本文選題：電針　切入點(diǎn)：不同頻率　出處：《湖北中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察低頻電針和高頻電針治療以烘熱為主訴的PMS患者的血清內(nèi)分泌激素(E2、FSH、LH)的影響以及平均24小時(shí)烘熱積分、MRS量表、MENQOL量表評(píng)分指數(shù)的變化,以明確不同頻率的電針刺激參數(shù)緩解圍絕經(jīng)期烘熱癥狀的療效,評(píng)價(jià)電針對(duì)圍絕經(jīng)期患者烘熱癥狀的治療效應(yīng)與頻率這一刺激參數(shù)的關(guān)系以及探討電針不同頻率在緩解圍絕經(jīng)期烘熱癥狀中的療效和作用機(jī)理。方法:本課題在湖北省中醫(yī)院針灸科招募志愿者,將符合“絕經(jīng)過渡期標(biāo)準(zhǔn)”并以烘熱為主訴的60例圍絕經(jīng)期患者納入課題研究,按1:1比例隨機(jī)分為電針高頻組(30例)、電針低頻組(30例)。兩組均針刺關(guān)元、子宮、三陰交,所用電針治療儀為華佗牌SDZ-V型。刺激參數(shù):電針高頻組頻率為100Hz,電針低頻組為2Hz,電流大小以患者能耐受最大為度,每次治療時(shí)間為30分鐘,兩組都是一周3次,隔日一次,4周為1療程,持續(xù)治療2個(gè)療程。評(píng)價(jià)時(shí)間點(diǎn)選取治療前及治療后,以患者的E2、FSH、LH水平以及平均24小時(shí)烘熱積分、MRS量表、MENQOL量表評(píng)分為觀察指標(biāo)以評(píng)價(jià)兩組的臨床療效。結(jié)果:2個(gè)療程治療完成后,低頻組總有效率為96.67%,高頻組總有效率為73.33%,療效差異具有統(tǒng)計(jì)學(xué)意義(P0.05),電針低頻組療效比高頻組顯著。電針低頻組與高頻組的平均24小時(shí)烘熱積分、MRS量表、MENQ0L量表評(píng)分在治療前后組內(nèi)自身比較以及治療后組間比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.05),電針低頻組各項(xiàng)指數(shù)下降幅度比高頻組各項(xiàng)指數(shù)下降更明顯,提示低頻電針治療PMS在改善患者烘熱癥狀、臨床癥狀、生存質(zhì)量方面,療效比電針高頻組好。低頻組和高頻組治療后血清E2含量均明顯升高,FSH、LH均明顯降低(P0.05);治療后兩組血清E2、FSH、LH水平差異組間對(duì)照無統(tǒng)計(jì)學(xué)意義(P0.05),說明兩組對(duì)PMS患者性激素的影響程度相當(dāng)。結(jié)論:在緩解圍絕經(jīng)期烘熱癥狀方面,低頻電針對(duì)平均24小時(shí)烘熱積分、MRS量表、MENQOL量表評(píng)分指數(shù)改善作用顯著,且優(yōu)于高頻電針組,對(duì)血清E2、FSH、LH同樣具有調(diào)節(jié)作用。
[Abstract]:Objective: to observe the effect of low frequency electroacupuncture and high frequency electroacupuncture on the serum endocrine hormone E2FSHLH in patients with PMS, and to observe the change of the mean 24 hour dry heat score (MRS) and MENQOL score index. The efficacy of different frequency electroacupuncture stimulation parameters in relieving the symptoms of peri-menopausal fever, To evaluate the relationship between the therapeutic effect and frequency of electroacupuncture on the symptoms of drying heat in peri-menopausal patients, and to explore the therapeutic effect and mechanism of electroacupuncture with different frequencies in relieving the symptoms of peri menopausal fever. Department of Acupuncture and moxibustion, Hubei traditional Chinese Medicine Hospital, According to the proportion of 1: 1, 60 cases of peri-menopausal patients who met the "standard of menopausal transition period" and complained about drying fever were randomly divided into three groups: high frequency electroacupuncture group (30 cases) and electroacupuncture low frequency group (30 cases). The stimulation parameters were as follows: the frequency of high frequency electroacupuncture group was 100 Hz, and that of low frequency electroacupuncture group was 2 Hz. The current intensity was the maximum tolerance of the patient. The time of treatment was 30 minutes each time, and the two groups were 3 times a week. Every other day for 4 weeks as a course of treatment, continuous treatment for 2 courses. Evaluation time points before and after treatment, The clinical efficacy of the two groups was evaluated by the level of FSHLLH and the mean 24 hour dry heat score (Mrs) and MENQOL scale. Results: after two courses of treatment, the clinical efficacy of the two groups was evaluated. The total effective rate of low frequency group was 96.67 and that of high frequency group was 73.33. The difference was statistically significant (P 0.05). The curative effect of low frequency electroacupuncture group was significantly higher than that of high frequency group. Self comparison before and after treatment and comparison between groups after treatment, All the differences were statistically significant (P 0.05). The decrease of each index in low frequency electroacupuncture group was more obvious than that in high frequency group. It was suggested that low frequency electroacupuncture could improve the symptoms of heat drying, clinical symptoms and quality of life in patients with PMS. The effect was better than that in the high frequency electroacupuncture group. The serum E2 level in the low frequency group and the high frequency group were significantly increased after treatment, and the levels of serum E 2 FSH LH in the two groups were significantly lower than those in the control group, indicating that there was no significant difference between the two groups in the level of serum E 2 and E 2 FSH LH, indicating that the two groups had sexual shock in the patients with PMS. Conclusion: in relieving the symptoms of peri-menopausal drying fever, Low frequency electroacupuncture significantly improved the score index of MRS and MENQOL in the mean 24 hours dry heat score and was better than that in the high frequency electroacupuncture group.
【學(xué)位授予單位】：湖北中醫(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)】：R246.3

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