本文選題：單穴 + 多穴�。� 參考：《北京中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的：探討如何配穴選穴進(jìn)行貼敷才能更大程度地發(fā)揮其作用效應(yīng),并對(duì)比多穴與單穴貼敷治療痛經(jīng)的療效。方法：本研究于2015年09月至2016年1月招募符合原發(fā)性痛經(jīng)診斷的患者94名,依照隨機(jī)數(shù)字表法隨機(jī)分組,分為治療組49人,對(duì)照組45人,治療組貼敷關(guān)元加雙側(cè)三陰交,對(duì)照組貼敷關(guān)元,于月經(jīng)期第1-3天進(jìn)行貼敷治療,每次持續(xù)治療6小時(shí),1個(gè)月經(jīng)周期為1療程,治療3個(gè)療程后應(yīng)用月經(jīng)失血圖評(píng)價(jià)經(jīng)血及血塊改善情況,同時(shí)使用綜合疼痛評(píng)分表、痛經(jīng)癥狀評(píng)分表、CMSS評(píng)定療效。結(jié)果：治療過(guò)程中,治療組4人因低熱燙傷脫落(不良事件發(fā)生率4.26%),故最終完成實(shí)驗(yàn)的受試者人數(shù)90人,治療組45人,對(duì)照組45人。①基線比較：基線可比(P0.05),差異無(wú)統(tǒng)計(jì)學(xué)意義。②月經(jīng)量、血塊量改善情況評(píng)價(jià)：兩組的經(jīng)量在治療前后均無(wú)明顯改變(治療前、治療后兩組組間比較P0.05),且不同等級(jí)月經(jīng)量的人數(shù)分別進(jìn)行兩組組間治療前對(duì)比和治療后對(duì)比,均有P0.05；直觀上看治療組在調(diào)節(jié)月經(jīng)量和改善血塊量情況方面亦有一定優(yōu)勢(shì),通過(guò)統(tǒng)計(jì)學(xué)分析組間比較均為P0.05,無(wú)統(tǒng)計(jì)學(xué)意義。③痛經(jīng)改善情況：兩組受試者的痛經(jīng)腹痛程度及痛經(jīng)整體情況組內(nèi)治療前后分值比較均為P0.05,差異有統(tǒng)計(jì)學(xué)意義,而組間比較均為P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義。④伴隨癥狀改善情況評(píng)價(jià)：兩組受試者大部分的伴隨癥狀組內(nèi)比較均為P0.05,治療前后的差異有統(tǒng)計(jì)學(xué)意義；直觀上看治療組在改善脾胃相關(guān)癥狀方面存在一定優(yōu)勢(shì),進(jìn)行統(tǒng)計(jì)學(xué)分析,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。⑤有效率分析：兩組痛經(jīng)腹痛程度有效率、痛經(jīng)整體情況有效率采用卡方檢驗(yàn),均有P0.05,差異無(wú)統(tǒng)計(jì)學(xué)意義,兩組有效率無(wú)明顯差異；⑥不同證型的療效評(píng)價(jià)：除去對(duì)照組肝郁濕熱1人無(wú)效外,兩組在治療所有其他證型時(shí)療效確切,其中,治療組治療實(shí)證療效強(qiáng)于對(duì)照組,對(duì)照組治療虛證的療效強(qiáng)于治療組,但進(jìn)行統(tǒng)計(jì)學(xué)分析,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：無(wú)論是治療組或?qū)φ战M對(duì)月經(jīng)量均無(wú)不良影響,兩組均可明顯減少血塊量,可明顯緩解痛經(jīng)疼痛程度、改善痛經(jīng)整體情況和伴隨癥狀,且兩組相比療效相當(dāng)。即無(wú)論是貼敷關(guān)元還是貼敷關(guān)元加三陰交(雙)都可以明顯減輕痛經(jīng)疼痛程度、改善痛經(jīng)整體情況、伴隨癥狀,且減輕程度與取穴數(shù)量多少無(wú)關(guān)。
[Abstract]:Objective: to explore how to select acupoints and apply them to a greater extent, and to compare the effect of multi-point and single-point application on dysmenorrhea. Methods: from September 2015 to January 2016, 94 patients with primary dysmenorrhea were recruited and randomly divided into treatment group (n = 49) and control group (n = 45). In the control group, Guanyuan was applied and applied on the 1-3 days of menstrual period. The treatment lasted 6 hours each time, and one menstrual cycle was a course of treatment. After 3 courses of treatment, menstrual bleeding chart was used to evaluate the improvement of menstrual circulation and clot. At the same time, comprehensive pain scale and dysmenorrhea symptom scale were used to evaluate the efficacy of CMSS. Results: during the course of treatment, 90 subjects in the treatment group and 45 in the treatment group finished the experiment because of the falling off of low fever and scalding injury (the incidence of adverse events was 4.26%). Baseline comparison of 45 subjects in the control group: the baseline was comparable to that of P0.05 with no significant difference in menstrual volume of .2 months. Evaluation of the improvement of blood clot volume: before and after treatment, there was no significant change in menstrual volume between the two groups (before and after treatment, After treatment, there was P0.05 comparison between the two groups, and the number of people of different grades of menstrual volume were compared before and after treatment respectively between the two groups, there were P0.05. intuitively, the treatment group also had some advantages in regulating menstrual volume and improving the volume of blood clot. There was no significant difference in the improvement of dysmenorrhea between the two groups by statistical analysis (P 0.05). The degree of abdominal dysmenorrhea and the score of dysmenorrhea before and after treatment in the two groups were both P0.05, and the difference was statistically significant. There was no significant difference between the two groups (P 0.05). There was significant difference between the two groups before and after treatment. Intuitively, the treatment group had some advantages in improving the symptoms related to spleen and stomach. The difference was not statistically significant (P 0.05). 5. The effective rate of dysmenorrhea was analyzed: the degree of abdominal pain of dysmenorrhea was effective, and the overall effective rate of dysmenorrhea was chi-square test. There was no significant difference in effective rate between the two groups (P 0.05, P 0.05). There was no significant difference between the two groups in the evaluation of efficacy of different syndromes: except that 1 person in the control group had no effect on liver depression, dampness and heat, the two groups were effective in treating all the other syndromes, among which, there was no significant difference between the two groups. The therapeutic effect of the treatment group was stronger than that of the control group, and that of the control group was stronger than that of the treatment group, but the difference was not statistically significant (P 0.05). Conclusion: both the treatment group and the control group have no adverse effects on menstrual volume. Both groups can significantly reduce the blood clot, relieve the degree of dysmenorrhea pain, improve the overall condition and associated symptoms of dysmenorrhea, and the curative effect is similar between the two groups. That is, whether the application of Guanyuan or the application of Guanyuan plus Sanyinjiao (double) can significantly reduce the degree of dysmenorrhea pain, improve the overall situation of dysmenorrhea, accompanied by symptoms, and the degree of relief is not related to the number of acupoints taken.
【學(xué)位授予單位】：北京中醫(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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