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舒木穴组穴治疗子宫内膜异位症的对照研究

[Controlled study on Shu-Mu point combination for treatment of endometriosis].

作者信息

Sun Yuan-Zheng, Chen Hong-Lin

机构信息

The 4th Internal Medicine Ward, The Second Affiliated Hospital, Heilongjiang Traditional Chinese Medicine University, Harbin 150001, China.

出版信息

Zhongguo Zhen Jiu. 2006 Dec;26(12):863-5.

Abstract

OBJECTIVE

To compare therapeutic effects of Shu-Mu point combination, routine needling method and western medicine treatment on endometriosis (EM).

METHODS

Ninety cases were randomly divided into a Shu-Mu point combination group (n = 30) treated with acupuncture at Ganshu (BL 18), Pishu (BL 20), Shenshu (BL 23), Qimen (LR 14), Zhangmen (LR 13), Jingmen (GB 25); a routine needling group (n = 30) treated with acupuncture at Hegu (LI 4), Zhongji (CV 3), Guanyuan (CV 4), Sanyinjiao (SP 6) and a western medicine group treated with oral administration of Danazol. Clinical symptoms and signs, tumor marker serum CA125 values and adverse effects in the three groups were investigated before and after treatment.

RESULTS

The total effective rate was similar in the three groups. The Shu-Mu point combination group was superior to other two groups in improvement of dysmenorrhea, irregular menstuation, lumbago and sacrodynia, anus engorge, etc. (P < 0.01). After treatment, serum CA125 in the Shu-Mu point combination group significantly decreased (P < 0.01).

CONCLUSION

Shu-Mu point combination needling method has an obvious therapeutic effect on endometriosis, with lower adverse effect than that of the western medicine group.

摘要

目的

比较俞募配穴法、常规针刺法与西药治疗子宫内膜异位症(EM)的疗效。

方法

将90例患者随机分为俞募配穴组(n = 30),采用针刺肝俞(BL 18)、脾俞(BL 20)、肾俞(BL 23)、期门(LR 14)、章门(LR 13)、京门(GB 25)治疗;常规针刺组(n = 30),采用针刺合谷(LI 4)、中极(CV 3)、关元(CV 4)、三阴交(SP 6)治疗;西药组采用口服达那唑治疗。观察三组治疗前后的临床症状体征、肿瘤标志物血清CA125值及不良反应。

结果

三组总有效率相近。俞募配穴组在改善痛经、月经不调、腰骶部疼痛、肛门坠胀等方面优于其他两组(P < 0.01)。治疗后,俞募配穴组血清CA125明显降低(P < 0.01)。

结论

俞募配穴针刺法治疗子宫内膜异位症疗效显著,不良反应低于西药组。

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