针刺单穴与多穴治疗痛经时止痛作用时效规律的比较  

Comparison of the Analgesic Time-effect Regularities of Acupuncture at a Single Point and at Multiple Points in Treating Dysmenorrhea

作　　者：陈少宗[1] 侯文静[1] 丛茜[1] 

机构地区：[1]山东省中医药研究院针灸研究所,济南250014

出　　处：《上海针灸杂志》2010年第10期623-625,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家科技部"十一.五"支撑计划(2006BAI12B06);山东省中医药科技发展计划(2009-135)

摘　　要：目的与方法随机观察单刺十七椎、针刺十七椎等多穴对重度原发性痛经患者止痛作用的时效规律,每组观察15人次。均留针30min,分别记录针刺前即时,进针5min、10min、20min、30min,及起针后30min、60min、120min的VAS读值,然后进行统计分析。结果针刺后,两组的止痛作用产生迅速,留针30min内,两组患者的止痛作用均持续加强,直至起针;进针20min时多穴组的即时止痛作用明显优于单穴组(P<0.05),这种趋势一直维持到起针后2h。结论单刺十七椎、针刺十七椎等多个穴位对重度原发性痛经患者均有明显的即时止痛作用,且两组针刺作用的时效规律具有相同的变化趋势,但针刺多个穴位的即时止痛作用在多个时点明显优于单刺十七椎。Objective To compare the analgesic time-effect regularity of acupuncture at Shiqizhui（Ex-B8） alone with acupuncture at Shiqizhui and other points in treating patients with severe primary dysmenorrhea.Methods In every group of 15（person-time） patients,the needles were retained for 30 min and the VAS score was counted immediately before acupuncture,after 5,10,20 and 30 min retention of the needle and at 30,60 and 120 min after withdraw of the needle.Statistical analysis was then made.Results The analgesic effect was rapidly produced in both groups after acupuncture.During 30 min retention of the needle,the analgesic effect was improved increasingly until the needle was withdrawn in both groups of patients.At 20 min after insertion of the needle,the immediate analgesic effect was significantly better in the multiple point group than in the single point group（P 0.05）.The trend lasted until 2 hrs after withdraw of the needle.Conclusion Acupuncture both at Shiqizhui alone and at Shiqizhui and other points produces a marked immediate analgesic effect in treating patients with severe primary dysmenorrhea.The acupuncture time-effect regularity has the same changing tendency in the two groups.But the immediate analgesic effect of acupuncture at multiple points is significantly better at several time points than that of acupuncture at Shiqizhui alone.

关 键 词：痛经 针刺 时间因素 留针 针刺作用时效关系 针刺频次 

分 类 号：R246.3[医药卫生—针灸推拿学]