原俞配穴法治疗围绝经期综合征疗效观察

目的:观察原俞配穴法治疗围绝经期综合征的疗效,为治疗围绝经期综合征提供新的治疗思路.方法:将80例围绝经期综合征患者随机分为原俞配穴组和常规针刺组,各40例.原俞配穴组针刺太溪、太冲、太白、三阴交、肾俞、肝俞、脾俞、关元;常规针刺组针刺百会、关元、肾俞、太溪、三阴交.观察两组治疗前后Kupperman评分、血清雌二醇(E2)、促卵泡素(FSH)和促黄体素(LH)水平变化.结果:原俞配穴组总有效率92.5%,优于常规针刺组的80.0%,差异有统计学意义(P＜0.05).治疗后Kupperman评分原俞配穴组(24.85±8.35)较常规针刺组(35.38±9.83)明显降低(P＜0.05);原俞配穴组血清E2、FSH、LH含量明显改善,且与常规针刺组治疗后比较差异均有统计学意义(P＜0.01,P＜0.05).结论:原俞配穴法治疗围绝经期综合征,对血清E2、FSH、LH有良性调节作用,对Kupperman评分改善作用显著,优于常规针刺治疗.

Clinical observation on combination of Source Point and Back-Shu Point for treatment of perimenopausal syndrome

Objective To observe the clinical therapeutic effect of combination of Source Point and Back-Shu Point on perimenopausal syndrome, and provide a new thought of therapy for perimenopausal syndrome. Methods Eighty cases of perimenopausal syndrome were randomly divided into a combination of Source Point and Back-Shu Point group and a routine acupuncture group, 40 cases in each group. The combination of Source Point and Back-Shu Point group was treated with acupuncture at Taixi (KI 3), Taichong (LR 3), Taibai (SP 3), Sanyinjiao (SP 6), Shenshu (BL 23), Ganshu (BL 18), Pishu (BL 20), Guanyuan (CV 4); and the routine acupuncture group was treated with acupuncture at Baihui (GV 20), Guanyuan (CV 4), Shenshu (BL 23), Taixi (KI 3), Sanyinjiao (SP 6). The Kupperman score and the changes of serum estradiol (E_2), follicle stimulating hormone (FSH) and luteinizing hormone (LH) were observed before and after treatment in the two groups. Results The total effective rate of 92. 5% in the combination of Source Point and Back-Shu Point group was superior to 80. 0% in the routine acupuncture group, with a significant difference (P＜0. 05) s the Kupperman score of 24. 85 + 8. 35 in the combination of Source Point and Back-Shu Point group was significantly decreased as compared with 35. 38 + 9. 83 in the routine acupuncture group (P＜0. 05) after treatment; the contents of E_2, FSH and LH in the combination of Source Point and Back-Shu Point group were significantly improved after treatment, and with a significant difference compared to the routine acupuncture group (P＜0. 01, P＜0. 05). Conclusion Combination of Source Point and Back-Shu Point has a benign regulation function for E_2, FSH and LH, and can significantly improve the Kupperman score, is superior to routine acupuncture for perimenopausal syndrome.