耳穴贴压联合温和灸治疗肝郁脾虚型经前期综合征的临床观察

Clinical observation of auricular acupressure combined with mild moxibustion in treatment of premenstrual syndrome with liver qi stagnation and spleen deficiency

目的观察耳穴贴压联合温和灸疗法治疗肝郁脾虚型经前期综合征的临床效果。方法将60例经前期综合征患者随机分为两组,每组30例,观察组给予耳穴贴压联合温和灸疗法治疗,对照组给予盐酸氟西汀片治疗,两组均治疗3个月经周期。观察两组患者治疗前后12项中医症候积分、总分和疗效。结果治疗后,观察组除腹部胀满外,其他中医症候(情绪低落或郁闷不乐、乳房胀痛、心烦、失眠、头痛、疲乏、食欲不振、肢体水肿、大便烂、思想不集中、工作效率低)积分和总分均较治疗前降低,且乳房胀痛、失眠、头痛、疲乏、食欲不振、大便烂、工作效率低积分和总分均低于对照组(均P<0.05)。观察组疗效优于对照组(P<0.05)。结论耳穴贴压联合温和灸疗法可以有效地改善肝郁脾虚型经前期综合征中医症候,临床疗效优于盐酸氟西汀片。

Objective To observe the clinical efficacy of auricular acupressure combined with mild moxibustion therapy for treating premenstrual syndrome with liver qi stagnation and spleen deficiency.Methods Sixty patients with premenstrual syndrome were randomly divided into two groups,with 30 cases in each group.The observation group was treated with auricular acupressure combined with mild moxibustion therapy,and the control group was treated with Fluoxetine Hydrochloride Tablets.Both groups were treated for three menstrual cycles.The scores for 12 traditional Chinese medicine(TCM)symptoms and its total scores before and after the treatment and the efficacy on the patients were observed in the two groups.Results After the treatment,the scores for TCM symptoms(hypothymic depression or gloom,distending pain in breasts,dysphoria,insomnia,headache,fatigue,poor appetite,swelling limbs,loose stool,divergence of attention,and poor work efficiency)except for abdominal distension and the total score thereof in the observation group were lower than those before the treatment,and the observation group yielded decreased scores for distending pain in breasts,insomnia,headache,fatigue,poor appetite,loose stool,and poor work efficiency and a lower total score thereof as compared with the control group(all P<0.05).The observation group had superior efficacy than the control group(P<0.05).Conclusion Auricular acupressure combined with mild moxibustion therapy can effectively improve the TCM symptoms of premenstrual syndrome with liver qi stagnation and spleen deficiency,achieving a superior clinical effect to Fluoxetine Hydrochloride Tablets.