针灸治疗子宫肌腺病疗效观察

目的:探寻针灸治疗子宫肌腺病的疗效和机制.方法:将66例患者随机分为针灸组和西药组,各33例.针灸组以针刺腹部中极、水道、天枢、曲骨、子宫穴为主;西药组口服达那唑治疗.观察针灸组治疗前后雌激素(E2)水平、血色素(Hb)和血小板计数(BPC)变化,比较2组疗效.结果:针灸组总有效率为97.0%,西药组总有效率为72.7%,针灸组明显优于西药组(P<0.05).针灸组治疗后E2水平下降、Hb和BPC提高,较治疗前差异有显著性或非常显著性意义(P<0.05或P<0.005).结论:针灸治疗子宫肌腺病疗效显著,优于单纯西药治疗,可有效调整雌激素水平.

Observation on therapeutic effect of acupuncture and moxibustion on disorders of myometrial gland

OBJECTIVE: To explore the therapeutic effect of acupuncture on disorders of myometrial gland and the mechanism. METHODS: Sixty-six cases were randomly divided into an acupuncture group and a medication group, 33 cases in each group. The acupuncture group were treated with acupuncture at Zhongji (CV 3), Shuidao (ST 28), Tainshu (ST 25), Qugu (CV 2), Zigong (EX-CA 1) as main; the medication group were treated with oral administration of Danazol. Changes of estradiol (E2) level, hemoglobin (Hb) and blood platelet counter (BPC) were observed in the acupuncture group, and the therapeutic effects of the two group were compared. RESULTS: The total effective rate was 97.0% in the acupuncture group and 72.7% in the medication group, the former being better than the latter (P<0.05). After treatment, E2 level decreased and Hb and BPC increased in the acupuncture group. CONCLUSION: Acupuncture has obvious therapeutic effect, which is better than that of simple western medicine. Acupuncture can decrease E2 level.