温针灸治疗原发性痛经的效果观察(1)
【摘要】 目的：观察温针灸治疗原发性痛经的临床效果。方法：本研究纳入110例原发性痛经患者为临床研究对象，随机分为治疗组和对照组，各55例，治疗组在经前1周用温针灸灸子宫穴、关元、足三里、三阴交，1次/d，直至月经来潮。对照组在每次痛经发作时口服布洛芬缓释胶囊，0.3 g/次，2次/d，连服3 d。比较两组治疗效果。结果：治疗组总有效率为96.36%，高于对照组的81.82%，差异有统计学意义(P<0.05)。治疗后两组NRS评分、CMSS症状严重程度评分、CMSS症状持续时间评分均低于治疗前，且治疗组评分均低于对照组，差异均有统计学意义(P<0.05)。结论：温针灸较布洛芬缓释胶囊治疗原发性痛经更能有效缓解疼痛、减轻痛经时的伴随症状和疼痛持续时间。
【关键词】 温针灸 原发性痛经 疗效
doi：10.14033/j.cnki.cfmr.2020.16.050 文献标识码 B 文章编号 1674-6805(2020)16-0-03
Observation on the Therapeutic Effect of Warm Acupuncture on Primary Dysmenorrhea/LIN Wenmin， WU Jisheng， LIN Lixia. //Chinese and Foreign Medical Research， 2020， 18(16)： -126
[Abstract] Objective： To observe the clinical effect of warm acupuncture on primary dysmenorrhea. Method： In this study， 110 patients with primary dysmenorrhea were included as clinical research objects. They were randomly divided into the treatment group and the control group， 55 cases in each. The treatment group used warm acupuncture at Uterine point， Guanyuan point， Zusanli point and Sanyinjiao point 1 week before menstruation， once a day， until the onset of menstruation. The control group took Ibuprofen Sustained Release Capsules orally at each dysmenorrhea attack， 0.3 g once， twice a day， and repeatedly for three days. The therapeutic effects of the two groups were compared. Result： The total effective rate in the treatment group was 96.36%， higher than 81.82% in the control group， the difference was statistically significant (P<0.05). After treatment， NRS score， CMSS symptom severity score， and CMSS symptom duration score in the two groups were all lower than those before treatment， and the scores in the treatment group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion： Compared with Ibuprofen Sustained Release Capsule for primary dysmenorrhea， warm acupuncture and moxibustion can effectively relieve the pain， the concomitant symptoms and the pain duration.
[Key words] Warm acupuncture Primary dysmenorrhea Curative effect
First-author’s address： Ningde Hospital of Traditional Chinese Medicine， Ningde 352100， China
原發性痛经是月经期出现的子宫痉挛性疼痛，可伴有腰酸、下腹坠痛或其他不适，无盆腔器质性病变[1]。本研究纳入110例原发性痛经患者为临床研究对象，随机分为治疗组和对照组，以观察温针灸治疗原发性痛经的临床效果，现报道如下。
1 资料与方法
1.1 一般资料
本研究病例选取来自2017年10月-2019年3月宁德市中医院针灸科及妇科门诊诊断为原发性痛经的患者110例。诊断标准：西医诊断标准参照《妇产科学》，原发性痛经(primary dysmenorrhea，PD)是指一般在初潮后一段时间，月经周期转规律后出现经期下腹坠痛，基础体温测定证实痛经发生在排卵周期，妇科检查排除器质性疾病，临床即可诊断[2]。中医诊断标准参照《中医妇科学》，妇女正值经期或经行前后，出现周期性小腹疼痛，或痛引腰骶，甚则剧痛昏厥者，称为痛经，亦称经行腹痛[3]。纳入标准：符合上述诊断标准;年龄15～35岁;月经周期规律;在接受本研究治疗前1个月经周期未接受其他治疗。排除标准：继发性痛经;月经周期不规律;在本研究治疗过程中使用其他方法治疗原发性痛经;备孕、妊娠、哺乳期;合并心、脑、肝、肾及造血系统等严重疾病和精神疾病。剔除及脱落标准：未严格遵守医嘱按照治疗方案进行治疗或不能坚持完成整个疗程;治疗过程中出现其他症状无法缓解;依从性差，自动退出、失访。随机分为治疗组和对照组，各55例。治疗组平均年龄(25.10±5.94)岁，平均病程(6.94±3.18)年;对照组平均年龄(24.78±6.17)岁，平均病程(6.45±3.10)年。两组年龄、病程比较差异均无统计学意义(P>0.05)，具有可比性。患者均签署知情同意书。, 百拇医药(林文敏 吴际生 林丽霞)
