调任通督针法联合膀胱经拔罐治疗围绝经期失眠症的临床观察(1)
[摘要] 目的 探討调任通督针法联合膀胱经拔罐治疗围绝经期失眠症的临床疗效。 方法 研究对象来源于2014年9月～2015年10月深圳市妇幼保健院中医科和深圳市中医院针灸科符合纳入标准和排除标准的围绝经期失眠症患者，共60例。采用随机数字表法将患者分为调任通督针法联合膀胱经拔罐组(治疗组)和常规体针针刺组(对照组)，每组各30例。治疗组以针刺气海、关元、百会、神庭、神门(双)、三阴交(双)为主联合膀胱经拔罐进行治疗，对照组予以常规针刺四神聪、印堂、神门(双)、内关(双)、三阴交(双)为主进行治疗。两组均每次留针30 min，隔日治疗1次，每周治疗3次，总疗程为4周。比较治疗前后两组患者外周血促黄体生成激素(LH)、促卵泡激素(FSH)和雌二醇(E2)水平以及匹兹堡睡眠质量指数(PSQI)的变化，并评估两组的治疗效果。 结果 总有效率治疗组为86.67%，而对照组为80.00%，两组比较差异无统计学意义(P > 0.05)。两组治疗后其外周血LH和FSH水平与同组治疗前比较，差异具有统计学意义(P < 0.01)。组间比较，两组治疗后的外周血LH和FSH水平差异均具有统计学意义(P < 0.01，P < 0.05)，而E2水平差异无统计学意义(P > 0.05)。治疗组治疗后PSQI评分与对照组比较，差异有统计学意义(P < 0.01)。 结论 调任通督针法联合膀胱经拔罐治疗围绝经期失眠症疗效确切，可有效改善患者临床症状评分和性激素水平，提高生活质量，且优于常规针刺治疗。
[关键词] 调任通督针法；拔罐；膀胱经；围绝经期失眠
[中图分类号] R246.3 [文献标识码] A [文章编号] 1673-7210(2017)02(a)-0070-04
Therapeutic observation of conception and governor vessels acupuncture plus bladder meridian cupping in treatment of perimenopausal insomnia
CHEN Pengdian1 YANG Zhuoxin2 PI Min2 BEI Jianhong1 YAN Bing2 GOU Yanhua2
1.Department of Traditional Chinese Medicine， Shenzhen Maternity & Child Healthcare Hospital， Guangdong Province， Shenzhen 518028， China； 2.Department of Acupuncture & Moxibustion， Shenzhen Traditional Chinese Medicine Hospital， Guangdong Province， Shenzhen 518033， China
[Abstract] Objective To observe the clinical therapeutic efficacy of Conception and Governor Vessels acupuncture plus Bladder Meridian cupping in the treatment of perimenopausal insomnia. Methods In total sixty cases of perimenopausal insomnia in accordance with inclusion and exclusion criteria， from the department of Traditional Chinese Medicine， Shenzhen Maternity & Child Healthcare Hospital and the department of Acupuncture & Moxibustion， Shenzhen Traditional Chinese Medicine Hospital， from September， 2014 to October， 2015， were randomized into treatment group and control group， with thirty cases in each. In the treatment group， acupoints like Qihai (CV 6)， Guanyuan (CV 4)， Baihui (GV20)， Shenting (GV 24)， Shenmen (HT 7) and Sanyinjiao (SP 6) mainly from Conception and Governor Vessels acupuncture plus Bladder Meridian cupping was applied； in the control group， routine acupoints like Sishencong (EX-HN 1)， Yintang (EX-HN 3)， Shenmen (HT 7)， Neiguan (PC 6) and Sanyinjiao (SP 6) acupuncture was used. The treatment lasted for thirty minutes each time， three times every week， for continuous four weeks， and the indexes such as the levels of luteotropic hormone (LH)， follicular stimulating hormone (FSH) and estradiol (E2) in the blood serum and the Pittsburgh Sleep Quality Index (PSQI) in the two groups before and after treatments were observed， and the clinical therapeutic effects of the two groups were compared. Results The total effective rate was 86.67% in the treatment group and 80.00% in the control group， with no significant difference between the two groups (P > 0.05). There was significant difference of the levels of FSH and LH after treatments compared with those before treatments (P < 0.01) and compared between the two groups after treatments (P < 0.01， or P < 0.05). However， there was no significant difference of the E2 level between the two groups (P > 0.05). After the treatments， there was significant difference of the PSQI scores between the two groups (P < 0.01). Conclusion The therapeutic effects of Conception and Governor Vessels acupuncture plus Bladder Meridian cupping in the treatment of perimenopausal insomnia were definite， which could improve the clinical symptom scores and the levels of the sexual hormones， enhance the quality of life and was better than those with routine acupuncture., 百拇医药(陈鹏典 杨卓欣 皮敏 贝剑宏)
