【摘要】：目的:通過隨機(jī)對(duì)照的方法,客觀評(píng)價(jià)該套瑜伽體式組合對(duì)原發(fā)性痛經(jīng)治療的臨床療效,為推廣瑜伽治療原發(fā)性痛經(jīng)提供瑜伽運(yùn)動(dòng)處方資料參考,以提高原發(fā)性痛經(jīng)的臨床治療療效。方法:本課題以廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院及廣州中醫(yī)藥大學(xué)符合原發(fā)性痛經(jīng)診斷標(biāo)準(zhǔn)的患者為研究對(duì)象,共納入87名患者,將其隨機(jī)分為埋線組(30例),運(yùn)動(dòng)組(30例,脫落2例)和瑜伽組(30例,中止1例)。埋線組患者根據(jù)辨證的情況,進(jìn)行辨證選穴埋線治療。運(yùn)動(dòng)組采取有氧運(yùn)動(dòng)聯(lián)合核心力量訓(xùn)練的方案。瑜伽組根據(jù)生理周期選擇不同的瑜伽組合體式方案進(jìn)行鍛煉。3組治療每周1次,共3個(gè)月經(jīng)周期。以3組在治療前后及治療后3個(gè)月的痛經(jīng)分度標(biāo)準(zhǔn)與評(píng)分標(biāo)準(zhǔn)、COX痛經(jīng)癥狀量表以及SCL-90量表為主對(duì)比三組在治療原發(fā)性痛經(jīng)在癥狀和心理功能改善中的近期和遠(yuǎn)期療效。進(jìn)而對(duì)比三組之間治療不同嚴(yán)重程度的痛經(jīng)及不同中醫(yī)證型的臨床療效。對(duì)所收集的數(shù)據(jù)采用SPSS21.0進(jìn)行統(tǒng)計(jì)分析,評(píng)價(jià)該套瑜體式組合伽治療原發(fā)性痛經(jīng)的臨床療效及安全性。結(jié)果:(1)CMSS:3組在治療后、治療結(jié)束后3個(gè)月與治療前相比,痛經(jīng)癥狀嚴(yán)重程度與持續(xù)時(shí)間均有改善,有顯著性差異(P0.05)。在治療后瑜伽組較埋線組相比無顯著性差異(P0.05),較運(yùn)動(dòng)組相比,有顯著性差異(P0.05)。在治療結(jié)束后3個(gè)月,瑜伽組患者的痛經(jīng)癥狀與持續(xù)時(shí)間少于埋線組和運(yùn)動(dòng)組,且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。(2)痛經(jīng)癥狀積分及有效率比較:3組的痛經(jīng)癥狀積分在治療后、治療結(jié)束后3個(gè)月與治療前相比,均有下降,有顯著性差異(P0.05)。在治療后瑜伽組較埋線組相比無顯著性差異(P0.05),較運(yùn)動(dòng)組相比,有顯著性差異(P0.05)。在治療結(jié)束后3個(gè)月,瑜伽組患者的痛經(jīng)癥狀積分低于于埋線組和運(yùn)動(dòng)組,且差異有統(tǒng)計(jì)學(xué)意義(P0.05)。瑜伽組的臨床總療效與埋線組、運(yùn)動(dòng)組相比,均有顯著性差異(P0.05)。瑜伽組的有效率為86.21%,埋線組的有效率為46.67%,運(yùn)動(dòng)組的有效率為35.71%。瑜伽組與埋線組、運(yùn)動(dòng)組相比,均有顯著性差異(P0.05),故瑜伽組的有效率優(yōu)于埋線組和運(yùn)動(dòng)組。(3)痛經(jīng)的嚴(yán)重程度分類比較,中度痛經(jīng)患者中,埋線組、運(yùn)動(dòng)組、瑜伽組的有效率分別為:60%、16.66%、86.66%,瑜伽組的有效率優(yōu)于埋線組和運(yùn)動(dòng)組(P0.0167)。重度痛經(jīng)患者中,埋線組、運(yùn)動(dòng)組、瑜伽組的有效率分別為:28.51%、43.75%、71.42%,三組有效率無顯著性差異(P0.05)。(4)中醫(yī)證型分類比較,瑜伽組在氣滯血瘀型證、寒濕凝滯證的原發(fā)性痛經(jīng)患者治療中的有效率分別為88.9%、100%。與埋線組相比,無顯著差異(P0.05)。(5)SCL-90評(píng)分各因子的比較,瑜伽組軀體化、強(qiáng)迫癥狀、人際關(guān)系、抑郁、焦慮、敵對(duì)、偏執(zhí)和精神病性各因子較治療前相比,有顯著性差異(P0.05)。瑜伽組較埋線組在焦慮、抑郁、強(qiáng)迫因子中,P0.05,有顯著差異。瑜伽組較運(yùn)動(dòng)組在抑郁因子中,P0.05,有顯著差異。(6)治療中未出現(xiàn)運(yùn)動(dòng)損傷及其他不良反應(yīng)事件。結(jié)論:該套瑜伽體式組合對(duì)治療原發(fā)性痛經(jīng)有顯著療效,其中以中度痛經(jīng)及氣滯血瘀證、寒濕凝滯證患者療效佳。而且在改善痛經(jīng)患者的在經(jīng)期的不良情緒上優(yōu)于非運(yùn)動(dòng)療法及其他運(yùn)動(dòng)療法。綜上,該套瑜伽體式組合對(duì)于原發(fā)性痛經(jīng)的治療是一種安全、無副作用療效確切,可用于臨床推廣。
[Abstract]:Objective: To evaluate the clinical curative effect of the set of yoga body combination on primary dysmenorrhea through a randomized controlled method, and to provide a reference for the promotion of yoga to treat primary dysmenorrhea to improve the clinical curative effect of primary dysmenorrhea. Methods: A total of 87 patients were enrolled in the first Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and Guangzhou University of Traditional Chinese Medicine, and 87 patients were randomly divided into two groups (30 cases), exercise group (30 cases,2 out of 2 cases) and yoga group (30 cases). Abort 1 case). According to the condition of the syndrome differentiation, the patients with the line-embedding group were treated with the syndrome differentiation and selection. The exercise group adopts an aerobic exercise combined core force training scheme. In the yoga group, different yoga-body-type programs were selected for exercise according to the physiological cycle.3 groups were treated once a week for 3 menstrual cycles. The short-term and long-term effects of the three groups in the treatment of primary dysmenorrhea in the improvement of symptoms and mental function were compared with the criteria of the criteria for the graduation of the dysmenorrhea, the symptom scale of the COX-2 and the SCL-90 scale in the three groups before and