不同疗程针刺治疗原发性痛经疗效观察  

Therapeutic Observation on Acupuncture of Different Treatment Courses for Primary Dysmenorrhea

作　　者：薛晓[1] 岳增辉[1] 肖硕实[1] 关闯[1] 

机构地区：[1]湖南中医药大学,长沙410007

出　　处：《上海针灸杂志》2013年第9期738-739,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察不同疗程针刺对原发性痛经的临床疗效及对经期血清前列腺素F2a(PGF2a)、内啡肽(β-EP)含量的影响。方法将90例原发性痛经患者随机分为A组、B组和C组。3组均采用针刺治疗,A组治疗1个疗程,B组治疗2个疗程,C组治疗3个疗程,分别观察3组治疗前后临床疗效及血清PGF2a、β-EP含量变化。结果 B组和C组疗效与A组比较,差异均具有统计学意义(P<0.05)。3组患者治疗后疼痛症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。B组和C组治疗后疼痛症状评分与A组比较,差异均具有统计学意义(P<0.05)。3组患者治疗后PGF2a及β-EP含量与同组治疗前比较,差异均具有统计学意义(P<0.05)。结论针刺是一种治疗原发性痛经的有效方法,能调节患者经期血清PGF2a及β-EP含量,不同疗程针刺对原发性痛经的临床疗效有显著差异。Objective To observe the clinical efficacy of acupuncture of different treatment courses in treating primary dysmenorrhea and its effect on the contents of prostaglandin F2a （PGF2a） and β-endorphin （β-EP）. Method Ninety patients with primary dysmenorrhea were randomized into group A, group B, and group C. The three groups were all intervened by acupuncture treatment, a treatment course for group A, 2 courses for group B, and 3 courses for group C. The clinical efficacies and the changes of PGF2a and β-EP contents were observed. Result Both group B and group C were significantly different from group A in comparing the therapeutic efficacy （P〈0.05）. The pain scores were markedly improved in the three groups after treatment （P〈0.05） Both group B and group C were significantly different from group A in comparing the pain score after treatment （P〈0.05）. The contents of PGF2a and β-EP were significantly changed after treatment in the three groups （P〈0.05）. Conclusion Acupuncture is effective in treating primary dysmenorrhea, and can regulate the contents of PGF2a and β-EP. What＇s more, different treatment courses of acupuncture can produce obviously different clinical efficacies for primary dysmenorrhea.

关 键 词：针刺疗法 痛经 PGF2a Β-EP 电针 

分 类 号：R246.3[医药卫生—针灸推拿学]