壮医针刺治疗不育症临床疗效研究
发布时间：2018-08-19 06:12
【摘要】：目的:本研究通过对比壮医针刺与中医针刺治疗不育症的临床治疗效果,对壮医针刺治疗不育症的临床效果进行检验与评价,并对壮医针刺治疗本病的机理进行阐述,为今后临床运用壮医针刺疗法治疗不育症提供方法与依据。方法:本临床研究共纳入符合标准的病例48例,并按随机分配原则分为壮医针刺组与中医针刺组各24例,壮医针刺组采用壮医针刺疗法进行治疗,取膝二环7穴(DXh2-7)、内上桩(DNsz)、内中桩(DNzz)、内下桩(DNxz)、手背三环9穴(TSBh3-9)、手背三环10穴(TSBh3-10)(以上取穴均取双侧)。中医针刺组采用中医针刺疗法进行治疗,取气海、关元、三阴交、肾俞、次毼、秩边、足三里(除气海、关元外,以上取穴均取双侧)并随证配穴。以上两组针刺穴位得气后均留针30min,每周治疗3次,隔日1次,周日休息,1个月为一个疗程,共治疗3个疗程。经过3个疗程的治疗,观察两组患者治疗前后精液常规及配偶妊娠情况来进行疗效评价,对所得的数据用SPSS17.0统计软件进行统计分析。结果:本研究48例病例,共脱落1例,脱落患者因个人原因退出治疗。经过3个疗程治疗后,两组病例的精液常规各个参数均有所提升。壮医针刺组治愈5例,显效9例,有效5例,无效5例,总有效率为79.17%;中医针刺组治愈6例,显效8例,有效5例,无效5例,总有效率78.26%,两组临床疗效经过秩和检验,差异无统计学意义(P0.05),两组的临床疗效相当。壮医针刺组治疗后女方妊娠5例,妊娠率为20.83%;中医针刺组治疗后女方妊娠6例,妊娠率为26.08%,比较无统计学意义(P0.05)。结论:壮医针刺治疗能有效提高精子密度,改善精子活率、精子活力及液化时间,其治疗效果同中医针刺相当。作为祖国具有传统民族特色的治疗方法之一,其相对于中医针刺目前在临床上的认知度及接受度仍较低,但其独特的理论核心和操作方法也带来了安全的、可靠地、明显的临床疗效,值得在临床上推广应用,为男性不育症的治疗提供另一种方式。
[Abstract]:Objective: to test and evaluate the clinical effect of acupuncture on sterility by comparing the clinical effect of acupuncture with that of traditional Chinese medicine, and to expound the mechanism of acupuncture in treating sterility. To provide the method and basis for the treatment of infertility with Zhuang doctor acupuncture therapy in the future. Methods: a total of 48 cases were included in this clinical study. According to the principle of random distribution, they were divided into two groups: the Zhuang doctor acupuncture group (24 cases) and the traditional Chinese medicine acupuncture group (24 cases). The Zhuang doctor acupuncture group was treated with Zhuang doctor acupuncture therapy. The second ring of the knee (DXh2-7), the (DNzz), of the upper post and the (DNzz), of the middle pile (TSBh3-9) and the 10 points of the dorsal third ring of the hand (TSBh3-10) were taken. Acupuncture group was treated by acupuncture therapy of traditional Chinese medicine. Qi Hai, Guan Yuan, Sanyinjiao, Shen Yu, Sui Pao, rank side, Zusanli (except Qihai, Guan Yuan, the above acupoints were all taken to both sides) and with the syndromes were assigned to each other. The above two groups were treated with acupuncture for 30 minutes, 3 times a week, once every other day, rest on Sunday, 1 month as a course of treatment, a total of 3 courses of treatment. After three courses of treatment, two groups of patients were observed before and after treatment of semen routine and spouse pregnancy to evaluate the efficacy of the data obtained by SPSS17.0 statistical software for statistical analysis. Results: among 48 cases, 1 case dropped out of treatment for personal reasons. After three courses of treatment, the semen routine parameters of the two groups were improved. 5 cases were cured, 9 cases were effective, 5 cases were ineffective, the total effective rate was 79.17 in the acupuncture group, 6 cases were cured, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 78.26% in TCM acupuncture group. The difference was not statistically significant (P0.05), the clinical efficacy of the two groups was the same. Zhuang medicine acupuncture group after treatment of women pregnancy in 5 cases, pregnancy rate was 20.83; traditional Chinese medicine acupuncture group after treatment of 6 cases of pregnancy, pregnancy rate was 26.08, there was no statistical significance (P0.05). Conclusion: acupuncture treatment of Zhuang doctor can effectively increase sperm density, improve sperm motility, sperm motility and liquefaction time, and its therapeutic effect is equivalent to that of traditional Chinese medicine acupuncture. As one of the treatment methods with traditional national characteristics in the motherland, its clinical recognition and acceptance is still relatively low compared with acupuncture of traditional Chinese medicine, but its unique theoretical core and operation methods also bring safety and reliability. The obvious clinical curative effect is worth popularizing in the clinical application, provides another way for the treatment of male infertility.
