本文選題：針刺 + 樂療��； 參考：《云南中醫(yī)學(xué)院》2017年碩士論文

【摘要】：目的:本研究旨在觀察、比較和評價(jià)針刺結(jié)合樂療、單純口服西藥對治療肝腎陰虛型女性更年期綜合征的臨床療效。為臨床治療女性更年期綜合征提供一種心身共治的新方法。方法:按照納入標(biāo)準(zhǔn)選擇病例,采用隨機(jī)數(shù)字表法分為治療組和對照組,兩組各30例。治療組采用針刺結(jié)合樂療法治療,對照組采用口服西藥“克齡蒙”(戊酸雌二醇片/雌二醇環(huán)丙孕酮片)治療。治療組每周治療3次,10次為一療程,對照組連續(xù)服藥21天為一療程;兩組均為每個(gè)療程間間隔7天。兩組患者分別于治療前、治療3個(gè)療程后進(jìn)行改良kupperman量表(KI)評定,對治療前后KI得分進(jìn)行統(tǒng)計(jì)學(xué)分析對比,并判定療效。結(jié)果:1治療結(jié)束后,治療組總有效率為96.67%,其中顯效19例,有效10例,無效1例。對照組總有效率為90%,其中顯效9例,有效18例,無效3例。經(jīng)統(tǒng)計(jì)學(xué)分析,其差異有統(tǒng)計(jì)學(xué)差異(P0.05),提示治療組總體療效優(yōu)于對照組。2治療結(jié)束后兩組患者改良kupperman量表(KI)評分均有降低,與治療前比較,有統(tǒng)計(jì)學(xué)差異(P0.05)。治療組KI評分降低較對照組更為顯著,組間差異有統(tǒng)計(jì)學(xué)意義(P0.05),提示治療組療效優(yōu)于對照組。3兩組治療前后組內(nèi)比較,兩組患者在抑郁、焦慮癥狀上均有改善,抑郁自評量表(SDS)、焦慮自評量表(SAS)、漢密爾頓抑郁量表(HAMD)、漢密爾頓焦慮量表(HAMA)評分均有顯著降低,與治療前相比有統(tǒng)計(jì)學(xué)差異(P0.05),提示兩種治療方法對改善患者焦慮、抑郁癥狀均有療效。治療后組間比較,治療組的焦慮自評量表(SAS)、漢密爾頓焦慮量表(HAMA)得分較對照組低,其差異有統(tǒng)計(jì)學(xué)意義(P0.05),提示治療組在改善患者焦慮癥狀上優(yōu)于對照組;兩組抑郁自評量表(SDS)、漢密爾頓抑郁量表(HAMD)得分無統(tǒng)計(jì)學(xué)差異(P0.05),提示治療組與對照組在改善患者抑郁癥狀上療效相當(dāng);4兩組治療前后組內(nèi)比較,中醫(yī)癥候評分均有降低,與治療前相比均有統(tǒng)計(jì)學(xué)差異(P0.05),提示兩種治療方法對改善潮熱汗出、急躁易怒、精神抑郁均有療效。治療后組間比較,治療組潮熱汗出、急躁易怒兩項(xiàng)癥狀得分較對照組低,其差異有統(tǒng)計(jì)學(xué)意義(P0.05),提示治療組在改善上述兩項(xiàng)癥狀上優(yōu)于對照組;兩組精神抑郁一項(xiàng)癥狀得分無統(tǒng)計(jì)學(xué)差異(P0.05),提示治療組與對照組在改善精神抑郁上療效相當(dāng);5兩組治療前后對比,組內(nèi)血清雌二醇(E2)、促卵泡生成素(FSH)均有變化,E2有所升高,FSH有所降低,均有統(tǒng)計(jì)學(xué)差異(P0.05),提示兩種治療方法對患者體內(nèi)血清雌二醇(E2)、促卵泡生成素(FSH)均有影響;治療后組間比較,治療組E2、FSH的變化較對照組更明顯,其差異有統(tǒng)計(jì)學(xué)意義(P0.05),提示對患者激素內(nèi)分泌調(diào)整上治療組優(yōu)于對照組。結(jié)論:1針刺結(jié)合樂療治療肝腎陰虛型更年期綜合征效果顯著;2針刺結(jié)合樂療在改善潮熱汗出、急躁易怒、焦慮癥狀以及調(diào)整E2、FSH分泌方面療效優(yōu)于西藥“克齡蒙”(戊酸雌二醇片/雌二醇環(huán)丙孕酮片);3針刺結(jié)合樂療在改善抑郁相關(guān)癥狀上與西藥“克齡蒙”(戊酸雌二醇片/雌二醇環(huán)丙孕酮片)療效相當(dāng)。
[Abstract]:Objective: To observe, compare and evaluate the clinical efficacy of acupuncture combined with music therapy and simple oral western medicine in treating female climacteric syndrome of liver kidney yin deficiency syndrome. In order to provide a new method of psychosomatic treatment for the clinical treatment of female climacteric syndrome, a randomized digital table method is used to divide the patients into the treatment group. And the control group, two groups of 30 cases. The treatment group was treated with acupuncture combined with music therapy, and the control group was treated with oral western medicine "Estradiol Valerate Tablets / estradiol propionic progesterone tablet). The treatment group was treated 3 times a week, 10 times a course, and the control group was given a course of 21 days for 21 days. The two groups were all between 7 days interval between each course. Two groups of patients. Before treatment, the modified Kupperman scale (KI) was evaluated after 3 courses of treatment, and the scores of KI were statistically analyzed and compared before and after treatment. Results: the total effective rate of the treatment group was 96.67% after the end of 1 treatment, of which 19 cases were markedly effective, 10 cases were effective and 1 cases were invalid. The total effective rate of the control group was 90%, of which 9 cases were markedly effective, and 18 cases had no effective. The difference between 3 cases was statistically significant (P0.05), suggesting that the overall effect of the treatment group was better than that of the control group after the end of.2 treatment. The improved Kupperman