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目的：观察温针灸治疗肾虚血瘀型薄型子宫内膜不孕症的临床疗效。方法：选择60例肾虚血瘀型薄型子宫内膜不孕症患者进行前瞻性研究,随机分为两组各30例。对照组予雌二醇/雌二醇地屈孕酮口服治疗,治疗组在对照组基础上予温针灸治疗,比较两组治疗前后的中医证候积分、性激素指标、子宫内膜厚度、最大卵泡直径、临床疗效。结果：治疗组总有效率为86.67%,高于对照组的66.67%(P﹤0.05)。治疗后,治疗组中医证候积分及LH、FSH水平均低于对照组（P﹤0.05）,E2水平高于对照组（P﹤0.05）,子宫内膜厚度、最大卵泡直径均大于对照组（P﹤0.05）。结论 ：温针灸结合雌二醇/雌二醇地屈孕酮治疗肾虚血瘀型薄型子宫内膜不孕症的临床疗效优于单纯雌二醇/雌二醇地屈孕酮治疗。 相似文献
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目的探讨温针灸联合中药定向透药疗法对膝关节骨性关节炎疗效及炎性因子的影响。方法选取推拿康复科门诊及病房2016年6月—2018年6月收治膝关节骨性关节炎患者90例作为研究对象,随机分为观察组与对照组各45例,对照组采用常规西药治疗,观察组在对照组基础上施以温针灸联合中药定向透药疗法治疗,观察患者临床疗效及炎性因子指标。结果治疗后,2组患者VAS评分及WOMAC评分均较治疗前显著改善(P <0. 05),组间比较,观察组VAS评分及WOMAC评分显著优于对照组(P <0. 05);观察组总有效率为91. 11%,显著优于对照组75. 56%(P <0. 05);治疗后,2组患者hs-CRP、IL-1、IL-6及TNF-α均较治疗前显著改善(P <0. 05),且观察组hs-CRP、IL-1、IL-6及TNF-α显著优于对照组(P <0. 05)。结论温针灸联合中药定向透药疗法治疗膝关节骨性关节炎能够有效调节其炎性因子表达,减轻患者临床症状,促进功能恢复,临床疗效显著,值得临床推广。 相似文献
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目的:探讨葛根黑苏汤联合通元针法对顽固性薄型子宫内膜患者黄体中期子宫内膜容受性(ER)与子宫血流动力学的影响。方法:选择顽固性薄型子宫内膜患者84例为研究对象,随机分为两组。对照组接受阿司匹林治疗,观察组在对照组基础上给予葛根黑苏汤联合通元针法治疗,两组疗程均为3个月经周期。记录两组治疗前后中医症侯积分的变化,在阴道超声下观察黄体中期的子宫内膜厚度、容积与血流情况,并比较两组治疗前后子宫内膜分型与子宫内膜血流分型、子宫动脉血流参数。比较两组临床疗效,治疗后的经期行经时间、妊娠成功率和妊娠患者受孕时间。结果:与治疗前比较,两组治疗后各个单项中医证候积分与总积分均明显降低(P<0.05),且观察组治疗后的上述积分均低于对照组(P<0.05)。两组治疗后子宫内膜厚度、容积均增大,子宫内膜血流收缩期峰值流速/舒张末期流速(S/D)降低,且观察组治疗后的上述指标均优于对照组(P<0.05)。两组治疗后子宫内膜分型与血流分型均有明显改善,且观察者改善情况优于对照组(P<0.05)。两组治疗后平均子宫动脉血流搏动指数(mPI)、阻力指数(mRI)和平均血流收缩期峰值流速/舒张末期流速(mS/D)均明显降低,且观察组上述指标均低于对照组(P<0.05)。观察组治疗总有效率为81.0%,明显高于对照组的61.9%(P<0.05)。观察组治疗后的经期行经时间、受孕时间短于对照组,而妊娠率高于对照组(P<0.05)。结论:葛根黑苏汤联合通元针法能够显著减轻顽固性薄型子宫内膜患者临床症状,改善子宫内膜厚度、容积与形态,并提高子宫血流灌注,从而有利于改善ER及子宫血流动力学,提高妊娠率。 相似文献
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目的：比较温针灸、普通针灸治疗子宫内膜异位症的临床疗效。方法：将80例患者随机分为温针灸治疗组和普通针刺对照组各40例。2组同取关元、中极、天枢、足三里、三阴交、太冲,普通针刺组不加温针灸。观察2组患者临床疗效和症状、体征方面的改变及不良反应。结果：治疗组的有效率为95.0%,对照组的有效率为77.5%（P〈0.05）;且治疗组在痛经、腰骶痛、肛门坠胀、月经不调、性交痛、不孕症等方面也明显优于对照组（P〈0.05）。结论：温针灸是治疗子宫内膜异位症的有效方法之一。 相似文献
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《现代中药研究与实践》2015,(3):73-74
目的观察复方玄驹胶囊对改善子宫内膜薄型不孕症患者内膜容受性的效果。方法选取55例既往促排卵周期中反复内膜较薄的不孕症患者,克罗米芬促排卵,其中30例用戊酸雌二醇改善内膜(A组),25例用复方玄驹胶囊和戊酸雌二醇联合改善内膜(B组),观察各组在卵泡发育、子宫内膜生长状况和妊娠率等方面指标。结果 A组和B组在优势卵泡个数、排卵率方面差异无统计学意义(P0.05)。B组在HCG日子宫内膜厚度方面优于A组,差异有统计学意义(P0.05)。B组妊娠率略高于A组,但差异无统计学意义(P0.05)。结论复方玄驹胶囊与戊酸雌二醇联合用药,可有效改善子宫内膜薄型不孕症患者促排卵周期子宫内膜容受性,有助于提高促排卵周期妊娠率。 相似文献
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目的观察补肾活血方对薄型子宫内膜排卵障碍患者克罗米芬促排卵周期中子宫内膜容受性及临床妊娠率的影响。方法将60例薄型子宫内膜排卵障碍患者随机分为对照组与治疗组,每组30例。两组均予克罗米芬促排卵治疗,对照组予戊酸雌二醇口服,治疗组在对照组治疗措施基础上加用补肾活血方。两组疗程均为1个月经周期,3个月经周期后随访,观察临床妊娠率,比较排卵日子宫动脉厚度及类型、子宫动脉搏动指数(PI)、子宫内膜阻力指数(RI)的变化情况。结果 (1)组间治疗后比较,治疗组对子宫内膜厚度、A型子宫内膜比例的改善明显优于对照组(P0.05)。(2)组间治疗后比较,治疗组PI、RI降低程度明显强于对照组(P0.05)。(3)3个月经周期后,治疗组、对照组临床妊娠率分别为43.3%、26.7%;组间临床妊娠率比较,差异有统计学意义,治疗组明显高于对照组(P0.05)。结论在克罗米芬促排卵周期中,补肾活血方联合戊酸雌二醇可增加薄型子宫内膜患者子宫内膜容受性,从而提高妊娠率。 相似文献
