ears were alternately treated for 12 weeks. The value of acupuncture and moxibustion was evaluated at the baseline period; the main therapeutic index was the menopause symptom score scale (MRS) and secondary therapeutic target package. In the group of fourth weeks, Twelfth weeks, sixteenth weeks, sixteenth weeks, twenty-fourth and thirty-sixth weeks, the effect of acupuncture expectancy on the curative effect was evaluated. The results were: the general baseline comparison between the 1. two groups of baseline equilibrium two groups was not statistically different. P0.05, the dimension integral of genitourinary symptoms in MRS, the dimension integral of psychological symptoms, and the comparison of the dimension integral baseline of somatic symptoms were not statistically significant (P > 0.05); the somatic symptom dimension integral of secondary index MENQOL, the integral of vasodilatation, the comparison of the dimension integral baseline of social psychological symptoms, and the difference between them, were poor. There was no statistical significance (P0.05). There was significant difference in the dimension integral baseline of reproductive endocrine symptoms (P0.05), but there was no significant difference between the treatment period and the group after treatment (P0.05), so there was no need for covariance test; there was no statistical difference between the two groups (P0.05). The comparison between the two groups could be compared in the.2. group: the values of each dimension of the MRS scale were zeroth and fourth weeks, and the difference between the zeroth and the twelfth weeks was statistically significant (P0.05); the zeroth weeks and sixteenth, twenty-fourth, thirty-sixth weeks, Twelfth weeks and sixteenth, twenty-fourth, and thirty-sixth weeks were statistically significant (P0.05) the dimensions of the.MENQOL scales were in the weeks and weeks, and the weeks and weeks. The difference was statistically significant (P0.05). The difference between zeroth weeks and sixteenth, twenty-fourth, thirty-sixth weeks, Twelfth weeks and sixteenth, twenty-fourth, thirty-sixth weeks was statistically significant (P0.05). The average 24h heating integral value was between zeroth and fourth weeks, while zeroth weeks and twelfth weeks were statistically significant. The difference was statistically significant (P0.05).3. group comparison: the main indexes of the MRS dimensions were compared between fourth weeks, Twelfth weeks, sixteenth weeks, twenty-fourth weeks, and thirty-sixth weeks, and there was no statistical significance (P0.05). The degree of social psychological symptoms, the dimension of vasodilatation, the product dimension of reproductive endocrinology, the secondary index of MENQOL. The difference was not statistically significant (P0.05) between the fourth weeks, Twelfth weeks, sixteenth weeks, twenty-fourth weeks and thirty-sixth weeks. The improvement value of physical symptom dimension integral was statistically significant in twelfth, sixteenth, and twenty-fourth weeks (P0.05). The improvement value of the average 24h heating integral was compared between the two groups at the time points of each evaluation. The difference was not statistically significant (P0.05). Conclusion: 1. the treatment of perimenopausal syndrome by Acupuncture and moxibustion is effective, can improve the symptoms and improve the quality of life of the patients with.2. expectancy on most of the symptoms of perimenopause syndrome, but the patient's high expectation, the positive expectant, may have a better effect on the symptoms of perimenopausal pain. High expectations may have a more positive effect on acupuncture efficacy, so that the total curative effect of acupuncture is higher than that of low expectations.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3
本文编号：2169490
[Abstract]:Objective: the expectant value of acupuncture and moxibustion refers to the patient's foresight of the development of his illness and the degree of acceptance of acupuncture therapy. There is a certain correlation with the effect of acupuncture and moxibustion. In this study, the effect of acupuncture expectant value on the treatment of the disease was observed with perimenopausal syndrome. A total of 103 cases of perimenopausal syndrome were divided into high expectant and low expectant groups according to the expectations of acupuncture and moxibustion. The two groups were treated with acupuncture and auricular point sticking, the main points were selected, bilateral uterus, bilateral Zusanli, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, bilateral, and bilateral. The treatment of 30min, 3 times a week for the first 4 weeks, 2 