针灸治疗子宫内膜异位症临床观察

摘要

Objective To observe the clinical efficacy of acupuncture-moxibustion in treating endometriosis (EM). Method Fifty EM patients were randomized into two groups, 25 cases in each group. The treatment group was intervened by acupuncture-moxibustion, while the control group was intervened by oral administration of Mifepristone tablets. Abdominal pain, pelvic lump, and relevant indicators were observed before and after the treatment, and the therapeutic efficacies were compared.Result After 6-month treatment, symptoms including abdominal pain obviously subsided in the treatment group and the total effective rate was 92.0%, versus 52.0% in the control group, and the between-group difference was statistically significant (P<0.01). The pelvic lump size was significantly changed after the treatment in both groups (P<0.05), suggesting that the lump size became smaller in both groups after the treatment;there was a significant difference in comparing the pelvic lump size between the two groups after the treatment (P<0.05), indicating that the lump size was reduced more significantly in the acupuncture-moxibustion group. The level of serum CA125 changed significantly after the treatment in both groups (P<0.05), suggesting that serum CA125 dropped in both groups after the treatment; there was a significant difference in comparing the level of serum CA125 between the two groups after the treatment (P<0.05), indicating that serum CA125 dropped more significantly in the acupuncture-moxibustion group. A year later, there was a significant difference in comparing the relapse rate between the two groups (P<0.05), revealing that the relapse rate was significantly lower in the acupuncture-moxibustion group than in the medication group.Conclusion Acupuncture-moxibustion can produce a marked therapeutic efficacy in treating EM.%目的 观察针灸治疗子宫内膜异位症的临床疗效.方法 将50例子宫内膜异位症患者随机分为两组,每组25例,针灸组用针灸治疗,药物组口服米非司酮片.两组治疗6个月对患者治疗前后腹痛、盆腔包块及相关化验指标等进行观察,比较两组疗效.结果 针灸组治疗6个月后腹痛等症状明显减轻,总有效率为92.0%,药物组总有效率为52.0%,两组比较差异有统计学意义(P<0.01).两组治疗前后盆腔包块大小比较差异有统计学意义(P<0.05),表明两组患者治疗后盆腔包块均有缩小;两组治疗后盆腔包块大小比较差异有统计学意义(P<0.05),结果表明针灸组患者盆腔包块缩小更明显.两组治疗前后血清CA125比较差异有统计学意义(P<0.05),结果表明两组患者治疗后血清CA125均有下降;两组治疗后血清CA125比较差异有统计学意义(P<0.05),结果表明针灸组治疗后血清CA125下降更明显.两组患者1年后复发率比较差异有统计学意义(P<0.05),结果表明针灸组复发率明显低于药物组.结论 针灸对子宫内膜异位症有明显治疗作用.