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目的 探究益宫养胞汤对子宫内膜薄型不孕症患者妊娠率、子宫内膜厚度(EMT)和容受性的影响.方法 选取2016年1月—2019年1月本院收治的120例子宫内膜薄型不孕症患者,按随机数字表法以1:1比例分为对照组与研究组,各60例,对照组患者使用苁蓉益肾颗粒+金匮肾气丸进行治疗,研究组患者使用益宫养胞汤进行治疗.对比两组患... 相似文献
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目的:探讨等分三角斜透刺配合微波治疗肱骨外上髁炎的临床疗效.方法:将42例肱骨外上髁炎患者随机分成治疗组和对照组,每组各21例.治疗组予等分三角斜透刺配合微波治疗,对照组予以普通针刺配合电针治疗,隔天治疗1次,一周3次,12次为一个疗程.结果:两组病例治疗前后的视觉模拟评分法(Visual Analogue Scale... 相似文献
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Xiumi YOU Juan YANG Jinbang XU Ying LIU Jian HUANG Qiuping LIN Junxin ZHANG Jingjing DUN Shan HUANG 《世界针灸杂志》2018,28(1):25-28
Objective
To explore the effect of warming-needle moxibustion on the endometrial thickness and pregnancy outcome.Methods
Forty infertility women, selected from those who visited the TCM department of Maternity and Child Care Centers in Fujian Province from October 2015 to October 2016, were enrolled in this study. These women had mature follicle and successful ovulation according to B ultrasound monitoring, but their endometrial thickness was thinner than 7?mm. The women were divided into warming-needle moxibustion group (group A, 20 cases) and medication group (group B, 20 cases). In group A, acupuncture, warming-needle moxibustion and electroacupuncture were conducted at different clinical stage. In group B, progynova was given to the patients from the 7th day of menstruation to the 14th day after ovulation (2 tablets, bid oral administration in the morning and evening). The treatment lasted for 3 menstrual cycles, and the endometrial thickness changes and pregnancy rate of the patients in the two groups were compared after treatment.Results
The endometrial thickness of patients in the two groups increased after treatment when compared with the thickness before treatment. The average endometrial thickness in group A increased from (5.23?±?1.57) mm before treatment to (8.31?±?2.80) mm after treatment, while the average endometrial thickness in group B increased from (5.27?±?0.99) mm before treatment to (8.32?±?1.97) mm after treatment, and the differences were statistically significant (both P?<?0.05). The increase of endometrial thickness of the patients in group A after treatment was slightly larger than that in group B, and the difference was not statistically significant (P?>?0.05). After treatment for 3 menstrual cycles, the pregnancy rate of infertility women in group A was 25%(5/20) and 15%(3/20) in group B.Conclusion
Warming-needle moxibustion can increase the endometrial thickness to a certain extent, thus improving the endometrial receptivity, enhancing the embryo implantation rate, and improving the pregnancy outcome. 相似文献13.
