摘要
目的:比较腹针和口服中药治疗子宫内膜异位症盆腔疼痛的疗效差异。方法:子宫内膜异位症盆腔疼痛患者58例随机分为腹针组(30例)及中药组(28例)。腹针组针刺腹针中脘、下脘、气海等穴,中药组口服田七痛经胶囊,治疗3个月后观察两组治疗前后简化McGill疼痛量表评分情况、血清中糖类抗原125(CA125)水平、巧克力囊肿平均径线值、合并腺肌症者子宫3个径线值之和。结果:除中药组选词阳性项目数外,两组治疗后简化McGill量表中6个项目评分均较治疗前明显改善(均P<0.01),两组间治疗后6个项目评分比较,差异均有统计学意义(均P<0.01),腹针组明显优于中药组。两组治疗前后CA125水平组内及组间比较,差异均有统计学意义(P<0.05,P<0.01)。巧克力囊肿平均径线值组内治疗前后比较及组间差值比较均无统计学意义(均P>0.05),子宫腺肌症子宫3个径线值之和组内治疗前后比较,腹针组差异有统计学意义(P<0.01),但中药组及两组治疗后比较差异均无统计学意义(均P>0.05)。结论:腹针在减轻子宫内膜异位症盆腔疼痛、降低血清CA125水平方面疗效优于田七痛经胶囊,对已形成的卵巢内膜囊肿、腺肌症子宫的大小无显著改善,故以疼痛为主要表现或求诊目的的子宫内膜异位症是腹针治疗的较好适应证。
Objective To compare the effect of abdominal acupuncture and Chinese medicine on pain relieving in pelvic cavity in patients with endometriosis. Methods Fifty-eight eases were randomly divided into 2 groups. Thirty cases were in abdominal acupuncture group and 28 cases in Chinese medicine group. Abdominal acupuncture points such as Zhongwan （CV 12）, Xiawan （CV 10） and Qihai （CV 6）, etc. were adopted for the abdominal acupuncture group, and Tianqi Tongjing Capsule （radix notoginseng capsule for dysmenorrhea） was taken by the Chinese medicine group. After a 3-month treatment, the scores of McGill pain questionaire, level of serum CA125, average value of the radial line of endometrial cyst of ovary and the sum of 3 radial lines of the uterus of patients with adenomyosis as the complication of both groups were observed before and after treatment. Results The McGill estimation of 6 items for both groups improved obviously after treatment （all P〈0.01, except numbers of selected descriptors in Chinese medicine group）. The differences of the result of McGill estimation of 6 items after treatment had statistical significance, the scores in the abdominal acupuncture group were obviously better than those in the Chinese medicine group （all P〈0.01）. The differences of CA125 levels within one group or between 2 groups had statistical significance （P〈0.01,P〈0.05）. The difference of the radial lines of patients with endometrial cyst of ovary within one group or between 2 groups after treatment had not statistical significance （all P〉0.05）. For the value of 3 radial lines of the uterus of patients with adenomyosis within one group before and after treatment, only the difference in the abdominal acupuncture group had statistical significance（P〈0.01）. The differences before and after treatment in the Chinese medicine group and the difference between 2 groups after treatment had no statistical signifi- cance（all P〉0.05）. Conclusion Effect of abdominal acupuncture on relieving pain of pelvic cavity caused by endometriosis, reducing the level of serum CA125 is obverious than Tianqi Tongjing Capsule （radix notoginseng capsule for dysmenorrhea）. However, the effects on reducing the size of the ovarian endometrial cyst and the size of uterus with adenomyosis are not significant. Therefore, it is concluded that abdominal acupuncture is a better choice for endometriosis with pain as the chief complaints.
出处
《中国针灸》
CAS
CSCD
北大核心
2011年第2期113-116,共4页
Chinese Acupuncture & Moxibustion
关键词
子宫内膜异位症
盆腔疼痛
腹针
Endometriosis
Cavitas Pelvis Ache
Abdominal Acupuncture
