本文關(guān)鍵詞：針刺治療腎陰虛型圍絕經(jīng)期綜合征的臨床療效觀察　出處：《廣州中醫(yī)藥大學(xué)》2016年博士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 針刺 腎陰虛 圍絕經(jīng)期綜合征

【摘要】：目的：本研究旨在通過對(duì)腎陰虛型圍絕經(jīng)期綜合征的典型證候群的調(diào)查,總結(jié)圍絕經(jīng)期綜合征的治療方法,并對(duì)針灸治療圍絕經(jīng)期綜合征的治療結(jié)果進(jìn)行相關(guān)性分析,探討針刺治療腎陰虛型的圍絕經(jīng)期綜合征的臨床治療效果以及其作用的機(jī)理,從而為腎陰虛型的圍絕經(jīng)期綜合征的治療提供理論上的依據(jù)和新的治療思路。方法：將納入研究標(biāo)準(zhǔn)的90例腎陰虛型圍絕經(jīng)期綜合征的女性患者隨機(jī)地分為三組,即普通針刺治療作為治療組,腹針療法及中藥療法分別作為對(duì)照組。采用隨機(jī)對(duì)照的方法進(jìn)行試驗(yàn)研究,每組患者各有30例,治療組予以針刺刺激,每周治療3次,每次留針30分鐘。腹針組采用腹針針刺,與治療組相同,一周治療3次,每次留針30分鐘。中藥組予以左歸飲合二至丸加減,每日1劑中藥,煎水400ml,分兩次服用。三組經(jīng)治療后,均采用中醫(yī)證候評(píng)分標(biāo)準(zhǔn)對(duì)中醫(yī)證候的改善、國(guó)際改良Kupperman評(píng)分量表對(duì)患者臨床癥狀的改善情況和采用圍絕經(jīng)期生存質(zhì)量量表(MENQOL)對(duì)患者的生活質(zhì)量的影響進(jìn)行治療前后的評(píng)分比較,觀察其治療前后中醫(yī)證候評(píng)分、改良Kupperman評(píng)分以及生存質(zhì)量評(píng)分的改變情況,并對(duì)此進(jìn)行分析,觀察三組經(jīng)治療前后的治療療效比較。結(jié)果：在圍絕經(jīng)期女性患者的治療后的中醫(yī)證候減輕以及改良Kupperman評(píng)分的癥狀的改善方面,針刺組與腹針組以及中藥組對(duì)改善圍絕經(jīng)期患者的中醫(yī)證候評(píng)分以及Kupperman評(píng)分都有明顯的效果(P0.05),但是針刺組治療效果優(yōu)于對(duì)照組腹針療法和中藥療法,而腹針組與中藥組療效相當(dāng)(P0.05)。三組治療后,針刺組的有效率為93.33%,腹針組治療組的有效率為70%,中藥組的治療有效率為63.33%.三組比較差異,針刺組優(yōu)于腹針組和中藥組,腹針組與中藥組療效相當(dāng)。在對(duì)圍絕經(jīng)期綜合征患者的生存質(zhì)量方面,針刺組、腹針組和中藥組對(duì)其都有明確的治療效果。針刺組在改善患者的血管舒縮狀態(tài)、心理狀態(tài)、性生活情況療效都要優(yōu)于腹針組和中藥組(P0.05),腹針組和中藥組間療效相當(dāng)。而在對(duì)患者的生理狀態(tài)方面的改善上,針刺組與腹針組以及中藥組之間的效果相當(dāng)。結(jié)論：針刺治療腎陰虛型圍絕經(jīng)期綜合征有明顯的臨床療效,可以改善患者的圍絕經(jīng)期綜合癥癥狀,提高患者的生活質(zhì)量,值得廣泛用于臨床。
[Abstract]:Objective: this study aimed to summarize the treatment of peri-menopausal syndrome by investigating the typical syndromes of kidney yin deficiency type perimenopausal syndrome. The results of acupuncture and moxibustion in the treatment of peri-menopausal syndrome were analyzed to explore the clinical effect and mechanism of acupuncture in the treatment of peri-menopausal syndrome of kidney yin deficiency type. So as to provide theoretical basis and new treatment ideas for the treatment of peri-menopausal syndrome of kidney yin deficiency type. A total of 90 women with peri-menopausal syndrome of kidney yin deficiency type were randomly divided into three groups. Namely common acupuncture treatment as the treatment group abdominal acupuncture therapy and traditional Chinese medicine therapy as the control group. The randomized controlled method was used to conduct the experimental study each group of 30 patients were treated with acupuncture stimulation. The abdominal acupuncture group was treated with abdominal acupuncture three times a week for 30 minutes, and the traditional Chinese medicine group was treated with Zuo Guiyin Erzhi Pill. One dose of traditional Chinese medicine, decoction of 400ml, divided into two times. After treatment, the three groups were treated with traditional Chinese medicine syndrome score standard to improve TCM syndrome. The improvement of clinical symptoms of patients with modified international Kupperman scale and the use of perimenopausal quality of life scale (MENQOLL). The quality of life of patients was compared before and after treatment. The changes of TCM syndrome score, modified Kupperman score and quality of life score before and after treatment were observed and analyzed. Observe the three groups of treatment before and after treatment. Results: in peri-menopausal female patients after treatment of traditional Chinese medicine syndromes relief and improved Kupperman score symptom improvement. Acupuncture group, abdominal acupuncture group and traditional Chinese medicine group have obvious effect on improving TCM syndrome score and Kupperman score of peri-menopausal patients (P0.05). But the acupuncture group is better than the control group abdominal acupuncture therapy and traditional Chinese medicine treatment, and abdominal acupuncture group and traditional Chinese medicine group, the curative effect is equivalent to P0.050.After the three groups treatment, the effective rate of acupuncture group is 93.33%. The effective rate of abdominal acupuncture group was 70 and that of traditional Chinese medicine group was 63.33.The difference among the three groups showed that the acupuncture group was superior to the abdominal acupuncture group and the traditional Chinese medicine group. In terms of quality of life of patients with peri-menopausal syndrome, acupuncture group, abdominal acupuncture group and traditional Chinese medicine group have definite therapeutic effect. Acupuncture group is improving the vasomotor state of patients. Psychological state, sexual life were better than abdominal acupuncture group and traditional Chinese medicine group P0.05, abdominal acupuncture group and traditional Chinese medicine group, the curative effect was similar, but in the improvement of the physiological state of patients. Conclusion: acupuncture has obvious clinical effect in treating peri-menopausal syndrome of kidney yin deficiency type and can improve the symptoms of peri-menopausal syndrome. To improve the quality of life of patients, it is worth to be widely used in clinical.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2016
【分類號(hào)】：R246.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫越;;中藥治療圍絕經(jīng)期綜合征療效觀察[J];遼寧中醫(yī)學(xué)院學(xué)報(bào);2006年02期

