得气、针刺手法与针刺治疗原发性痛经疗效的关系  

The Effects of Deqi and Manual Acupuncture Needle Manipulation on the Clinical Outcomes of Acupuncture Analgesia

作　　者：熊瑾[1] 刘芳[1] 王伟[2] 黄光英[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院中西结合研究所,湖北武汉430030 [2]华中科技大学附属同济医院神经内科,湖北武汉430030

出　　处：《辽宁中医杂志》2011年第8期1482-1485,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究计划(973计划)资助项目(2006CB504502)

摘　　要：目的:观察得气、针刺手法对针刺治疗原发性痛经疗效的影响,探讨手法、得气与针刺镇痛疗效三者之间关系。方法:对90例原发性痛经患者按照完全随机的方法分成针刺手法组和针刺非手法组。对患者得气感觉的程度按照0～4分的量度进行评估。记录针刺治疗前后患者的疼痛程度(VAS)、疼痛持续时间及伴随症状来评估疗效。结果:手法组的有效率显著高于非手法组(P<0.001)。两组在疼痛程度、疼痛持续时间上差异均有统计学意义(P<0.001)。得气指标与痛经疗效指标之间呈正相关(R=0.654,P<0.001)。结论:得气对针刺治疗原发性痛经的疗效起着决定性的作用。通过施行手法,可以使患者的得气感增强,从而进一步提高针刺的疗效。Objective： To observe the effects of deqi and manual acupuncture needle manipulation on the acupuncture treatment for primary dysmenorrbea, and to explore the relationship between them. Methods ：90 patients with primary dysmenorrhea were randomly divided into manual acupuncture needle manipulation and needle non - manipulation group. The deqi sensations listed in the questionnaire or any other sensations occurred during the treatment were quantified on a numerical scale of 0 -4 by the volunteers. The pain intensity, pain duration and related symptoms were used to evaluate the clinical success of acupuncture. Results： Two groups showed significant differences in effective percentage （ P 〈 0. 001 ）. The manual needle manipulation group showed a significant greater improvement in pain intensity and pain duration compared with the control group （ P 〈 0. 001 ）, Statistical anal- ysis of the data revealed an obvious correlation between deqi and clinical outcomes of acupuncture analgesia, and the related coef- ficient was 0.647 （P 〈 0. 001 ）. Conclusion：It was suggested that deqi may be the predictor of the treatment outcomes which determine the clinical success of acupuncture treatment for primary dysmenorrhea. Furthermore, it will elicit and enhance the deqi response and achieve the therapeutic benefits in the treatment of acupuncture taking the manual needle manipulation.

关 键 词：得气 针刺手法 疗效 

分 类 号：R711.51[医药卫生—妇产科学]