after the treatment. And then compared three groups to treat the dysmenorrhea and the clinical curative effect of different traditional Chinese medicine syndrome types. The data collected were analyzed by SPSS21.0, and the clinical efficacy and safety of the set-in-combination combined with the treatment of primary dysmenorrhea were evaluated. Results: (1) CMSS: After treatment,3 months after the end of treatment, the severity and duration of the symptoms of dysmenorrhea were improved, and there was a significant difference (P <0.05). There was no significant difference in the yoga group after treatment (P0.05). In 3 months after the end of treatment, the symptoms and duration of the dysmenorrhea in the yoga group were less than that of the catgut group and the exercise group, and the difference was statistically significant (P0.05). (2) The integration of the symptoms of the dysmenorrhea and the effective rate: the integration of the symptoms of the dysmenorrhea in the 3 groups had a significant difference (P0.05), compared with the pre-treatment,3 months after the end of the treatment. There was no significant difference in the yoga group after treatment (P0.05). In the 3-month period after the end of treatment, the symptoms of dysmenorrhea in the yoga group were lower than that of the catgut group and the exercise group, and the difference was statistically significant (P0.05). The total curative effect of the yoga group was significantly different from that of the catgut group and the exercise group (P0.05). The effective rate of the yoga group was 86.21%, the effective rate of the group was 46.67%, and the effective rate of the exercise group was 35.71%. The effective rate of the yoga group was better than that of the catgut and the exercise group. (3) The effective rate of the yoga group was 60%, 16.66%, 86.66%, and the effective rate of the yoga group was superior to that of the catgut group and the exercise group (P0.05). In the patients with severe dysmenorrhea, the effective rate was 28.51%, 43.75% and 71.42%, respectively, and there was no significant difference between the three groups (P0.05). (4) The effective rate of the traditional Chinese medicine syndrome is 88.9% and 100%, respectively. There was no significant difference (P0.05). (5) There was a significant difference in the scores of SCL-90 scores, the somatization of the yoga group, the forced symptom, the interpersonal relationship, the depression, the anxiety, the hostility, the paranoia and the psychotic factors (P0.05). There was a significant difference in the anxiety, depression and obsessive-compulsive factors of the yoga group in the group of anxiety, depression and obsessive-compulsive. There was a significant difference between the group and the exercise group in the depression factor, P <0.05. (6) No motion damage and other adverse reaction events were observed in the treatment. Conclusion: The combination of this type of yoga has a remarkable curative effect on the treatment of primary dysmenorrhea, in which the patients with moderate dysmenorrhea and qi stagnation and blood stasis and cold-dampness stagnation syndrome have good curative effect. But also is superior to the non-motion therapy and other sports therapy in the bad mood of the patients with dysmenorrhea in the menstrual period. In general, the combination of the set of yoga and the like has the advantages of safety, no side effect and exact curative effect for the treatment of primary dysmenorrhea, and can be used for clinical popularization.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R711.51

