针药结合治疗子宫内膜异位症的临床观察

Therapeutic Effect of Acupuncture Combined with Chinese Herbs on Endometriosis

目的:观察针灸、口服少腹逐瘀汤配合中药保留灌肠治疗子宫内膜异位症的临床疗效。方法:将子宫内膜异位症患者随机63例随机分为针药结合组(A组)、口服加中药保留灌肠组(B组)、中药口服组(C组),每组21例,疗程3个月。结果:3组临床总有效率比较,A组优于B,差异有显著性(P<0.05);B组优于C组,差异有显著性(P<0.05);停药后连续随访3个月经周期,停药1至2个月经周期,对痛经评分的疗效,A组优于B组,B组优于C组,差异有显著性(P<0.05);停药3个月经周期后,3组对痛经评分的疗效差异无统计学意义(P>0.05)。3组治疗前后后穹窿触痛结节的变化比较:治疗后A组与B组后穹窿触痛结节的变化比较,差异无显著性(P>0.05);治疗后A组与C组后穹窿触痛结节的变化比较,差异有显著性(P<0.05);治疗后B组与C组后穹窿触痛结节的变化比较,差异有显著性(P<0.05)。结论:针药结合治疗子宫内膜异位症优于单纯中药治疗。

Objective：To observe the clinically therapeutic effect of acupuncture and oral Shaofu Zhuyu decoc-tion combined with retention enema with Chinese herbs on endometriosis.Methods：Sixty-three cases of endo-metriosis were randomly divided into three groups（ A,B and C） , 21 cases of combined acupuncture and Chinese herb group（ A） ,21 cases of oral Shaofu Zhuyu decoction plus enema of traditional Chinese medicine group,21 cases of oral medicine group.The course of treatment was three months.Results：Compared with three groups ac-cording to clinically total effective rates, A group was superior to B group in the aspect of curative effect and it had a significant difference（P〈0.05）;B group was superior to C group in the aspect of curative effect and it had a significant difference（P〈0.05）.After the medicine was stopped 3 menstrual cycles and continuous fol-low-up,stopping medicine 1 to 2 menstrual cycles,to evaluate the curative effect of dysmenorrhea,A group was superior to B group;B group was superior to C group and it had a significant difference（P〈0.05）.Curative effect on dysmenorrhea score in three groups had no statistically significant difference after stopping medicine for 3 menstrual cycles （P〉0.05）.The changes of fornix tenderness nodules during the treatment,compared group A with group B for the vault tenderness nodular changes after treatment,there was no significant difference （ P〉0.05）.After treatment, compared group A and group C for changes of fornix tenderness nodules,it had a sig-nificant difference （ P〈0.05） .After treatment, compared group B and group C for changes of vault tenderness nodular, it had a significant difference （ P 〈0.05 ） .Conclusion：Acupuncture combined with Chinese herb therapy is superior to the simple Chinese herb according to the clinically therapeutic effect on endometriosis.