CAJ | 학술논문

目的：观察陆氏温针治疗围绝经期综合征的临床疗效。方法将60例围绝经期综合征患者随机分为治疗组和对照组,每组30例。治疗组采用陆氏温针治疗,对照组采用常规针刺治疗。观察两组治疗前后Kuppperman指数(KI)、匹兹堡睡眠质量指数(PSQI)、汉密尔顿抑郁量表(HAMD)及血清雌激素(E2)、卵泡刺激素(FSH)、黄体生成素(LH)的变化,并比较两组临床疗效。结果治疗组总有效率为80.0%,对照组为53.3%,两组比较差异有统计学意义(P＜0.05)。两组治疗后KI评分与同组治疗前比较,差异均有统计学意义(P＜0.01)。治疗组治疗前后KI评分差值与对照组比较,差异有统计学意义(P＜0.05)。两组治疗后血清 LH、FSH 及 E2含量与同组治疗前比较,差异均具有统计学意义(P＜0.05)。两组治疗后汉密尔顿抑郁量表评分及匹兹堡睡眠量表评分与同组治疗前比较,差异均具有统计学意义(P＜0.01,P＜0.05)。治疗组治疗后汉密尔顿抑郁量表评分与对照组比较,差异具有统计学意义(P＜0.05)。结论陆氏温针是一种治疗围绝经期综合征的有效方法。
목적：관찰륙씨온침치료위절경기종합정적림상료효。방법장60례위절경기종합정환자수궤분위치료조화대조조,매조30례。치료조채용륙씨온침치료,대조조채용상규침자치료。관찰량조치료전후Kuppperman지수(KI)、필자보수면질량지수(PSQI)、한밀이돈억욱량표(HAMD)급혈청자격소(E2)、란포자격소(FSH)、황체생성소(LH)적변화,병비교량조림상료효。결과치료조총유효솔위80.0%,대조조위53.3%,량조비교차이유통계학의의(P＜0.05)。량조치료후KI평분여동조치료전비교,차이균유통계학의의(P＜0.01)。치료조치료전후KI평분차치여대조조비교,차이유통계학의의(P＜0.05)。량조치료후혈청 LH、FSH 급 E2함량여동조치료전비교,차이균구유통계학의의(P＜0.05)。량조치료후한밀이돈억욱량표평분급필자보수면량표평분여동조치료전비교,차이균구유통계학의의(P＜0.01,P＜0.05)。치료조치료후한밀이돈억욱량표평분여대조조비교,차이구유통계학의의(P＜0.05)。결론륙씨온침시일충치료위절경기종합정적유효방법。
Objective To investigate the clinical efficacy of Lu’s warm needling in treating perimenopausal syndrome.Methods Sixty patients with perimenopausal syndrome were randomly allocated to treatment and control groups, 30 cases each. The treatment group received Lu’s warm needling and the control group, conventional acupuncture. The scores of Kupperman Index (KI), Pittsburgh Sleep Quality Index (PSQI) and Hamilton Depression Scale (HAMD), and serum estrogen (E2), follicle stimulating hormone (FSH) and luteal hormone (LH) were observed before and after treatment. The clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 80.0% in the treatment group and 53.3% in the control group; there was a statistically significant difference between the two groups (P<0.05). There was a statistically significant pre-/post-treatment difference in the KI score in the two groups (P<0.01). There was a statistically significant difference in pre-/post-treatment KI score difference value between the treatment and control groups (P<0.05). There were statistically significant pre-/post-treatment differences in serum LH, FSH and E2 contents in the two groups (P<0.05). There were statistically significant pre-/post-treatment differences in the Hamilton Depression Scale score and the Pittsburgh Sleep Quality Index score in the two groups (P<0.01, P<0.05). There was a statistically significant post-treatment difference in the Hamilton Depression Scale score between the treatment and control groups (P<0.05).Conclusion Lu’s warm needling is an effective way to treat perimenopausal syndrome.