【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】：R29
本文编号：2190886
[Abstract]:Objective: to test and evaluate the clinical effect of acupuncture on sterility by comparing the clinical effect of acupuncture with that of traditional Chinese medicine, and to expound the mechanism of acupuncture in treating sterility. To provide the method and basis for the treatment of infertility with Zhuang doctor acupuncture therapy in the future. Methods: a total of 48 cases were included in this clinical study. According to the principle of random distribution, they were divided into two groups: the Zhuang doctor acupuncture group (24 cases) and the traditional Chinese medicine acupuncture group (24 cases). The Zhuang doctor acupuncture group was treated with Zhuang doctor acupuncture therapy. The second ring of the knee (DXh2-7), the (DNzz), of the upper post and the (DNzz), of the middle pile (TSBh3-9) and the 10 points of the dorsal third ring of the hand (TSBh3-10) were taken. Acupuncture group was treated by acupuncture therapy of traditional Chinese medicine. Qi Hai, Guan Yuan, Sanyinjiao, Shen Yu, Sui Pao, rank side, Zusanli (except Qihai, Guan Yuan, the above acupoints were all taken to both sides) and with the syndromes were assigned to each other. The above two groups were treated with acupuncture for 30 minutes, 3 times a week, once every other day, rest on Sunday, 1 month as a course of treatment, a total of 3 courses of treatment. After three courses of treatment, two groups of patients were observed before and after treatment of semen routine and spouse pregnancy to evaluate the efficacy of the data obtained by SPSS17.0 statistical software for statistical analysis. Results: among 48 cases, 1 case dropped out of treatment for personal reasons. After three courses of treatment, the semen routine parameters of the two groups were improved. 5 cases were cured, 9 cases were effective, 5 cases were ineffective, the total effective rate was 79.17 in the acupuncture group, 6 cases were cured, 8 cases were effective, 5 cases were ineffective, and the total effective rate was 78.26% in TCM acupuncture group. The difference was not statistically significant (P0.05), the clinical efficacy of the two groups was the same. Zhuang medicine acupuncture group after treatment of women pregnancy in 5 cases, pregnancy rate was 20.83; traditional Chinese medicine acupuncture group after treatment of 6 cases of pregnancy, pregnancy rate was 26.08, there was no statistical significance (P0.05). Conclusion: acupuncture treatment of Zhuang doctor can effectively increase sperm density, improve sperm motility, sperm motility and liquefaction time, and its therapeutic effect is equivalent to that of traditional Chinese medicine acupuncture. As one of the treatment methods with traditional national characteristics in the motherland, its clinical recognition and acceptance is still relatively low compared with acupuncture of traditional Chinese medicine, but its unique theoretical core and operation methods also bring safety and reliability. The obvious clinical curative effect is worth popularizing in the clinical application, provides another way for the treatment of male infertility.
【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】：R29
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