温经汤结合针灸治疗月经不调患者的临床效果

Clinical effect of Wenjing Decoction combined with acupuncture and moxibustion in the treatment of patients with irregular menstruation

目的探讨温经汤结合针灸治疗月经不调患者的临床效果。方法选取2018年1月至2020年6月武汉市江夏区妇幼保健院收治的80例月经不调患者作为研究对象,采用摸球法将其分为对照组和观察组,每组各40例。对照组患者采用激素联合针灸治疗,观察组患者在对照组基础上采用温经汤治疗。比较两组患者的治疗效果、中医症候评分、子宫内膜厚度、雌二醇(E_(2))水平及不良反应发生情况。结果观察组患者的治疗总有效率(97.50%)高于对照组(80.00%),差异有统计学意义(P<0.05)。观察组患者治疗后的月经周期评分、经期时间评分、月经量评分、痛经评分均低于对照组,E_(2)、子宫内膜厚度高于对照组,差异有统计学意义(P<0.05)。两组患者的的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论温经汤结合针灸治疗月经不调有显著效果,患者的月经周期得以恢复,值得临床推广应用。

Objective To investigate the clinical effect of Wenjing Decoction combined with acupuncture and moxibustion in the treatment of patients with irregular menstruation.Methods A total of 80 patients with irregular menstruation admitted to Wuhan Jiangxia District Maternal and Child Health Hospital from January 2018 to June 2020 were selected as the research subjects.They were divided into a control group and an observation group by ball-touching method,with 40 patients in each group.The patients in the control group were treated with hormone combined with acupuncture and moxibustion,and the patients in the observation group were treated with Wenjing Decoction on the basis of the control group.The therapeutic effect,traditional Chinese medicine syndrome score,endometrial thickness,estradiol(E_(2)),and adverse reactions were compared between the two groups.Results The total effectiveness rate was 97.50%in the observation group,higher than that of the control group accounting for 80.00%,and the difference was statistically significant(P<0.05).After treatment,the menstrual cycle score,menstrual time score,menstrual volume score,and dysmenorrhea score in the observation group were lower than those in the control group,while E_(2)level and endometrial thickness were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions(P>0.05).Conclusion Combined with acupuncture and moxibustion,Wenjing Decoction has a significant effect on the treatment of irregular menstruation,and the menstrual cycle of patients can be restored,which is worthy of clinical application.