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 吳圓榮;趙若華;俞婷婷;黎亞玲;林曉瓊;;穴位埋線治療原發(fā)性痛經(jīng)療效及安全性的Meta分析[J];針灸臨床雜志;2016年01期

2 汪海紅;趙婉婷;劉榮;王婷婷;張?zhí)扃?;11周瑜伽鍛煉對(duì)女性乳腺增生癥的治療作用及內(nèi)分泌機(jī)制的研究[J];天津科技;2015年12期

3 韋麗君;李珊;侯永蓮;丁寧敏;;原發(fā)性痛經(jīng)中醫(yī)治療進(jìn)展[J];江蘇中醫(yī)藥;2015年08期

4 劉麗芳;郭轉(zhuǎn)英;;艾揚(yáng)格瑜伽對(duì)患有原發(fā)性痛經(jīng)的女大學(xué)生疼痛程度、狀態(tài)性焦慮和血漿PGF2a水平的影響[J];四川體育科學(xué);2014年02期

5 崇玉萍;陳香仙;薛才寬;;Hatha瑜伽對(duì)頸型頸椎病康復(fù)的影響[J];北京體育大學(xué)學(xué)報(bào);2014年02期

6 朱榮;傅姍;;瑜伽治療女大學(xué)生原發(fā)性痛經(jīng)的療效及其機(jī)理[J];體育學(xué)刊;2013年06期

7 陳瓊;張婷婷;;原發(fā)性痛經(jīng)相關(guān)因素與治療的研究進(jìn)展[J];廣東醫(yī)學(xué);2013年20期

8 孟文苓;王寧寧;李蘋;劉豐惠;張舒涵;郗帥帥;劉一志;程琮;;女大學(xué)生原發(fā)性痛經(jīng)的流行病學(xué)現(xiàn)況調(diào)查及影響因素分析[J];泰山醫(yī)學(xué)院學(xué)報(bào);2013年08期

9 李煥品;;不同運(yùn)動(dòng)方式對(duì)女大學(xué)生痛經(jīng)的療效研究[J];當(dāng)代體育科技;2013年22期

10 朱洲;周冀英;;瑜伽治療疼痛的相關(guān)研究[J];中國運(yùn)動(dòng)醫(yī)學(xué)雜志;2012年10期

相關(guān)碩士學(xué)位論文 前1條

1 黃f3菁;埋線療法治療原發(fā)性痛經(jīng)的Meta分析[D];廣州中醫(yī)藥大學(xué);2015年

，

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