本文關(guān)鍵詞：賴氏通元法治療絕經(jīng)前后諸證的臨床研究　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本課題通過臨床研究,觀察運用通元法對絕經(jīng)前后諸證患者的治療效果,探討通元法治療絕經(jīng)前后諸證的理論基礎(chǔ),為絕經(jīng)前后諸證的臨床治療提供有效的治療方案。方法:選取于2016年1月--2017年1月在廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院就診的絕經(jīng)前后諸證患者,按診斷標準納入治療64例,按隨機分組原則,每組各32例。治療組予通元法治療;對照組予普通針刺治療。觀察兩組治療前及治療滿2個療程后的癥狀變化情況,通過性激素三項(FSH,LH,E2)評估,根據(jù)Kupperman評分法及生存質(zhì)量評分表(QOL-BREF)進行綜合評分,并觀察兩組患者的改善情況。結(jié)果:兩組患者治療前后比較E2、FSH和LH數(shù)值均未見明顯差異(P0.05)。兩組患者治療后比較kupperman評分比較中可以看出失眠、情緒波動兩組癥狀治療前后有顯著性差異(P0.05),其他癥狀兩組改善程度相同。兩組間患者治療后比較生存質(zhì)量評分,其中主觀感受2評分差異有統(tǒng)計學(xué)意義(P0.05),其他癥狀兩組改善程度相同。兩組患者治療前后生存質(zhì)量簡表總評分比較差異有統(tǒng)計學(xué)意義(P0.05);其中治療組在治療前后患者主觀感受1、主觀感受2、PHYS、PSYCH、SOCIL、ENVIR、102和103評分比較差異有統(tǒng)計學(xué)意義(P0.05);對照組在治療前后主觀感受1、主觀感受2、PHYS、PSYCH、SOCIL、ENVIR和103評分比較差異有統(tǒng)計學(xué)意義(P0.05)。兩組患者療效指數(shù)(KI)比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1.常規(guī)針灸及通元法針刺組對于絕經(jīng)前后諸證患者的性激素水平(E2、FSH和LH)未見明顯影響。2.患者的一般情況如年齡、身高、病程、病情等對療效無明顯影響。3.治療組予通元法治療絕經(jīng)前后諸證在癥狀改善上與對照組普通針刺未見明顯差異。4.治療組對絕經(jīng)前后諸證患者失眠及情緒波動癥狀的消除和改善明顯優(yōu)于對照組,而對其余癥狀的消除與改善,兩組組間比較無顯著性差異。5.通元法治療絕經(jīng)前后諸證沒有任何不良反應(yīng)。
[Abstract]:Objective: to observe the therapeutic effect of Tongyuan method on patients with pre-and post-menopausal syndrome by clinical study, and to explore the theoretical basis of Tongyuan method for the treatment of postmenopausal syndrome. Methods: from January 2016 to January 2017 in the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine, we selected the patients before and after menopause. 64 cases were treated according to diagnostic criteria, 32 cases in each group according to the principle of random grouping. The treatment group was treated with Tongyuan method. The patients in the control group were treated with common acupuncture. The changes of symptoms before treatment and after two courses of treatment were observed and evaluated by three items of sex hormone (FSHLHN E2). According to the Kupperman score and QOL-BREF, the improvement of the two groups was observed. Results: E2 was compared between the two groups before and after treatment. There was no significant difference in FSH and LH values between the two groups (P 0.05). Insomnia was observed in the comparison of kupperman scores between the two groups after treatment. There was significant difference between the two groups before and after treatment, and the other symptoms were improved to the same extent. The scores of quality of life were compared between the two groups after treatment. The difference of subjective perception 2 score was statistically significant (P 0.05). The improvement of other symptoms in the two groups was the same. There was significant difference in the total score of quality of life between the two groups before and after treatment (P 0.05). Before and after treatment, the patients in the treatment group had 1 subjective feeling and 2 patients' subjective feelings before and after treatment. There was significant difference between 102 and 103 scores (P 0.05). In the control group, the subjective feelings were 1 and 2 respectively before and after treatment. There was significant difference between ENVIR and 103 scores (P 0.05). There was no significant difference in curative effect index (Ki) between the two groups (P 0.05). Conclusion 1.routine acupuncture and Tongyuan method acupuncture group for the patients before and after menopausal sex hormone level of estradiol. FSH and LH) did not significantly affect the general condition of patients such as age, height, course of disease. There is no significant difference in symptoms between the treatment group and the control group before and after the treatment of menopause. 4. Insomnia and emotional waves in the treatment group before and after menopause. The elimination and improvement of motility symptoms were significantly better than those in the control group. There was no significant difference between the two groups in the elimination and improvement of other symptoms. 5. There were no adverse reactions before and after treatment with Tongyuan method.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.3
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本文編號：1420519