times a week for the first 8 weeks and 28 times for 12 weeks, the auricular point selection was the heart, the liver, the kidney, the endocrine, the Shen men and other points, 2 times a week, and the double ears were alternately treated for 12 weeks. The value of acupuncture and moxibustion was evaluated at the baseline period; the main therapeutic index was the menopause symptom score scale (MRS) and secondary therapeutic target package. In the group of fourth weeks, Twelfth weeks, sixteenth weeks, sixteenth weeks, twenty-fourth and thirty-sixth weeks, the effect of acupuncture expectancy on the curative effect was evaluated. The results were: the general baseline comparison between the 1. two groups of baseline equilibrium two groups was not statistically different. P0.05, the dimension integral of genitourinary symptoms in MRS, the dimension integral of psychological symptoms, and the comparison of the dimension integral baseline of somatic symptoms were not statistically significant (P > 0.05); the somatic symptom dimension integral of secondary index MENQOL, the integral of vasodilatation, the comparison of the dimension integral baseline of social psychological symptoms, and the difference between them, were poor. There was no statistical significance (P0.05). There was significant difference in the dimension integral baseline of reproductive endocrine symptoms (P0.05), but there was no significant difference between the treatment period and the group after treatment (P0.05), so there was no need for covariance test; there was no statistical difference between the two groups (P0.05). The comparison between the two groups could be compared in the.2. group: the values of each dimension of the MRS scale were zeroth and fourth weeks, and the difference between the zeroth and the twelfth weeks was statistically significant (P0.05); the zeroth weeks and sixteenth, twenty-fourth, thirty-sixth weeks, Twelfth weeks and sixteenth, twenty-fourth, and thirty-sixth weeks were statistically significant (P0.05) the dimensions of the.MENQOL scales were in the weeks and weeks, and the weeks and weeks. The difference was statistically significant (P0.05). The difference between zeroth weeks and sixteenth, twenty-fourth, thirty-sixth weeks, Twelfth weeks and sixteenth, twenty-fourth, thirty-sixth weeks was statistically significant (P0.05). The average 24h heating integral value was between zeroth and fourth weeks, while zeroth weeks and twelfth weeks were statistically significant. The difference was statistically significant (P0.05).3. group comparison: the main indexes of the MRS dimensions were compared between fourth weeks, Twelfth weeks, sixteenth weeks, twenty-fourth weeks, and thirty-sixth weeks, and there was no statistical significance (P0.05). The degree of social psychological symptoms, the dimension of vasodilatation, the product dimension of reproductive endocrinology, the secondary index of MENQOL. The difference was not statistically significant (P0.05) between the fourth weeks, Twelfth weeks, sixteenth weeks, twenty-fourth weeks and thirty-sixth weeks. The improvement value of physical symptom dimension integral was statistically significant in twelfth, sixteenth, and twenty-fourth weeks (P0.05). The improvement value of the average 24h heating integral was compared between the two groups at the time points of each evaluation. The difference was not statistically significant (P0.05). Conclusion: 1. the treatment of perimenopausal syndrome by Acupuncture and moxibustion is effective, can improve the symptoms and improve the quality of life of the patients with.2. expectancy on most of the symptoms of perimenopause syndrome, but the patient's high expectation, the positive expectant, may have a better effect on the symptoms of perimenopausal pain. High expectations may have a more positive effect on acupuncture efficacy, so that the total curative effect of acupuncture is higher than that of low expectations.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3
【参考文献】
相关期刊论文 前10条
1 卢春冬;宋娟;史常旭;常青;;重庆市城区妇女围绝经期综合征的流行病学调查分析[J];重庆医学;2015年28期
2 曹徵良;王琼;李赛群;孙佳琪;周有君;章薇;;针刺治疗围绝经期综合征疗效系统评价[J];针灸临床杂志;2015年09期
3 孙远征;郝楠楠;;耳穴贴压法为主治疗心肾不交型围绝经期失眠的临床疗效观察[J];针灸临床杂志;2015年01期
4 丛建华;;FSH/LH比值在评价围绝经期卵巢功能中的价值探讨[J];国际检验医学杂志;2014年23期
5 滑天;马丽霞;王玮;;低剂量雌激素替代疗法治疗围绝经期综合征的有效性及安全性[J];中国老年学杂志;2014年20期
6 鲁凌云;周思远;刘婷;秦尔奇;任玉兰;李瑛;;基于数据挖掘技术探究国内针灸治疗围绝经期综合征的选穴规律[J];中国针灸;2014年10期
7 徐倩;石广霞;李兆鑫;王麟鹏;刘存志;;病人期望影响针刺疗效的相关性研究进展[J];针刺研究;2014年03期
8 杜丹;魏洁玲;陈妙云;;六味地黄丸联合激素替代治疗卵巢早衰的临床研究[J];中华中医药学刊;2013年12期
9 兰颖;马婷婷;张镭潇;梁国田;吴节;;针刺疗效与心理因素研究思路探析[J];成都中医药大学学报;2013年04期
10 李升华;郑冬梅;;右归丸治疗肾阳虚型围绝经期功能失调性子宫出血的临床观察[J];中国中医药科技;2013年06期
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