2 李豪英;;圍絕經(jīng)期綜合征臨證掇要[J];光明中醫(yī);2006年06期

3 張瑞荔;文繼紅;李豫;;中醫(yī)辨證治療婦女圍絕經(jīng)期綜合征40例療效觀察[J];云南中醫(yī)中藥雜志;2006年05期

4 張培芹;逄秀云;李素秀;;心理干預(yù)在圍絕經(jīng)期綜合征治療中的療效觀察[J];中國(guó)民康醫(yī)學(xué);2008年23期

5 劉臣;崔嵐;劉濤;;鱉龍湯治療圍絕經(jīng)期綜合征100例[J];中國(guó)中醫(yī)藥科技;2008年06期

6 李芳芳;吳新華;;淺談對(duì)圍絕經(jīng)期綜合征的中醫(yī)認(rèn)識(shí)和治療[J];光明中醫(yī);2009年09期

7 歐紅;;圍絕經(jīng)期綜合征217例臨床治療分析[J];吉林醫(yī)學(xué);2011年24期

8 滿玉晶;陳月;趙麗妍;任菲菲;孫美慧;張楠;;圍絕經(jīng)期綜合征的治療[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2011年12期

9 吳紅斌;賴春華;;桂枝加龍骨牡蠣湯治療圍絕經(jīng)期綜合征64例[J];實(shí)用中醫(yī)藥雜志;2013年12期

10 宋彥茹;盧葉青;路靜;任勝巧;楊曉明;張娜;;圍絕經(jīng)期綜合征患者147例治療體會(huì)[J];臨床合理用藥雜志;2014年04期

相關(guān)會(huì)議論文 前10條

1 楊敏;李燦東;梁文娜;李紅;;圍絕經(jīng)期綜合征證素特點(diǎn)的臨床研究[A];全國(guó)第十一次中醫(yī)診斷學(xué)術(shù)年會(huì)論文集[C];2010年