scale (KI) score of the two groups were lower, compared with that before the treatment (P0.05). The decrease of the KI score in the treatment group was more significant than the control group, and the difference between the groups was statistically significant. P0.05, suggesting that the treatment group was better than the control group.3 two groups before and after treatment, two groups were improved in depression, anxiety symptoms, depression self rating scale (SDS), anxiety scale (SAS), Hamilton Depression Scale (HAMD), Hamilton focus scale (HAMA) scores were significantly lower, compared with before the treatment was statistically poor. P0.05, suggesting that two kinds of treatment methods were effective in improving patients' anxiety and depression. After treatment, the scores of anxiety self rating scale (SAS) and Hamilton Anxiety Scale (HAMA) were lower in the treatment group than in the control group, and the difference was statistically significant (P0.05), suggesting that the treatment group was better than the control group in improving the patient's anxiety symptoms; the two groups were inhibited. The self rating Depression Scale (SDS), the Hamilton Depression Scale (HAMD) score had no statistical difference (P0.05), suggesting that the treatment group and the control group were effective in improving the depressive symptoms of the patients; 4 the scores of TCM syndrome were reduced in the two groups before and after the treatment, and there were statistical differences compared with those before the treatment (P0.05), suggesting the two treatment methods to improve the tide. Heat perspiration, irritability, and mental depression had curative effect. After treatment, two symptoms were lower in the treatment group than in the control group. The difference was statistically significant (P0.05), suggesting that the treatment group was better than the control group in improving the above two symptoms; there was no statistical difference between the two groups of depressive symptoms (P0.05). The treatment group and the control group were effective in improving mental depression; 5 the two groups before and after treatment, the serum estradiol (E2) and the follicle stimulating hormone (FSH) were changed, E2 increased, and FSH decreased (P0.05), suggesting that two kinds of treatment methods had serum estradiol (E2) and follicle stimulating hormone (FSH) in the patient's body. After treatment, the changes of E2 and FSH in the treatment group were more obvious than those in the control group. The difference was statistically significant (P0.05), suggesting that the hormone endocrine adjustment in the treatment group was superior to the control group. Conclusion: 1 the effect of acupuncture combined with music therapy on the menopause syndrome of liver kidney yin deficiency syndrome is significant; 2 acupuncture combined with music therapy in improving hot tide sweat and impatience. The effect of irritability, anxiety symptoms and adjustment of E2, FSH secretion is better than the Western Medicine (Estradiol Valerate Tablets / estradiol propionic progesterone), and 3 acupuncture combined with music therapy in improving depression related symptoms is equivalent to the Western Medicine (Estradiol Valerate Tablets / estradiol propionic progesterone tablet).
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R711.75

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