[目的]观察火针配合体针围刺治疗局限性神经性皮炎的临床疗效。[方法]按随机数字表法将76例患者随机分为两组,其中治疗组40例,采用火针配合体针围刺治疗;对照组36例,采用醋酸去炎松尿素软膏外用治疗,2周后进行疗效评价。[结果]治疗组总有效率为95.0%,对照组总有效率为83.3%;两组有效病例随访半年,治疗组复发率为5.3%,对照组为23.3%;两组主要症状、体征,即瘙痒及皮损改善程度评分比较,差异有统计学意义(P0.01)。[结论]火针配合体针围刺治疗局限性神经性皮炎疗效确切,取穴简便,无毒副作用,复发率低,值得临床推广。 相似文献
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Juan WANG Yan LI Xuan ZHANG Mei-na WANG Long CAO Na NU Yuan LI Gui-lan LI 《世界针灸杂志》2018,28(4):287-290
Objective
To observe the clinical effects on simple obesity treated with the combined therapy of penetration needling, flash-fire cupping method and auricular acupuncture.Methods
In 90 patients of simple obesity, the Bo's abdominal acupuncture therapy was adopted. Taking Shénquè (神阙 CV 8), the points 2 cun directly below CV 8 and 2 cun directly above CV 8 as the landmarks, 3 cun bilateral to each of the above three points, and penetrated through to the conception vessel. Then the electroacupuncture apparatus was connected, with the disperse-dense wave for 30?min. After acupuncture, the glass cup of the middle size was used to stimulate the selected points with the flash-fire cupping method. The cupping stimulation stopped when the skin turned to be slightly red. One treatment was given each day and every other day after 5 days. The 10 treatments made one course. In the auricular acupuncture therapy, Jīdi?n (饥点), Shénmén (神门TF4), Nèifēnmì (内分泌CO18) and Sānjiāo (三焦 CO17) were selected. The auricular acupuncture therapy was given once every two days and 10 treatments made one course. After 3 courses of treatment, the waist circumference, hip circumference, body weight and body mass index (BMI) were observed.Results
Compared to before treatment, after 3 courses of treatment, the waist circumference of patients was (92.3?±?2.4?vs 80.4?±?2.3) cm, hip circumference (110.6?±?2.3?vs 99.2?±?2.5) cm, body weight (74.2?±?3.1?vs 68.2?±?2.4) kg and BMI (29.8?±?3.1?vs 25.2?±?2.1), they were all reduced obviously, indicating the significant differences (all P?<?0.05). Seventy-nine patients lost three to five kilograms, accounting for 87.8%.Conclusion
The combined therapy of penetration needling at abdomen, flash-fire cupping method and auricular acupuncture achieves the significant therapeutic effects on simple obesity. 相似文献15.
目的：探讨远道刺配合穴位贴敷治疗支气管哮喘的临床效果。方法：把80例病人随机分成观察组和对照组,每组40例;分别予以远道刺配合穴位贴敷治疗和单纯穴位贴敷治疗。比较两组患者的胸围呼吸差,并比较两组患者的有效率。结果：观察组的胸围呼吸差较对照组均有显著增长（P<0.01）。观察组有效率95%,明显优于对照组的75%（P<0.05）。结论：远道刺配合穴位贴敷治疗支气管哮喘可明显提高疗效。 相似文献
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目的:观察平衡针结合运动疗法治疗落枕的效果。方法:确诊的60例落枕门诊患者,按照就诊顺序随机分为治疗组30例与对照组30例,治疗组用平衡针结合运动疗法治疗,对照组行常规针刺治疗,每日1次,共治疗3次。观察疗效及治疗前后的VAS评分。结果:平衡针组8例治愈,21例好转,1例未愈,总有效率96.7%;常规针刺组1例治愈,25例好转,4例未愈,总有效率86.7%,两组疗效比较差异有统计学意义(P <0.05)。结论:平衡针结合运动疗法治疗落枕比常规针刺有更好的疗效,取穴精简、操作方便。 相似文献
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目的采取随机对照单盲法观察温针内外膝眼配合康复训练治疗震后板房区膝关节骨关节炎(膝骨关节炎)的临床疗效。方法将82例膝骨关节炎患者随机分为2组:治疗组41例采用温针内外膝眼配合康复训练方法治疗,对照组41例采用针刺配合康复训练方法治疗,2组均治疗20次后观察疗效。结果治疗后2组症状积分均较治疗前缓解,治疗组症状积分缓解情况优于对照组(P<0.01);治疗组总有效率为100%,对照组为85%,2组比较有显著性差异(P<0.05)。结论温针内外膝眼配合康复训练治疗震后板房区膝骨关节炎疗效优于针刺配合康复训练。 相似文献
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