拔罐加新辅灸治疗闭经的疗效研究

摘要/Abstract

摘要： 目的研究拔罐加新辅灸治疗闭经的疗效。方法选取2019年1月~2022年1月扬州市中医院收治的80例闭经患者作为研究对象,根据随机数表法分为对照组和观察组,每组40例。对照组采用中成药治疗,观察组则采用拔罐加新辅灸治疗,两组疗程均为21 d。比较两组患者临床疗效,治疗前后中医证候积分变化、血液激素水平以及月经来潮平均时间等指标。结果治疗后,观察组患者治疗总有效率高于对照组,差异有统计学意义（P<0.05）。治疗前,两组患者黄体生成素（LH）、卵泡刺激素（FSH）、睾酮（T）、LH/FSH等指标比较,差异无统计学意义（P>0.05）;治疗后,两组患者LH、T、E₂、LH/FSH水平均降低,FSH水平均高于治疗前,且观察组患者LH、T、E₂、LH/FSH水平低于对照组,FSH水平高于对照组,差异均有统计学意义（P<0.05）。治疗前,两组患者中医证候诸项评分比较,差异无统计学意义（P>0.05）;治疗后,两组患者各项中医证候积分均低于治疗前,且观察组患者各项中医证候积分均低于对照组,差异有统计学意义（P<0.05）。治疗后,观察组患者平均月经来潮周期长于对照组,差异有统计学意义（P<0.05）。结论拔罐加新铺灸治疗闭经,可有效调节血液激素水平、缓解临床症状,临床疗效显著,值得临床应用。

关键词: 拔罐, 新辅助灸疗, 闭经, 临床疗效, 激素水平, 中医证候积分

Abstract: Objective To explore the therapeutic effect of cupping and neo-auxiliary moxibustion on amenorrhea. Methods A total of 80 patients with amenorrhea admitted to the Yangzhou Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were selected as the research objects and divided into the control group and the observation group according to the random number table method, with 40 cases in each group. The control group was treated with Chinese patent medicine, while the observation group was treated with cupping combined with new-auxiliary moxibustion. The course of treatment in both groups was 21 days. The clinical efficacy, changes of TCM syndrome scores before and after treatment, blood hormone levels before and after treatment and average time of menstruation were compared between the two groups. Results After treatment, the total effective rate of observation group was higher than that of control group, and the difference was statistically significant (P<0.05). Before treatment, there were no significant differences in the indexes of luteinizing hormone (LH), follicle-stimulating hormone (FSH), testosterone (T) and LH/FSH between the two groups (P>0.05). After treatment, the levels of LH, T, E₂ and LH/FSH in the two groups were decreased, and the levels of FSH were higher than those before treatment. The levels of LH, T, E₂ and LH/FSH in the observation group were lower than those in the control group, and the levels of FSH were higher than those in the control group, and the differences were statistically significant (P<0.05). Before treatment, there was no significant difference in the scores of TCM syndrome between the two groups (P>0.05). After treatment, the scores of each TCM syndrome in the two groups were lower than those before treatment, and the scores of each TCM syndrome in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). After treatment, the average menstrual cycle of the observation group was longer than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Cupping combined with Xinpu moxibustion in the treatment of amenorrhea can effectively regulate the blood hormone level and relieve the clinical symptoms. The clinical effect is remarkable and worthy of clinical application.

Key words: cupping, neoadjuvant moxibustion, menstrual arrest, clinical efficacy, hormone level, TCM syndrome score

中图分类号:

R244

胡红霞, 王娟, 梅冬艳. 拔罐加新辅灸治疗闭经的疗效研究[J]. 中华养生保健, 2022, 40(22): 37-40.

HU Hong-xia, WANG Juan, MEI Dong-yan. Curative Effect Analysis of Cupping Plus Neo-auxiliary Moxibustion in the Treatment of Amenorrhea[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(22): 37-40.

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