平冲降逆贴穴位贴敷联合热敏灸在子宫内膜异位症患者中的应用

The Application of Acupoint Application Combined with Heat-Sensitive Moxibustion in Patients with Endometriosis

目的研究平冲降逆贴穴位贴敷+热敏灸运用于子宫内膜异位症中的价值。方法选择我院2021年7月-2022年9月收住的子宫内膜异位症患者90例,利用随机数字表法进行分组,分别30例,其中对照1组:平冲降逆贴穴位贴敷+西医常规;对照2组:热敏灸+西医常规;观察组:穴位贴敷联合热敏灸+西医常规,比较各组的总有效率、糖类抗原125(CA125)、抗子宫内膜抗体(EMAb)、人附宰蛋白4(HE4)、黄体生成激素(LH)、卵泡生成激素(FSH)、雌二醇(E2)、血浆黏度、高切血液黏度、低切血液黏度、中切血液黏度、不良反应。结果观察组总有效率90.00%较对照1、2组66.67%、63.33%更高(P<0.05)。治疗前,各组的血清指标并无差异(P>0.05),治疗后,观察组CA125、EMAb、HE4均较对照1、2组降低(P<0.05)。治疗前,各组的性激素并无差异(P>0.05),治疗后,观察组LH、FSH、E2均较对照1、2组降低(P<0.05)。治疗前,各组的血流变指标并无差异(P>0.05),治疗后,观察组血浆黏度、高切血液黏度、低切血液黏度、中切血液黏度均较对照1、2组降低(P<0.05)。观察组不良反应6.67%较对照1、2组26.67%、33.33%更低(P<0.05)。结论平冲降逆贴穴位贴敷+热敏灸的效果更为理想,可有效改善患者性激素及血清指标,同时减少不良反应,使得血流变指标恢复,值得推广。

Objective To study the value of acupoint application+heat-sensitive moxibustion in endometriosis.Methods Select 90 endometriosis patients admitted in our hospital from July 2021 to September 2022,Grouping by using the random number table method,And 30 cases,respectively,Among them,control group 1:flat rush drop reverse paste acupoint application+Western medicine routine;Control group 2:heat-sensitive moxibustion+western medicine routine;Observation group:acupoint application combined with heat-sensitive moxibustion+western medicine routine,Total response rate,sugar antigen 125(CA125),anti-endometrial antibody(EMAb),human accessory protein 4(HE4),luteinizing hormone(LH),follicle hormone(FSH),estradiol(E2),plasma viscosity,high cut blood viscosity,low cut blood viscosity,and adverse reactions were compared between groups.Results The total response rate of the observation group 90.00%was higher than that of 66.67%and 63.33%in the control groups 1 and 2(P<0.05).Before treatment,the serum index of each group was not different(P>0.05),and after treatment,CA125,EMAb and HE4 in the observation group decreased compared with control groups 1 and 2(P<0.05).Before treatment,sex hormones did not differ between groups(P>=0.05),and after treatment,LH,FSH,and E2 in the observation group decreased compared with control groups 1 and 2(P<0.05).Before treatment,there was no difference in hemostatic index in each group(P>0.05).After treatment,plasma viscosity,high,low and medium blood viscosity in the observation group decreased compared with control groups 1 and 2(P<0.05).6.67%of the observation group were lower than 26.67%and 33.33%of control 1 and 2(P<0.05).Conclusion The effect of acupoint application+heat-sensitive moxibustion is more ideal,which can effectively improve the sex hormone and serum indexes of patients,reduce the adverse reactions,and make the blood change index recover,which is worth promoting.