摘要
目的：观察隔姜灸配合针刺治疗寒凝血瘀型原发性痛经的临床疗效。方法：将60例原发性痛经患者随机分为两组：对照组30例采用布洛芬缓释胶囊治疗,治疗组30例采用隔姜灸神阙穴联合针刺三阴交、足三里、合谷、内关穴治疗。观察两组的有效率（即时疗效、近期疗效、远期疗效）、VAS评分及PGE2和PGF2a。结果：两组经过治疗后,治疗组和对照组的即时疗效总有效率为93.33%和83.33%,经统计分析,两组具有明显差距（P〈0.05）;两组近期疗效对比,治疗组和对照组总有效率分别为96.67%和83.33%,经统计分析,两组具有显著统计学差异（P〈0.05）;两组远期疗效对比总有效率分别为93.33%和83.33%,经统计分析,两组具有显著统计学差异（P〈0.05）。说明本临床研究在即时疗效、近期疗效、远期疗效方面明显优于对照组。将两组治疗后VAS评分进行比较,近期VAS评分P〉0.05,表明两组在近期疗效改善方面不存在统计学差异,而远期P〈0.05,在VAS评分改善方面存在显著统计学差异,治疗组在VAS评分改善方面明显优于对照组。治疗前后PGE2和PGF2a水平对比,两组在治疗后PGE2较治疗前均升高,PGF2a较治疗前均下降,治疗组变化幅度明显高于对照组（P〈0.05）,表明两组在近期疗效改善方面存在显著统计学差异。结论：隔姜灸配合针刺治疗寒凝血瘀型原发性痛经疗效显著,且无明显不良反应。
Objective： To observe the clinical effects of Ginger moxibustion isolation combined with acupuncture in treating primary dysmenorrhea of cold-stagnation and blood-stasis type. Methods： Sixty patients with primary dysmenorrhea were randomly divided into two groups,30 cases in each group. The control group was treated with ibuprofen sustained release capsules. The treatment group was treated with ginger moxibustion at Shenque（ RN8） cooperated with acupuncture at Sanyinjiao（ SP6）,Zusanli（ ST36）,Hegu（ LI4） and Neiguan（ PC6）. We observed two groups＇ effective rate（ the instant effect,the near effect and the long-term effect） and VAS score. Results： After treatment,the instant effect rate was 93. 33% in the treatment group and 83. 33% in the control group. Through the statistical analysis,two groups had statistically significant differences（ P 0. 05）. The treatment group and control group＇s total short-term effective rates were 96. 67% and 83. 33% respectively. Two groups had statistically significant differences（ P 0. 05）. The long-term effect rates were 93. 33% and 83. 33% respectively in the two groups and two groups had statistically significant differences（ P 0. 05）. The instant curative effect,the recent curative effect and the long-term curative effect were better than those in control group. Comparing two groups＇ VAS score after treatment,it showed that there was no statistical difference in the short-term curative effect（ P 0. 05）. But there was a statistically significant difference between two groups＇ VAS score（ P 0. 05） and the treatment group＇s was significantly better than that of the control group. Contrasting the level of PGE2 and PGF2 abefore and after treatment,PGE2 levels were both increased and PGF2 adecreased.The change in treatment group was obviously higher than that of control group（ P 0. 05）,indicating that there are statistically significant differences in improving curative effect in the short term. Conclusion： Curative effect of Ginger moxi-bustion isolation combined with acupuncture in treating primary dysmenorrhea of cold-stagnation and blood-stasis type is remarkable,and there are no obvious adverse reactions.
出处
《中华中医药学刊》
CAS
北大核心
2018年第3期659-662,共4页
Chinese Archives of Traditional Chinese Medicine
基金
国家中医药管理局项目(201407001-7)
关键词
原发性痛经
布洛芬缓释胶囊
隔姜灸
针刺
primary dysmenorrhea
ibuprofen sustained release capsule
Ginger moxibustion
acupuncture
