子午流注择时耳穴压豆对改善肾虚型早期先兆流产阳虚体质及临床疗效的影响

李静颖; 周建平

doi:10.16766/j.cnki.issn.1674-4152.002382

子午流注择时耳穴压豆对改善肾虚型早期先兆流产阳虚体质及临床疗效的影响

doi: 10.16766/j.cnki.issn.1674-4152.002382

李静颖,
周建平^,

宁波市中医院妇科，浙江宁波 315010

基金项目:

浙江省宁波市医学科技计划项目 2019Y22

浙江省中医药科学研究基金项目 2017ZB080

浙江省“十三五”中医药重点专科项目浙卫办中医[2019]1号

详细信息

通讯作者:
周建平, E-mail: nbzjp@126.com

中图分类号: R271.4 R714.21
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出版历程
- 收稿日期: 2021-03-22
- 网络出版日期: 2022-08-13

Clinical effect of midnight-noon ebb-flow of ear acupoint pressing bean on improving yang-deficiency constitution and clinical curative effect of early threatened abortion with kidney-deficiency syndrome

LI Jing-ying,
ZHOU Jian-ping^,

Gynecological Department, Ningbo Municipal Hospital of TCM, Ningbo, Zhejiang 315010, China

摘要

摘要: 目的评价子午流注择时耳穴压豆对肾虚型早期先兆流产患者的阳虚体质和中医证候积分的影响，观察其临床效果，为临床上对该病的治疗提供循证依据。方法选取2020年1—9月期间宁波市中医院妇科治疗的70例阳虚体质肾虚型早期先兆流产患者，使用随机数表法将患者分为对照组(35例)与研究组(35例)，对照组给予常规中西药物治疗(西药黄体酮注射液20 mg或40 mg肌注+中药寿胎丸加减口服)；研究组在常规中西药物治疗基础上给予子午流注择时耳穴压豆。比较2组肾虚型早期先兆流产患者治疗前后的中医体质辨识量表阳虚体质评分及早期先兆流产中医证候积分、阳虚体质改善率及治疗有效率。结果研究组阳虚体质评分为(26.77±12.52)分，明显低于对照组[(38.54±13.94)分，t=3.717，P＜0.01]；研究组中医证候积分为0(0，1)，低于对照组[1(0，2)，Z=-2.543，P＜0.05]；研究组阳虚体质改善率、总有效率分别为62.86%、91.43%，显著高于对照组(28.57%、65.71%，χ²=8.289、6.873，均P＜0.01)。结论子午流注择时耳穴压豆对提高肾虚型早期先兆流产的保胎患者具有较好的疗效，能改善阳虚体质，减轻临床症状，可作为中医外治方法在临床应用与推广。
- 子午流注 /
- 耳穴压豆 /
- 肾虚 /
- 早期先兆流产 /
- 阳虚体质
Abstract: Objective To evaluate the effect of midnight-noon ebb-flow on Yang deficiency constitution and TCM syndrome score of patients with early threatened abortion of kidney deficiency type, observe its clinical effect and provide evidence-based basis for clinical practice. Methods Seventy patients with early threatened abortion with yang and kidney deficiency who were admitted at the Department of Gynecology of Ningbo Municipal Hospital of TCM from January 2020 to September 2020 were selected. Random numbers were generated by SPSS according to the admission sequence number, and patients were randomly divided into the control group (35 cases) and study group (35 cases). The control group was given conventional Chinese and Western medicine treatment (Western medicine: 20 mg progesterone injection or 40 mg intramuscular injection+Chinese medicine Shoutaiwan plus or minus oral), and the study group was given midnight-noon ebb-flow of ear acupoint pressing bean on the basis of conventional Chinese and Western medicine treatment. The scores of Yang deficiency constitution on the TCM Physique Identification Scale, the scores of TCM syndromes of early threatened abortion, the improvement rate of yang deficiency physique and the effective rate of treatment were compared between the two groups before and after treatment. Results The Yang deficiency constitution score of the study group was (26.77±12.52) points, which was significantly lower than that of the control group (38.54±13.94) points (t=3.717, P < 0.01), the median and quartile of TCM syndrome in the study group were 0 (0, 1), which were lower than those in the control group [1(0, 2), Z=-2.543, P < 0.05]. The improvement rate and total effective rate of Yang deficiency physique in the study group were 62.86% and 91.43% respectively, which were significantly higher than those in the control group (28.57% and 65.71%, χ²=8.289 and 6.873, both P < 0.01). Conclusion Midnight-noon ebb-flow of ear acupoint pressing bean at the selected time can improve the constitution of yang deficiency and reduce the clinical symptoms of patients with early threatened abortion of kidney deficiency type. It can be used and promoted as an external treatment method of Chinese medicine.
- Midnight-noon ebb-flow /
- Ear acupoint pressing bean /
- Kidney deficiency /
- Early threatened abortion /
- Yang deficiency constitution

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表 1 2组阳虚体质肾虚型早期先兆流产患者一般资料比较

Table 1. Comparison of general data between two groups of patients with early threatened abortion of yang-deficiency constitution and kidney-deficiency type

组别	例数	年龄(x±s，岁)	孕周(x±s，周)	流产次数[M(P₂₅, P₇₅), 次]
对照组	35	30.76±4.86	6.36±1.25	2(1，2)
研究组	35	28.84±3.76	6.44±1.94	1(0，1)
统计量		1.849^a	0.205^a	-1.683^b
P值		0.069	0.838	0.092
注：^a为t值，^b为Z值。

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表 2 2组阳虚体质肾虚型早期先兆流产患者治疗前后阳虚体质评分比较(x±s，分)

Table 2. Comparison of Yang-deficiency constitution scores before and after treatment in two groups of patients with early threatened abortion of Yang-deficiency constitution and kidney-deficiency type (x±s, points)

组别	例数	治疗前	治疗后	t值	P值
对照组	35	55.66±12.82	38.54±13.94	5.247	＜0.001
研究组	35	56.69±12.13	26.77±12.52	7.510	＜0.001
t值		-0.345	3.717
P值		0.731	＜0.001

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表 3 2组阳虚体质肾虚型早期先兆流产患者治疗前后中医证候积分比较[M(P₂₅, P₇₅), 分]

Table 3. Comparison of TCM syndrome scores before and after treatment in two groups of patients with early threatened abortion due to Yang-deficiency constitution and kidney-deficiency [M(P₂₅, P₇₅), points]

组别	例数	治疗前	治疗后	Z值	P值
对照组	35	13(4，21)	1(0，2)	-3.655	＜0.001
研究组	35	12(5，16)	0(0，1)	-4.232	＜0.001
Z值		-0.694	-2.543
P值		0.488	0.011

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表 4 2组阳虚体质肾虚型早期先兆流产患者临床疗效比较

Table 4. Comparison of clinical efficacy of early threatened abortion patients with Yang-deficiency and kidney-deficiency

组别	例数	痊愈(例)	显效(例)	有效(例)	无效(例)	总有效率(%)
对照组	35	17	2	4	12	65.71(23/35)
研究组	35	30	1	1	3	91.43(32/35)
注：2组总有效率比较，χ²=6.873，P=0.009。

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