本文關(guān)鍵詞：針刺配合中藥治療氣滯血瘀型子宮肌瘤的療效觀察　出處：《黑龍江中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 針刺 中藥 氣滯血瘀 子宮肌瘤

【摘要】：目的：本研究課題采用針刺配合中藥治療氣滯血瘀型子宮肌瘤,針刺以選取下腹部穴位(關(guān)元、子宮穴(雙)、中極、三陰交、天樞等)為主,配合口服中藥香棱丸加減方,觀察本療法對(duì)氣滯血瘀型子宮肌瘤患者的臨床療效,通過對(duì)患者臨床癥狀的觀察及肌瘤體積大小的變化來判斷本療法的臨床療效,并對(duì)此法進(jìn)行療效評(píng)價(jià),為本療法在臨床上廣泛應(yīng)用提供理論依據(jù)。方法：本課題共收集符合診斷納入標(biāo)準(zhǔn)的子宮肌瘤患者96例,將96例患者隨機(jī)分成三組,即針?biāo)幗M、中藥組、針刺組。針?biāo)幗M采用針刺結(jié)合口服中藥香棱丸加減方,中藥組口服香棱丸加減方,針刺組采用針刺療法。觀察治療前后三組患者的中醫(yī)證候改善情況,超聲檢查肌瘤大小變化情況,所有研究數(shù)據(jù)均用SPSS21.0進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果：1.中醫(yī)證候積分比較：三組患者治療后,中醫(yī)證候積分較治療前均下降,P0.001,差異有統(tǒng)計(jì)學(xué)意義,且治療后針?biāo)幗M分別與單純中藥組及針刺組比較,P0.05,表明針?biāo)幗M在改善子宮肌瘤臨床癥狀方面分別優(yōu)于單純中藥組和針刺組；2.肌瘤體積比較：三組患者治療后,肌瘤體積較治療前均減小,P0.00 1,差異有統(tǒng)計(jì)學(xué)意義,且治療后針?biāo)幗M分別與單純中藥組及針刺組比較,P0.05,表明針?biāo)幗M的縮瘤效果分別優(yōu)于單純中藥組和針刺組；3.中醫(yī)證候療效比較：治療后針?biāo)幗M、中藥組、針刺組的總有效率分別為83.3%、64.5%和60.0%,針?biāo)幗M分別與單純中藥組及針刺組比較,P0.05,差異有統(tǒng)計(jì)學(xué)意義,表明針?biāo)幗M在改善子宮肌瘤臨床癥狀方面療效分別優(yōu)于單純中藥組和針刺組；4.肌瘤療效比較：治療后針?biāo)幗M、中藥組、針刺組的總有效率分別為76.7%、48.4%和46.7%,針?biāo)幗M分別與單純中藥組及針刺組比較,P0.05,差異有統(tǒng)計(jì)學(xué)意義,表明針?biāo)幗M對(duì)縮小肌瘤體積方面療效分別優(yōu)于單純中藥組和針刺組。結(jié)論：研究表明,針刺配合口服中藥香棱丸加減方治療氣滯血瘀型子宮肌瘤療效確切,在中醫(yī)證候改善及縮小肌瘤體積方面優(yōu)于單純中藥治療和針刺治療,此外,該傳統(tǒng)療法可以保留育齡女性的生育功能,安全有效,無副作用,值得在臨床推廣應(yīng)用。
[Abstract]:Objective: to study the treatment of hysteromyoma of qi stagnation and blood stasis type by acupuncture combined with traditional Chinese medicine. The main acupuncture method is to select the points of lower abdomen (Guan Yuan, uterus points (Shuangli, middle pole, Sanyinjiao, Tianshu, etc.). To observe the clinical effect of this therapy on patients with hysteromyoma of Qi stagnation and blood stasis type, and to judge the clinical effect of this therapy by observing the clinical symptoms of the patients and the changes of the volume of myoma. The therapeutic effect of this method was evaluated to provide a theoretical basis for its wide clinical application. Methods: 96 patients with uterine leiomyoma who met the criteria of diagnosis and inclusion were collected. 96 patients were randomly divided into three groups: acupuncture group, traditional Chinese medicine group and acupuncture group. The acupuncture group was treated with acupuncture. The improvement of TCM syndromes and the changes of myoma size were observed in the three groups before and after treatment. All the data were analyzed by SPSS21.0. Results: 1. Comparison of TCM syndrome score: after treatment, TCM syndrome score decreased P0.001. The difference was statistically significant, and after treatment, the acupuncture and medicine group was better than the traditional Chinese medicine group and the acupuncture group in improving the clinical symptoms of uterine leiomyoma compared with the traditional Chinese medicine group and the acupuncture group respectively, which indicated that the acupuncture group was superior to the traditional Chinese medicine group and the acupuncture group in improving the clinical symptoms of uterine leiomyoma. 2. Comparison of the volume of myoma: after treatment, the volume of myoma in the three groups decreased compared with that before treatment, the difference was statistically significant, and the acupuncture and medicine group was compared with the traditional Chinese medicine group and the acupuncture group after treatment. P0.05 showed that the effect of acupuncture and medicine group was better than that of traditional Chinese medicine group and acupuncture group. 3. Comparison of TCM syndromes: after treatment, the total effective rates of acupuncture and medicine group, traditional Chinese medicine group and acupuncture group were 83.3% and 64.5% respectively, and the acupuncture and medicine group were compared with simple Chinese medicine group and acupuncture group respectively. P0.05, the difference was statistically significant, indicating that the acupuncture and medicine group in improving the clinical symptoms of uterine myoma were better than the traditional Chinese medicine group and acupuncture group respectively. 4. Comparison of curative effect of myoma: the total effective rate of acupuncture and medicine group, traditional Chinese medicine group and acupuncture group were 76.78.4% and 46.7%, respectively, and the acupuncture and medicine group were compared with simple Chinese medicine group and acupuncture group respectively. P0.05, the difference is statistically significant, indicating that acupuncture and medicine group in reducing the volume of myoma, respectively, is better than the traditional Chinese medicine group and acupuncture group. Conclusion: the study shows. Acupuncture combined with oral Chinese medicine Xiangleng pills plus subtractive prescription in the treatment of Qi stagnation and blood stasis type uterine leiomyoma is effective, in TCM syndrome improvement and reduce the volume of myoma is better than simple Chinese medicine treatment and acupuncture treatment, in addition. The traditional therapy can preserve the reproductive function of women of childbearing age, is safe and effective, and has no side effects, so it is worth popularizing in clinic.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R273

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本文編號(hào)：1426693