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针刺联合穴位贴敷疗法治疗子宫内膜异位症所致痛经的临床观察

[Clinical observation on acupuncture combined with acupoint sticking therapy for treatment of dysmenorrhea caused by endometriosis].

作者信息

Chen Ming, Zhang Hua, Li Jing, Dong Gui-Rong

机构信息

Department of Acupuncuture and Moxibustion, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM, Shanghai 200437, China.

出版信息

Zhongguo Zhen Jiu. 2010 Sep;30(9):725-8.

Abstract

OBJECTIVE

To observe the clinical therapeutic effect of acupuncture combined with acupoint sticking therapy for treatment of dysmenorrhea caused by endometriosis, and to probe into the best therapy for this kind of disease.

METHODS

Seventy-three cases of dysmenorrhea caused by endometriosis were randomly divided into an acupuncture combined with acupoint sticking therapy group (observation group) and a medication group (control group). The observation group (36 cases) was treated with acupuncture combined with acupoint sticking therapy, Zhongji (CV 3), Guanyuan (CV 4), Zigong (EX-CA 1) etc. were selected; the control group (37 cases) was treated with oral administration of Jiawei Mojie tablet. The clinical effects, pain scores, onset time of producing analgesic and duration of both groups were observed before and after treatment.

RESULTS

The short term total effective rate of 91.2% (31/34) in observation group was better than that of 83.3% (30/36) in control group (P < 0.05); the long term total effective rates were 97.1% (33/34) and 69.4% (25/36) in observation group and control group respectively, with significant difference between two groups (P < 0. 05). The pain scores of both groups were decreased after treatment, and the improvement degree was more significant in observation group (P<0. 01); the onset time in observation group was shorter than that in control group (P<0. 05), the duration of effect in observation group was longer, and with a stable effect.

CONCLUSION

The therapeutic effect of acupuncture combined with acupoint sticking therapy is very significant for dysmenorrhea caused by endometriosis, and it is a good therapy for this kind of disease.

摘要

目的

观察针刺联合穴位贴敷疗法治疗子宫内膜异位症所致痛经的临床疗效,探讨此类疾病的最佳治疗方法。

方法

将73例子宫内膜异位症所致痛经患者随机分为针刺联合穴位贴敷疗法组(观察组)和药物组(对照组)。观察组(36例)采用针刺联合穴位贴敷疗法,选取中极(CV3)、关元(CV4)、子宫(EX-CA1)等穴位;对照组(37例)采用口服加味没竭片治疗。观察两组治疗前后的临床疗效、疼痛评分、镇痛起效时间及疗效持续时间。

结果

观察组短期总有效率为91.2%(31/34),优于对照组的83.3%(30/36)(P<0.05);观察组和对照组的长期总有效率分别为97.1%(33/34)和69.4%(25/36),两组差异有统计学意义(P<0.05)。两组治疗后疼痛评分均降低,观察组改善程度更显著(P<0.01);观察组起效时间短于对照组(P<0.05),观察组疗效持续时间长,且疗效稳定。

结论

针刺联合穴位贴敷疗法治疗子宫内膜异位症所致痛经疗效显著,是治疗此类疾病的良好方法。

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