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论著.中医药与民族医药诊疗 | 更新时间:2026-01-05
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壮医莲花针拔罐逐瘀法治疗子宫内膜异位症痛经的临床效果
Clinical effect of Zhuang Medicine lotus needle cupping method for blood stasis⁃removing for the treatment of endometriosis⁃induced dysmenorrhea

广西医学 页码:1771-1775

作者机构:黄英,博士,副主任医师,研究方向为壮医药基础理论与临床应用研究。

基金信息:国家中医药管理局高水平中医药重点学科建设项目⁃少数民族药学(壮药学)(zyyzdxk⁃2023165);广西中医药重点学科建设项目(GZXK⁃Z⁃20⁃60);广西国际壮医医院“青苗工程”人才培育项目(2022001);广西壮族自治区中医药管理局自筹经费科研课题(GXZYA20230172)

DOI:10.11675/j.issn.0253⁃4304.2025.12.12

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目的 探讨壮医莲花针拔罐逐瘀法治疗子宫内膜异位症(EMT)痛经的临床效果。方法 将60例EMT痛经患者随机分为试验组和对照组,每组30例。给予试验组壮医莲花针拔罐逐瘀法治疗,给予对照组布洛芬缓释胶囊治疗,均连续治疗3个月经周期。比较两组患者治疗前后的疼痛视觉模拟量表(VAS)评分、症状量化评分、子宫内膜异位症健康量表(EHP⁃30)评分、血清糖类抗原125(CA125)水平,临床疗效,以及治疗期间的不良反应发生率。结果 治疗后,试验组的总有效率为90.0%,高于对照组的63.3%(P<0.05)。治疗后,两组患者疼痛VAS评分、症状量化评分、EHP⁃30各维度评分及总分、血清CA125水平较治疗前降低,且试验组上述指标低于对照组(P<0.05)。试验组治疗期间的不良反应发生率低于对照组(P<0.05)。结论 壮医莲花针拔罐逐瘀法治疗EMT痛经效果显著,能够显著改善患者症状和生活质量,且具有较高的安全性。

Objective To investigate the clinical effect of Zhuang Medicine lotus needle cupping method for blood stasis⁃removing in treating endometriosis (EMT)⁃induced dysmenorrhea. Methods Sixty patients with EMT⁃induced dysmenorrhea were randomly divided into experimental group or control group, with 30 cases in each group. The experimental group received Zhuang Medicine lotus needle cupping method for blood stasis⁃removing, while the control group was treated with Ibuprofen Sustained⁃release Capsules. Both groups received continuous treatment over three menstrual cycles. The Visual Analogue Scale (VAS) score for pain, symptom quantification score, Endometriosis Health Profile 30 (EHP⁃30) score, and serum carbohydrate antigen 125 (CA125) level before and after treatment, as well as clinical efficacy, and the incidence rate of adverse reactions during treatment were compared between the two groups. Results After treatment, the total effective rate in the experimental group was 90.0%, higher than 63.3% in the control group (P<0.05). After treatment, the VAS score for pain, symptom quantification score, EHP⁃30 score across all dimensions and total score, and serum CA125 level in both groups decreased compared to before treatment, with the experimental group showing lower values than the control group (P<0.05). The incidence rate of adverse reactions in the experimental group was lower than that in the control group (P<0.05). Conclusion Zhuang Medicine lotus needle cupping method for blood stasis⁃removing demonstrates significant efficacy in treating EMT⁃induced dysmenorrhea. It can markedly improve symptoms and quality of life in patients with EMT⁃induced dysmenorrhea and exhibits favorable safety.

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