[关键词] 调任通督针法；拔罐；膀胱经；围绝经期失眠
[中图分类号] R246.3 [文献标识码] A [文章编号] 1673-7210(2017)02(a)-0070-04
Therapeutic observation of conception and governor vessels acupuncture plus bladder meridian cupping in treatment of perimenopausal insomnia
CHEN Pengdian1 YANG Zhuoxin2 PI Min2 BEI Jianhong1 YAN Bing2 GOU Yanhua2
1.Department of Traditional Chinese Medicine， Shenzhen Maternity & Child Healthcare Hospital， Guangdong Province， Shenzhen 518028， China； 2.Department of Acupuncture & Moxibustion， Shenzhen Traditional Chinese Medicine Hospital， Guangdong Province， Shenzhen 518033， China
[Abstract] Objective To observe the clinical therapeutic efficacy of Conception and Governor Vessels acupuncture plus Bladder Meridian cupping in the treatment of perimenopausal insomnia. Methods In total sixty cases of perimenopausal insomnia in accordance with inclusion and exclusion criteria， from the department of Traditional Chinese Medicine， Shenzhen Maternity & Child Healthcare Hospital and the department of Acupuncture & Moxibustion， Shenzhen Traditional Chinese Medicine Hospital， from September， 2014 to October， 2015， were randomized into treatment group and control group， with thirty cases in each. In the treatment group， acupoints like Qihai (CV 6)， Guanyuan (CV 4)， Baihui (GV20)， Shenting (GV 24)， Shenmen (HT 7) and Sanyinjiao (SP 6) mainly from Conception and Governor Vessels acupuncture plus Bladder Meridian cupping was applied； in the control group， routine acupoints like Sishencong (EX-HN 1)， Yintang (EX-HN 3)， Shenmen (HT 7)， Neiguan (PC 6) and Sanyinjiao (SP 6) acupuncture was used. The treatment lasted for thirty minutes each time， three times every week， for continuous four weeks， and the indexes such as the levels of luteotropic hormone (LH)， follicular stimulating hormone (FSH) and estradiol (E2) in the blood serum and the Pittsburgh Sleep Quality Index (PSQI) in the two groups before and after treatments were observed， and the clinical therapeutic effects of the two groups were compared. Results The total effective rate was 86.67% in the treatment group and 80.00% in the control group， with no significant difference between the two groups (P > 0.05). There was significant difference of the levels of FSH and LH after treatments compared with those before treatments (P < 0.01) and compared between the two groups after treatments (P < 0.01， or P < 0.05). However， there was no significant difference of the E2 level between the two groups (P > 0.05). After the treatments， there was significant difference of the PSQI scores between the two groups (P < 0.01). Conclusion The therapeutic effects of Conception and Governor Vessels acupuncture plus Bladder Meridian cupping in the treatment of perimenopausal insomnia were definite， which could improve the clinical symptom scores and the levels of the sexual hormones， enhance the quality of life and was better than those with routine acupuncture., 百拇医药(陈鹏典 杨卓欣 皮敏 贝剑宏)