针刺关元穴不同得气状态对绝经综合征Kuppermann评分影响的临床研究

摘要

目的:观察针刺关元穴不同得气状态对绝经综合征Kuppermann评分的影响.方法:60例绝经综合征患者随机分为感传组(关元穴得气感传至会阴部)30例、局部得气组(关元穴局部得气)30例,连续针刺治疗3个月,采用Kuppermann问卷调查表对两组患者进行治疗前、后症状评分.结果:感传组Kuppermann总体评分、血管舒缩不稳定症状评分均较局部得气组明显降低(P＜0.01);生殖泌尿道症状评分较局部得气组明显降低(P＜0.05);精神神经症状以及躯体症状评分两组间无明显差异(P＞0.05);血清E2水平较局部得气组明显升高(P＜0.01).结论:针刺关元穴不同得气状态均能有效改善绝经综合征Kuppermann评分并改善生殖内分泌激素水平,但在改善患者泌尿生殖道症状和血管舒缩不稳定症状评分方面,关元穴诱发得气感传至会阴部明显优于局部得气.%Objective:To objectively evaluate the effect of acupuncture at Guanyuan (CV4) with different needle sensations on menopausal syndrome.Methods:Sixty patients enrolled were randomly divided into a treatment group and a control group.Patients in two groups were treated with acupuncture at Guanyuan (CV 4) and other points based on syndrome differentiation and different symptoms for 3 months,twice each week,30 min each time.Patients of the treatment group received needle sensation at perineal region when puncturing at Guanyuan (CV4),while induce local needle sensation just around lower abdomen in the control group.Scores of Kupperman indexes before and after treatment were investigated.Results:Acupuncture at Guanyuan (CV4) could significantly decrease the score of Kupperman indexes,improve urinary tract symptoms,vasomotorial symptoms,physical symptoms and mental symptoms in patients with menopausal syndrome.The therapy in the treatment group was more effective for decreasing scores of Kupperman indexes,urinary tract symptoms and vasomotorial symptoms than that in the control group (P ＜ 0.05).There was no significant difference between two groups according to the improvement of physical and mental symptoms(P ＞ 0.05).The increase of serum E2 was more obvious in the treatment group (P ＜ 0.01).Conclusion:Acupuncture at Guanyuan (CV4) with inducing needle sensation at perineal region is more effective than inducing local needle sensation just around lower abdomen for the treatment of menopausal syndrome.