隔药灸脐法调控原发性痛经患者生殖内分泌机制的临床探究.pdfVIP

提 要 目的：本研究采用隔药灸脐法与针刺三阴交法治疗原发性痛经，观察两种治疗方 法对原发性痛经患者生殖内分泌水平的影响，试图阐释隔药灸脐法治疗原发性痛经的 生殖内分泌调控机制。 方法：将 44 例原发性痛经患者随机分成两组，其中隔药灸脐组 22 例，针刺三阴 交组 22 例。观察治疗前与介入治疗后四个月经周期的腹痛严重程度和雌二醇、孕酮 以及前列腺素的变化，并比较两组之间的差异。 结果：隔药灸脐组和针刺三阴交组均能明显减轻患者腹痛严重程度，与治疗前相 比，差异均具有极显著性意义(P0.01)，但隔药灸脐组远期效果要优于针刺三阴交组。 隔药灸脐组和针刺三阴交组均能降低原发性痛经患者雌二醇、前列腺素的含量，升高 孕酮的含量。对孕酮水平的调节，隔药灸脐组要优于针刺三阴交组，而对雌二醇的调 节，针刺三阴交组则优于隔药灸脐组。 结论：隔药灸脐法治疗原发性痛经疗效显著，远期效果好，其机制是通过调节机 体下丘脑—垂体—卵巢轴来调节机体生殖内分泌水平，从而治疗原发性痛经。 关键词 隔药灸脐；三阴交；原发性痛经；临床研究 Clinical Study on Primary Dysmenorrhea Patients’ Reproductive Endocrine Mechanism Regulated by Herbs-separated Moxibustion at the Navel Speciality: Acupuncture and Moxibustion Author: Ma Hong Tutor: Ma Yuxia Abstract Objective: Two treatments were selected in this study—herbs-separated moxibustion at the navel and needling Sanyinjiao(SP6) to cure the patients with primary dysmenorrhea, in order to observe the influence on reproductive endocrine level of the two groups and try to explain the reproductive endocrine regulating mechanism of the therapy of herbs-separated moxibustion at the navel to cure primary dysmenorrhea. Methods: 44 patients with primary dysmenorrhea were randomly divided into two groups, 22 cases in the group of herbs-separated moxibustion at the navel; 22 cases in the group of needling Sanyinjiao(SP6).Then we observed the severity changes of abdominal pain, Estradiol, Progesterone and Prostaglandin levels before and after four menstrual cycles intervention treatment, and compared the differences between the two groups. Result: Both the group of herbs-separated moxibustion at the navel and the group of needling Sanyinjiao(SP6) alleviated the severity of abdominal