隔药灸治疗子宫内膜异位症性痛经
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国家自然科学基金面上项目(81774355);青岛市2016年度医药科研指导计划项目(2016-WHZD033)


Drug Separated Moxibustion in Treating Dysmenorrhea Caused by Endometriosis
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    摘要:

    目的:探讨隔药灸治疗子宫内膜异位症所致痛经的临床效果。方法:选取2017年3月至2018年6月青岛市中医院收治的子宫内膜异位症性痛经患者96例作为研究对象,按照随机数字表法分为对照组和观察组,每组48例,对照组给予常规药物治疗,观察组在对照组基础上加施隔药灸治疗,观察患者痛经缓解、相关临床指标改善、不良反应发生等情况。结果:治疗第1、2、3个月经期时,观察组患者痛经程度、持续时间CMSS评分均显著低于治疗前(F=13.415、11.941,P<0.05),且均显著低于对照组(P<0.05);观察组治疗后CA125、IL-8及PGF2α、OT水平均显著低于对照组(t=4.256、3.755、6.344、4.248,P<0.05);观察组患者治疗后盆腔包块显著小于对照组(t=22.912,P<0.05),不良反应总发生率为4.17%,显著低于对照组的16.67%(χ2=4.018,P<0.05)。结论:给予内异症痛经患者隔药灸,有助于患者盆腔包块缩小,提高痛经缓解效果,减少不良反应,总体疗效更为确切。

    Abstract:

    To evaluate the clinical effect of drug separated moxibustion in treating dysmenorrhea caused by endometriosis.Methods:A total of 96 patients with dysmenorrhea caused by endometriosis treated in Qingdao Traditional Chinese Medicine Hospital from March 2017 to June 2018 were selected and divided into a control group and an observation group according to random number table,with 48 cases in each group.The control group was given conventional drug treatment,and the observation group added drug separated moxibustion.The relief of dysmenorrhea,improvement of related clinical indicators and occurrence of adverse reactions were observed.Results:During the first,second,third month period of treatment,the dysmenorrhea and duration CMSS scores of the observation group were significantly lower than those before treatment(F=13.415,11.941,P<0.05),and were significantly lower than the control group(P<0.05); The levels of CA125,IL-8 and PGF2α,OT in the observation group were significantly lower than those in the control group after treatment(t=4.256,3.755,6.344,4.248,P<0.05); The pelvic mass of the observation group after treatment was significantly smaller than that of the control group(t=22.912,P<0.05); The total incidence of adverse reactions was 4.17%,significantly lower than 16.67% of the control group(χ2=4.018,P<0.05).Conclusion:Drug separated medication for moxibustion in patients with dysmenorrhea due to endometriosis is helpful to reduce pelvic mass,improve the relief effect of dysmenorrhea,reduce adverse reactions,and the overall effect is more accurate.

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宋秀媛,付曙光,李红彩.隔药灸治疗子宫内膜异位症性痛经[J].世界中医药,2019,(10).

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  • 收稿日期:2018-12-21
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  • 在线发布日期: 2019-11-21
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