调神针法联合温针灸治疗子宫内膜异位症伴不孕临床研究
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R711.71

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浙江省中医药科技计划项目(2022ZB391)


Clinical Study on Mind-Regulating Acupuncture Combined with Warming-Needle Moxibustion for Endometriosis with Infertility
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    摘要:

    目的:观察调神针法联合温针灸治疗子宫内膜异位症(EMS) 伴不孕的疗效。方法:选取2022年 1月—2023年10月台州市立医院收治的74例EMS伴不孕患者,按随机数字表法分为观察组和对照组各37例, 最后实际完成61例,观察组30例,对照组31例。对照组于腹腔镜术后采用皮下注射醋酸戈舍瑞林治疗3个月, 观察组在对照组基础上采用调神针法联合温针灸治疗。比较2组临床疗效及术后半年妊娠率,比较2组疗程结 束、疗程结束后3个月痛经情况及汉密尔顿焦虑量表(HAMA) 评分的变化。结果:治疗后,观察组及对照组 临床疗效总有效率为96.67%(29/30) 及90.32%(28/31),2组临床疗效比较,差异无统计学意义(P>0.05)。 疗程结束时、疗程结束后3个月,2组痛经程度评分均较治疗前下降,痛经时长均较治疗前缩短,差异均有统 计学意义(P<0.05)。疗程结束后3个月,观察组痛经程度评分低于同期对照组(P<0.05),痛经时长短于同 期对照组(P<0.05)。疗程结束时及疗程结束后3个月,2组HAMA评分均较治疗前下降(P<0.05);疗程结 束时及疗程结束后3个月,观察组HAMA评分均低于同期对照组(P<0.05)。术后半年进行随访,观察组妊娠 率为36.67%(11/30),对照组为12.90%(4/31),2组比较,差异有统计学意义(P<0.05)。结论:调神针法联 合温针灸治疗EMS伴不孕疗效较好,能有效改善患者痛经情况及焦虑状态,提高妊娠率。

    Abstract:

    Abstract: Objective: To observe the curative effect of the combination use of mind-regulating acupuncture combined with warming-needle moxibustion on endometriosis (EMS) with infertility. Methods: A total of 74 EMS patients with infertility admitted into Taizhou Municipal Hospital from January 2022 to October 2023 were divided into the observation group and the control group according to the random number table method,with 37 cases each. A total of 61 cases completed the study,with 30 in the observation group and 31 in the control group. The control group received a three-month treatment with subcutaneous injection of Goserelin Acetate after laparoscopic surgery,and the observation group additionally received mind-regulating acupuncture combined with warming-needle moxibustion. The clinical effects, the pregnancy rate at six months post-surgery, and the changes of dysmenorrhea and Hamilton Anxiety Scale (HAMA) scores at the end of course of treatment and three months after treatment were respectively compared between the two groups. Results: After treatment, the total clinical effective rate was 96.67% (29/30) in the observation group and 90.32% (28/31) in the control group, there being no significant difference between the two groups (P>0.05). At the end of the treatment course and three months after the treatment,the dysmenorrhea scores in both groups were decreased when compared with those before treatment, and the duration of dysmenorrhea was shortened when compared with that before treatment, differences being significant (P<0.05). Three months after treatment,the degree of dysmenorrhea in the observation group was lower than that in the control group at the same time period (P<0.05), and the duration of dysmenorrhea was shorter than that in the control group at the same time period (P<0.05). At the end of treatment and three months after treatment,the HAMA scores in the two groups were reduced when compared with those before treatment (P<0.05),and the HAMA scores in the observation group were lower than those in the control group at the same time period (P<0.05). Follow up was performed six months after surgery,the pregnancy rate was 36.67%( 11/30) in the observation group and 12.90%( 4/31) in the control group,the difference being significant (P<0.05). Conclusion: The combination use of mind-regulating acupuncture combined with warming-needle moxibustion has a good curative effect on EMS with infertility, which can effectively improve patients' dysmenorrhea and anxiety,and improve the pregnancy rate.

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潘丹,柴芝红,郎伯旭,罗建昌.调神针法联合温针灸治疗子宫内膜异位症伴不孕临床研究[J].新中医,2026,58(7):70-74

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  • 在线发布日期: 2026-04-20
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