温针灸对寒凝血瘀型继发性闭经卵巢子宫动脉血流的影响

Influences of Needling-warming Moxibustion on Secondary Amenorrhea of the Pattern of Cold Congealing with Blood Stasis: Study of Artery Blood Flow of the Ovary and the Uterine

目的:采用温针灸为干预手段观察其对寒凝血瘀型继发性闭经患者的临床疗效,同时探讨本干预方法对卵巢、子宫动脉血流的影响。方法:将60例患者随机分为两组,观察组30例,采用温针灸治疗,对照组30例,采用常规针刺治疗。观察两组月经周期及症状,通过彩超监测子宫、卵巢动脉血流频谱PSV、PI、RI数值。结果:两组总有效率比较,治疗组86.7%,对照组73.3%,其差异具有显著性统计学意义(P<0.05)。治疗后,两组卵巢、子宫动脉相关指标均有不同程度改善,PSV值均上升,RI、PI值均下降,有显著性统计学意义(P<0.05),且观察组卵巢、子宫动脉血流的改善情况明显优于对照组(P<0.05)。结论:温针灸方法治疗继发性寒凝血瘀型闭经疗效较常规针刺方法显著,可以明显改善卵巢及子宫动脉的血流情况。

Objective:To observe the clinical effect of needling-warming moxibustion on secondary amenorrhea of the pattern of cold congealing with blood stasis,and to explore its influence to artery blood flow of the ovary and the uterine.Methods:60patients were randomly divided into the observation group(n=30)and the control group(n=30),the observation group was treated with needling-warming moxibustion and the control group was treated with conventional acupuncture.The clinical effect of the two groups were compared from the aspect of menstrual cycles,symptoms improvement,and the artery blood flow conditions of the ovary and the uterine,such as values of PSV,RI,and PI,being monitored by color ultrasound.Results:The total effective rate of the observation group was86.7%,which was significantly higher than73.3%of the control group(P<0.05).The value of PSV was significantly increased,and the values of RI and PI were both greatly decreased in the both groups after the treatment(P<0.05);the improvement of artery blood flow of the ovary and the uterine was obviously better in the observation group than that in the control group(P<0.05).Conclusion:The therapy of needling-warming moxibustion is better than conventional acupuncture when treating secondary amenorrhea of the pattern of cold congealing with blood stasis,it can obviously improve the artery blood flow of the ovary and the uterine.