【关键词】 温针灸 原发性痛经 疗效
doi：10.14033/j.cnki.cfmr.2020.16.050 文献标识码 B 文章编号 1674-6805(2020)16-0-03
Observation on the Therapeutic Effect of Warm Acupuncture on Primary Dysmenorrhea/LIN Wenmin， WU Jisheng， LIN Lixia. //Chinese and Foreign Medical Research， 2020， 18(16)： -126
[Abstract] Objective： To observe the clinical effect of warm acupuncture on primary dysmenorrhea. Method： In this study， 110 patients with primary dysmenorrhea were included as clinical research objects. They were randomly divided into the treatment group and the control group， 55 cases in each. The treatment group used warm acupuncture at Uterine point， Guanyuan point， Zusanli point and Sanyinjiao point 1 week before menstruation， once a day， until the onset of menstruation. The control group took Ibuprofen Sustained Release Capsules orally at each dysmenorrhea attack， 0.3 g once， twice a day， and repeatedly for three days. The therapeutic effects of the two groups were compared. Result： The total effective rate in the treatment group was 96.36%， higher than 81.82% in the control group， the difference was statistically significant (P<0.05). After treatment， NRS score， CMSS symptom severity score， and CMSS symptom duration score in the two groups were all lower than those before treatment， and the scores in the treatment group were lower than those in the control group， the differences were statistically significant (P<0.05). Conclusion： Compared with Ibuprofen Sustained Release Capsule for primary dysmenorrhea， warm acupuncture and moxibustion can effectively relieve the pain， the concomitant symptoms and the pain duration.
[Key words] Warm acupuncture Primary dysmenorrhea Curative effect
First-author’s address： Ningde Hospital of Traditional Chinese Medicine， Ningde 352100， China
原發性痛经是月经期出现的子宫痉挛性疼痛，可伴有腰酸、下腹坠痛或其他不适，无盆腔器质性病变[1]。本研究纳入110例原发性痛经患者为临床研究对象，随机分为治疗组和对照组，以观察温针灸治疗原发性痛经的临床效果，现报道如下。
1 资料与方法
1.1 一般资料
本研究病例选取来自2017年10月-2019年3月宁德市中医院针灸科及妇科门诊诊断为原发性痛经的患者110例。诊断标准：西医诊断标准参照《妇产科学》，原发性痛经(primary dysmenorrhea，PD)是指一般在初潮后一段时间，月经周期转规律后出现经期下腹坠痛，基础体温测定证实痛经发生在排卵周期，妇科检查排除器质性疾病，临床即可诊断[2]。中医诊断标准参照《中医妇科学》，妇女正值经期或经行前后，出现周期性小腹疼痛，或痛引腰骶，甚则剧痛昏厥者，称为痛经，亦称经行腹痛[3]。纳入标准：符合上述诊断标准;年龄15～35岁;月经周期规律;在接受本研究治疗前1个月经周期未接受其他治疗。排除标准：继发性痛经;月经周期不规律;在本研究治疗过程中使用其他方法治疗原发性痛经;备孕、妊娠、哺乳期;合并心、脑、肝、肾及造血系统等严重疾病和精神疾病。剔除及脱落标准：未严格遵守医嘱按照治疗方案进行治疗或不能坚持完成整个疗程;治疗过程中出现其他症状无法缓解;依从性差，自动退出、失访。随机分为治疗组和对照组，各55例。治疗组平均年龄(25.10±5.94)岁，平均病程(6.94±3.18)年;对照组平均年龄(24.78±6.17)岁，平均病程(6.45±3.10)年。两组年龄、病程比较差异均无统计学意义(P>0.05)，具有可比性。患者均签署知情同意书。, 百拇医药(林文敏 吴际生 林丽霞)