针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2015年
4期
7-10
,共4页
鲍春龄%王婉娣%成雯郁%东贵荣
鮑春齡%王婉娣%成雯鬱%東貴榮
포춘령%왕완제%성문욱%동귀영
阴阳调衡%针刺疗法%围绝经期综合征%MRS评分
陰暘調衡%針刺療法%圍絕經期綜閤徵%MRS評分
음양조형%침자요법%위절경기종합정%MRS평분
Yin-Yang adjustment%Acupuncture therapy%Perimenopausal syndrome%MRS score
目的:观察阴阳调衡针法治疗围绝经期综合征的临床疗效。方法:将60例患者随机分为治疗组(阴阳调衡针法)和对照组(安慰针刺),评价治疗前及治疗后4周、8周、随访期的MRS( Menopause rat-ing scale)绝经症状评分。结果:治疗组、对照组的总有效率分别为90%、36.67%。治疗组治疗4周后MRS评分较治疗前下降( P<0.05);治疗8周时MRS评分较治疗前改善最为明显( P<0.01);随访4周, MRS评分较治疗8周时有所升高,但是仍低于治疗前的MRS评分( P<0.05)。对照组在治疗8周时与治疗前比较,差异有统计学意义( P<0.05);但随访4周MRS评分与治疗前比较差异无统计学意义( P>0.05)。两组 MRS 评分变化值比较,治疗组在4周、8周的改善值均明显优于对照组( P <0.01)。两组睡眠、烘热、疲劳、急躁易怒症状评分变化值比较,治疗组各时点均明显好于对照组( P<0.01)。结论:阴阳调衡针法能明显改善围绝经期综合征临床症状,针刺对睡眠、烘热、疲劳、急躁易怒等相关症状改善最为明显有效。给予患者适当的理解和安慰治疗也可能存在疗效。
目的:觀察陰暘調衡針法治療圍絕經期綜閤徵的臨床療效。方法:將60例患者隨機分為治療組(陰暘調衡針法)和對照組(安慰針刺),評價治療前及治療後4週、8週、隨訪期的MRS( Menopause rat-ing scale)絕經癥狀評分。結果:治療組、對照組的總有效率分彆為90%、36.67%。治療組治療4週後MRS評分較治療前下降( P<0.05);治療8週時MRS評分較治療前改善最為明顯( P<0.01);隨訪4週, MRS評分較治療8週時有所升高,但是仍低于治療前的MRS評分( P<0.05)。對照組在治療8週時與治療前比較,差異有統計學意義( P<0.05);但隨訪4週MRS評分與治療前比較差異無統計學意義( P>0.05)。兩組 MRS 評分變化值比較,治療組在4週、8週的改善值均明顯優于對照組( P <0.01)。兩組睡眠、烘熱、疲勞、急躁易怒癥狀評分變化值比較,治療組各時點均明顯好于對照組( P<0.01)。結論:陰暘調衡針法能明顯改善圍絕經期綜閤徵臨床癥狀,針刺對睡眠、烘熱、疲勞、急躁易怒等相關癥狀改善最為明顯有效。給予患者適噹的理解和安慰治療也可能存在療效。
목적:관찰음양조형침법치료위절경기종합정적림상료효。방법:장60례환자수궤분위치료조(음양조형침법)화대조조(안위침자),평개치료전급치료후4주、8주、수방기적MRS( Menopause rat-ing scale)절경증상평분。결과:치료조、대조조적총유효솔분별위90%、36.67%。치료조치료4주후MRS평분교치료전하강( P<0.05);치료8주시MRS평분교치료전개선최위명현( P<0.01);수방4주, MRS평분교치료8주시유소승고,단시잉저우치료전적MRS평분( P<0.05)。대조조재치료8주시여치료전비교,차이유통계학의의( P<0.05);단수방4주MRS평분여치료전비교차이무통계학의의( P>0.05)。량조 MRS 평분변화치비교,치료조재4주、8주적개선치균명현우우대조조( P <0.01)。량조수면、홍열、피로、급조역노증상평분변화치비교,치료조각시점균명현호우대조조( P<0.01)。결론:음양조형침법능명현개선위절경기종합정림상증상,침자대수면、홍열、피로、급조역노등상관증상개선최위명현유효。급여환자괄당적리해화안위치료야가능존재료효。
Objective:To observe the effect of Yin-Yang adjusted acupuncture for the treatment of perimeno-pausal syndrome.Methods:Sixty patients with perimenopausal syndrome ( PMS) were randomly divided into a Yin-Yang adjusted acupuncture group and a placebo acupuncture group.The scores of menopause rating ( MRS) and its reductive value were observed and compared between two groups.Results:The total effective rates were 90%in the treatment group and 36.67%in the control group respectively.After the treatment of 4 weeks and 8 weeks, the menopause rating scores and its reduction had a significant difference between the treat-ment group and the control group ( P<0.05) .Placebo acupuncture showed a significantly therapeutic effect af-ter 8 weeks'treatment ( P<0.05) , but no difference was shown during the follow-up period by comparing with that before treatment (P>0.05).The score changes of sleep, fatigue, hot flush and irritability symptom in the treatment group were significant (P<0.01).Conclusion:Yin-Yang adjusted acupuncture therapy has a cura-tive effect on premenopausal syndrome,improving sleep, hot flush, fatigue, irritability symptoms most obvious-ly.Adequate understanding and comfort may also have an effect on perimenopausal patients.