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机构地区:[1]山东省中医药研究院针灸研究所,山东济南250014 [2]山东英才学院医学院,山东济南250104
出 处:《辽宁中医杂志》2011年第9期1878-1880,共3页Liaoning Journal of Traditional Chinese Medicine
基 金:国家"十一.五"支撑计划课题(2006BAI12B06);山东省中医药科技发展计划课题(2009-135)
摘 要:目的:比较针刺单穴、多穴治疗轻度痛经止痛作用的时效规律,为针刺单穴、多穴治疗本病确定最佳留针时间、针刺频次提供参考依据。方法:符合原发性痛经纳入标准的患者140例随机分为两组,每组各70例,一组为单刺十七椎、另一组为针刺十七椎等多个穴位。每组轻度疼痛患者各观察45人次。均留针30分钟,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。结果:针刺后,两组的止痛作用迅速产生,留针30分钟内,两组患者的止痛作用均持续加强,直至起针;进针5min时多个穴位组的即时止痛作用明显优于针刺单穴组(P<0.05),这种差别一直维持到起针后2小时。起针后30min左右针刺止痛作用减退到极点。结论:单刺十七椎、针刺十七椎等多个穴位对轻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,但针刺多个穴位组的即时止痛作用在多个时点明显优于针刺十七椎单穴组;无论单刺十七椎、还是针刺十七椎等多个穴位,留针时间不易短于30min。Objective : To compare the time - effect rule of pain - relieving effect in the treatment of mild dysmenorrhea between acupuncture of single point and acupuncture of muhipoint in order to provide reference to determine the best needle - retaining time and acupuncture frequency in the treatment. Methods : Random observe the pain - relieving time - effect rule of mild primary dysmenorrhea patient by acupuncture in 17 vertebra point and acupuncture in muhipoint,each group contained 45 patients. Both groups remain the needles for 30min;record respectively the VAS on the point of before acupuncture,needle remaining for 5min, 10min,20min, 30min, and 30min, 60min, 120min after needle withdrawal. Results : The pain - relieving effect of both groups emerged rapidly after acupuncture, and the effect continued strengthen in the needle - remaining period until needle withdrawal; The immediate pain - relieving effect of muhipoint group is obviously better than that of single point group( P 〈 0.01 ) at 10min of needle - remaining and this distinction sustained until 2 hours after needle withdrawal. The pain - relieving effect dropped to the limit at around 30min after needle withdrawal. Conclusion:There is obvious immediate pain - relieving effect in the treatment of mild primary dysmenorrhea by both acupuncture in 17 vertebra point and acupuncture in muhipoint, and the acupuncture effect of both groups have the same variation trend of time - effect rule, but the immediate pain - relieving effect of the muhipoint group is obviously better than that of single point group at many time point;The needle -remaining time is better to over 30 minutes, and the patients with mild pain lasting long could be treated with acupuncture twice a day.
关 键 词:轻度原发性痛经 针刺作用时效规律 针刺作用时效关系 留针时间 针刺频次
分 类 号:R271.113[医药卫生—中医妇科学]
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