本文選題：刺血療法 + 針刺�。� 參考：《廣州中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：原發(fā)性痛經(jīng)是目前婦科最常見的疾病之一,嚴重影響女性的生活、工作及學(xué)習(xí),同時給女性帶來抑郁、心煩等不良情緒,影響人際交往,甚至對社會經(jīng)濟的發(fā)展產(chǎn)生不良影響�，F(xiàn)代醫(yī)學(xué)雖能有效防治痛經(jīng)的發(fā)生,但副作用明顯,對機體代謝影響大。因此,從傳統(tǒng)醫(yī)學(xué)角度尋找能更為有效降低痛經(jīng)發(fā)生率、緩解痛經(jīng)疼痛癥狀的療法具有現(xiàn)實社會意義。本研究采用針刺配合刺血療法治療氣滯血瘀型原發(fā)性痛經(jīng),并進行療效評價。目的：通過比較針刺配合刺血與單純針刺治療氣滯血瘀型原發(fā)性痛經(jīng)的療效差異,分析刺血療法的干預(yù)對氣滯血瘀型原發(fā)性痛經(jīng)的療效影響,為針刺配合刺血治療氣滯血瘀型原發(fā)性痛經(jīng)提供臨床應(yīng)用依據(jù)。方法：本課題病例來源于廣州中醫(yī)藥大學(xué)在校大學(xué)生以及廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸科及婦科門診,收集符合納入標準病例62例,脫落1例,最終納入統(tǒng)計分析共61例,其中治療組31例(針刺配合刺血療法)和對照組30例(單純針刺治療)。兩組均連續(xù)治療3個月經(jīng)周期,使用VAS評分、痛經(jīng)癥狀評分以及CMSS評分比較兩組在治療結(jié)束后的療效差異。結(jié)果：針刺配合刺血療法及單純針刺療法治療氣滯血瘀型原發(fā)性痛經(jīng)療效顯著,且在治療結(jié)束后,基于VAS評分、痛經(jīng)癥狀評分差異比較,P0.05,兩組在改善疼痛癥狀方面療效相近�；贑MSS評分差異比較,P＜0.05,提示針刺配合刺血療法在改善痛經(jīng)癥狀發(fā)作總頻率、痛經(jīng)癥狀嚴重程度方面優(yōu)于單純針刺組。結(jié)論：針刺配合刺血及單純針刺治療氣滯血瘀型原發(fā)性痛經(jīng)均具有確切的療效。針刺配合刺血療法能更為有效減少痛經(jīng)癥狀發(fā)作總頻率、減輕痛經(jīng)嚴重程度,可在臨床推廣使用。
[Abstract]:Primary dysmenorrhea is one of the most common diseases in gynecology at present, which seriously affects the life, work and study of women, at the same time brings depression, upset and other bad emotions to women, affects interpersonal communication, and even has a negative impact on the development of social economy. Modern medicine can effectively prevent and cure dysmenorrhea, but the side effects are obvious and have great influence on body metabolism. Therefore, it is of practical and social significance to find a more effective way to reduce the incidence of dysmenorrhea and relieve the symptoms of dysmenorrhea from the point of view of traditional medicine. In this study, acupuncture combined with blood acupuncture was used to treat primary dysmenorrhea of qi stagnation and blood stasis. Objective: to compare the curative effect of acupuncture combined with blood acupuncture on primary dysmenorrhea of qi stagnation and blood stasis type, and to analyze the effect of blood acupuncture therapy on primary dysmenorrhea of qi stagnation and blood stasis type. To provide clinical basis for acupuncture combined with blood acupuncture in the treatment of primary dysmenorrhea of qi stagnation and blood stasis type. Methods: the cases were collected from the college students of Guangzhou University of traditional Chinese Medicine and the Department of Acupuncture and Gynecology of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. There were 31 cases in treatment group (acupuncture combined with blood puncture therapy) and 30 cases in control group (simple acupuncture treatment). VAS score, dysmenorrhea symptom score and CMSS score were used to compare the curative effect between the two groups after the end of treatment. Results: the curative effect of acupuncture combined with blood acupuncture therapy and simple acupuncture therapy on primary dysmenorrhea of Qi stagnation and blood stasis type was remarkable. After the treatment, the difference of dysmenorrhea symptom score based on VAS score was compared with that of P0.05. The curative effect of the two groups on improving pain symptom was similar. Based on the difference of CMSS score (P < 0.05), it was suggested that acupuncture combined with blood acupuncture could improve the total frequency of dysmenorrhea symptoms and the severity of dysmenorrhea symptoms. Conclusion: acupuncture combined with blood acupuncture and simple acupuncture has definite curative effect on primary dysmenorrhea of qi stagnation and blood stasis type. Acupuncture combined with blood acupuncture can effectively reduce the total frequency of dysmenorrhea and alleviate the severity of dysmenorrhea.
【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】：2016
【分類號】：R246.3

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