针刺百会穴防治Norplant皮下埋植后出血性月经紊乱的临床观察

Clinical Observation on the Effectiveness of Needling in Baihui Point in Preventing and Treating Menstrual Cycle Disorder Induced by Norplant Implantation

目的 :临床观察针刺单穴百会方法防治 Norplant导致的出血性月经紊乱。方法 :在要求埋植Norplant避孕的 3 90例无禁忌症的育龄妇女中 ,随机分组 ,实验观察组共 1 93例对象 ,于埋植前针刺百会穴并留针 3 0 min;空白对照组共 1 97例对象 ,不给予针刺 ,其它常规处置两组相同 ,进行预防效果观察。对空白对照组中埋植 Norplant后发生较严重月经紊乱的 1 1 9例对象 ,包括 1 4例月经稀发和闭经 ,再次随机分组 :针刺治疗组 5 9例 ,于发病后仅给予每日 1次连续 3天的针刺 ;另 6 0例仅作常规药物治疗。结果 :(1 )预防效果 :一年内月经紊乱发生率对照组为 6 0 .4%,研究组为 3 5 .2 %(χ2 =2 4 .75 ,P<0 .0 1 ) ,其中研究组月经频发、经期延长和点滴出血发生率为 2 9.0 %,对照组为 5 3 .2 %(χ2 =2 2 .73 ,P<0 .0 1 ) ;Norplant一年连续使用率对照组为 90 .9%,研究组为 98.4%(χ2 =1 1 .0 0 ,P<0 .0 1 )。(2 )治疗效果 :针刺治疗组 79.7%的病例月经基本恢复 ;常规药物治疗组月经基本恢复为 48.3 %(χ2 =1 2 .6 5 ,P<0 .0 1 )。结论 :提示针刺防治 Norplant导致的出血性月经紊乱有较明确的临床效果和可行性 ,值得深入研究。

Objective: To observe the effectiveness of preventing and treating Norplant implantation induced menstrual cycle disorder with needling in Baihui (GV20) point.Methods and Subjects: A total of 390 health reproductive women receiving Norplant implantation were enrolled in this study, among whom 193 were randomly chosen as experiment group and the other 197 were serving as the control group. Subjects in the experimental group were given acupuncture therapy of needling Baihui (GV20) point with needling retention for 30 min before they undergoing Norplant implantation. The control group was given Norplant implantation without acupuncture therapy. Subjects in both groups were followed up one year after operation to observe the effectiveness. The menstrual cycle disorder was defined as polymenia, menostaxis, intermenstrual bleeding, disturbed menstruation and amenorrhea. 2. The 119 patients in the control group who suffered server menstrual cycle disorder after implantation were randomly divided into two groups. The first group of 59 patients was given the above-mentioned acupuncture therapy once per day for 3 days. The other group of 60 patients underwent routine drug treatment. The effectiveness of both therapies were observed and compared. Results: The incidence of menstrual cycle disorder in experimental group was 35.2%, which was significantly lower than 60.4% in control group (P<0.01, χ 2= 24.75). Particularly, the incidence of polymenia, menostaxis and intermenstrual bleeding in experiment and control was 29.0% and 53.2% respectively (P<0.01, χ 2=22.73). The one year continued using rate in experiment group was 98.4% which is significantly higher than that in control group 90.9% (P<0.01, χ 2=11.00). The response rate in the experiment group given acupuncture therapy was 79.7%, while in the control group given routine drug therapy the response rate was 48.3%, with statistic significance (P<0.01, χ 2= 12.65). Conclusion: The acupuncture therapy of needling Baihui (GV20) point is effective in treating and preventing induced by menstrual cycle disorder Norplant implantation.