本文選題：氣滯血瘀 + 原發(fā)性痛經(jīng)�。� 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究旨在探索針對(duì)氣滯血瘀型的原發(fā)性痛經(jīng)在臨床實(shí)踐中,采用疏肝調(diào)神針刺法對(duì)其進(jìn)行治療,并對(duì)臨床療效進(jìn)行觀察分析,從而為針灸治療該病尋找一種更為快捷、方便、高效的治療方法。方法:將符合診斷的66例患者,運(yùn)用隨機(jī)方法,分為試驗(yàn)組和對(duì)照組,每組各33例。試驗(yàn)組采用疏肝調(diào)神針刺法,取百會(huì)、四神聰、神庭、本神、印堂、內(nèi)關(guān)、太沖、中極、三陰交、地機(jī)、合谷等穴位。對(duì)照組采取常規(guī)針刺方法,穴位選用中極、三陰交、地機(jī)、十七椎、合谷、太沖、次毼。觀察患者在治療前和治療后COX痛經(jīng)癥狀量表(the COX menstrual symptom scale,CMSS)、視覺模擬評(píng)分法(Visual Analogue Scale,VAS)評(píng)分的變化。結(jié)果:1.試驗(yàn)組和對(duì)照組在治療前后COX痛經(jīng)癥狀量表(CMSS)、視覺模擬評(píng)分法(VAS)評(píng)分方面均具有顯著差異性(P0.05)。兩組患者在治療后COX痛經(jīng)癥狀量表(CMSS)、視覺模擬評(píng)分法(VAS)評(píng)分方面均具有差異性(P0.05)。2.臨床總療效,試驗(yàn)組總有效率95%,對(duì)照組為85%。經(jīng)秩和檢驗(yàn),差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:本研究結(jié)果表明治療氣滯血瘀型原發(fā)性痛經(jīng),采用疏肝調(diào)神針刺和常規(guī)針刺均可緩解該型痛經(jīng)的臨床癥狀,而且在總體療效上有統(tǒng)計(jì)學(xué)意義,再綜合COX痛經(jīng)癥狀評(píng)分、視覺模擬評(píng)分的改善情況,說明疏肝調(diào)神針刺法的治療效果明顯優(yōu)于常規(guī)針刺。
[Abstract]:Objective: this study aimed to explore the clinical practice of primary dysmenorrhea of qi stagnation and blood stasis type, to treat it with the method of soothing the liver and regulating the mind, and to observe and analyze the clinical curative effect, so as to find a more rapid method for acupuncture treatment of the disease. Convenient and efficient treatment. Methods: 66 patients in accordance with the diagnosis were randomly divided into trial group and control group with 33 cases in each group. The experimental group used the acupuncture method of soothing the liver and regulating the mind, taking Baihui, Sishen Cong, Shenting, this God, Yin Tang, Neiguan, Taichong, Middle Pole, Sanyinjiao, ground machine, Hegu and other acupoints. The control group was treated with conventional acupuncture. The acupoints were selected as middle pole, Sanyinjiao, ground machine, 17 vertebrae, Hegu, Taicong, secondary. The changes of the COX menstrual symptom scale and visual analogue scale were observed before and after treatment in patients with dysmenorrhea. The result is 1: 1. There were significant differences in the scores of COX dysmenorrhea symptom scale and visual analogue score before and after treatment between the experimental group and the control group (P 0.05). There was significant difference in the scores of COX dysmenorrhea symptom scale (COX) and visual analogue score (VAS) between the two groups. The total effective rate was 95% in the experimental group and 85% in the control group. By rank sum test, the difference was statistically significant (P 0.05). Conclusion: the results of this study indicate that the treatment of primary dysmenorrhea with qi stagnation and blood stasis can alleviate the clinical symptoms of dysmenorrhea by soothing the liver and regulating the mind, and there is statistical significance in the overall curative effect. The score of COX dysmenorrhea symptom is also synthesized. The improvement of visual analogue score showed that the therapeutic effect of soothing liver and regulating mind acupuncture was better than that of routine acupuncture.
【學(xué)位授予單位】：山東中醫(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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本文編號(hào)：1853414