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[原穴与背俞穴联合治疗围绝经期综合征的临床观察]

[Clinical observation on combination of source point and Back-Shu Point for treatment of perimenopausal syndrome].

作者信息

Shang Yan-jie, Zhang Yu, Kong Ling-li, Wang Yu-yan, Wang Dong-sheng, Liu Jun

机构信息

Department of Acupuncture, Heilongjiang Academy of TCM, Harbin 150036, China.

出版信息

Zhongguo Zhen Jiu. 2009 Jun;29(6):444-8.

Abstract

OBJECTIVE

To observe the clinical therapeutic effect of combination of Source Point and Back-Shu Point on perimenopausal syndrome, and provide a new thought of therapy for perimenopausal syndrome.

METHODS

Eighty cases of perimenopausal syndrome were randomly divided into a combination of Source Point and Back-Shu Point group and a routine acupuncture group, 40 cases in each group. The combination of Source Point and Back-Shu Point group was treated with acupuncture at Taixi (KI 3), Taichong (LR 3), Taibai (SP 3), Sanyinjiao (SP 6), Shenshu (BL 23), Ganshu (BL 18), Pishu (BL 20), Guanyuan (CV 4); and the routine acupuncture group was treated with acupuncture at Baihui (GV 20), Guanyuan (CV 4), Shenshu (BL 23), Taixi (KI 3), San-yinjiao (SP 6). The Kupperman score and the changes of serum estradiol (E2), follicle stimulating hormone (FSH) and luteinizing hormone (LH) were observed before and after treatment in the two groups.

RESULTS

The total effective rate of 92.5% in the combination of Source Point and Back-Shu Point group was superior to 80.0% in the routine acupuncture group, with a significant difference (P < 0. 05); the Kupperman score of 24. 85 +/- 8.35 in the combination of Source Point and Back-Shu Point group was significantly decreased as compared with 35.38 +/- 9.83 in the routine acupuncture group (P < 0.05) after treatment; the contents of E2, FSH and LH in the combination of Source Point and Back-Shu Point group were significantly improved after treatment, and with a significant difference compared to the routine acupuncture group (P < 0.01, P < 0.05).

CONCLUSION

Combination of Source Point and Back-Shu Point has a benign regulation function for E2, FSH and LH, and can significantly improve the Kupperman score, is superior to routine acupuncture for perimenopausal syndrome.

摘要

目的

观察原络配穴法治疗围绝经期综合征的临床疗效,为围绝经期综合征提供新的治疗思路。

方法

将80例围绝经期综合征患者随机分为原络配穴组和常规针刺组,每组40例。原络配穴组针刺太溪(KI 3)、太冲(LR 3)、太白(SP 3)、三阴交(SP 6)、肾俞(BL 23)、肝俞(BL 18)、脾俞(BL 20)、关元(CV 4);常规针刺组针刺百会(GV 20)、关元(CV 4)、肾俞(BL 23)、太溪(KI 3)、三阴交(SP 6)。观察两组治疗前后的Kupperman评分及血清雌二醇(E2)、卵泡刺激素(FSH)、黄体生成素(LH)的变化。

结果

原络配穴组总有效率为92.5%,优于常规针刺组的80.0%,差异有统计学意义(P < 0.05);治疗后原络配穴组Kupperman评分为24.85±8.35,明显低于常规针刺组的35.38±9.83(P < 0.05);原络配穴组治疗后E2、FSH、LH含量明显改善,与常规针刺组比较差异有统计学意义(P < 0.01,P < 0.05)。

结论

原络配穴法对E2、FSH、LH有良性调节作用,能显著改善Kupperman评分,治疗围绝经期综合征疗效优于常规针刺。

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