2 梁文娜;林雪娟;李燦東;李紅;王洋;;圍絕經(jīng)期綜合征中醫(yī)證素規(guī)律的臨床研究[A];中國(guó)中西醫(yī)結(jié)合學(xué)會(huì)診斷專業(yè)委員會(huì)2009’年會(huì)論文集[C];2009年

3 鄧高丕;袁爍;葉慧慈;;圍絕經(jīng)期綜合征的中醫(yī)證治規(guī)律探討[A];第十次全國(guó)中醫(yī)婦科學(xué)術(shù)大會(huì)論文集[C];2010年

4 張劍萍;李芬;林永潔;盛秋;于學(xué)文;張欣文;;西安市高校教師圍絕經(jīng)期綜合征患病狀況調(diào)查[A];第二次全國(guó)絕經(jīng)相關(guān)問題高級(jí)學(xué)術(shù)研討會(huì)論文集[C];2006年

5 龔瑾;丁莎;;理氣活血法治療圍絕經(jīng)期綜合征的臨床研究[A];全國(guó)第七屆中西醫(yī)結(jié)合婦產(chǎn)科學(xué)術(shù)會(huì)議論文及摘要集[C];2007年

6 夏亦冬;胡國(guó)華;;補(bǔ)腎疏肝法合雌激素減量治療圍絕經(jīng)期綜合征臨床研究[A];全國(guó)第七屆中西醫(yī)結(jié)合婦產(chǎn)科學(xué)術(shù)會(huì)議論文及摘要集[C];2007年

7 陳穎異;;圍絕經(jīng)期綜合征——中醫(yī)的綜合認(rèn)識(shí)與診療[A];醫(yī)學(xué)科研成果與應(yīng)用[C];2011年

8 楊敏;李燦東;梁文娜;李紅;;圍絕經(jīng)期綜合征中醫(yī)證素與血脂等指標(biāo)的相關(guān)研究[A];全國(guó)第十三屆中醫(yī)診斷學(xué)術(shù)年會(huì)論文匯編[C];2012年

9 楊鑒冰;;靜心寧湯治療圍絕經(jīng)期綜合征的臨床觀察[A];2010全國(guó)中西醫(yī)結(jié)合圍絕經(jīng)期專題學(xué)術(shù)會(huì)議論文集[C];2010年

10 梁文娜;李燦東;高碧珍;李紅;楊敏;王洋;;圍絕經(jīng)期綜合征肝郁病理與雌性激素的相關(guān)性研究[A];全國(guó)第十一次中醫(yī)診斷學(xué)術(shù)年會(huì)論文集[C];2010年

相關(guān)重要報(bào)紙文章 前3條

1 ;關(guān)愛女性 關(guān)注圍絕經(jīng)期綜合征[N];成都日?qǐng)?bào);2004年

2 王春鳴;針刺治療“圍絕經(jīng)期綜合征”值得推廣[N];中國(guó)中醫(yī)藥報(bào);2007年

3 季楠;潮熱偶爾纏身 別急著用激素[N];中國(guó)醫(yī)藥報(bào);2007年

相關(guān)博士學(xué)位論文 前10條

1 俞潔;圍絕經(jīng)期綜合征肝郁證兼雜特征及其分子生物學(xué)基礎(chǔ)研究[D];福建中醫(yī)藥大學(xué);2016年

2 楊麗華;針刺治療腎陰虛型圍絕經(jīng)期綜合征的臨床療效觀察[D];廣州中醫(yī)藥大學(xué);2016年

3 黃順杰;圍絕經(jīng)期綜合征的影響因素及中醫(yī)證候臨床研究[D];廣州中醫(yī)藥大學(xué);2010年

4 馮娟;從腎肝心論治圍絕經(jīng)期綜合征的臨床療效及作用機(jī)制研究[D];北京中醫(yī)藥大學(xué);2005年

5 林吟，

本文編號(hào)：1392740