龙虎交战针法对原发性痛经即时镇痛作用的时效规律研究  

Time-effect study on instant analgesic effect of the dragon-tiger fighting needling method on primary dysmenorrhea

作　　者：胡幼平[1] 张雪[2] 张镭潇[1] 吴佳[1] 王臻[1] 贾小飞[1] 唐羽[1] 惠茹婷[1] 

机构地区：[1]成都中医药大学针灸推拿学院,四川成都610075 [2]河北廊坊市长征医院针灸推拿科

出　　处：《中国针灸》2013年第11期1005-1009,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察龙虎交战和平补平泻两种针法对原发性痛经的临床止痛疗效及疗效与作用时间的关系。方法:将62例原发性痛经患者随机分为两组,其中龙虎交战组32例采取龙虎交战针法,平补平泻组30例采用平补平泻针法,两组患者均于疼痛发作时开始针刺。观察针刺前后两组的疼痛视觉模拟评分(VAS)随时间的变化,记录针刺前即时和针刺后5min、10min、20min、30min以及起针后30min、60min、120min 8个时间点的VAS数值,比较两组之间的差异。结果:组内比较,两组从针刺5min至起针后120min与针刺前即时比较,VAS评分差异均具有统计学意义(均P<0.01);龙虎交战组针刺20min和30min的VAS评分比较差异不明显(P>0.05),而平补平泻组针刺20min和30minVAS评分比较差异显著(P<0.01);两组随访第2个月经周期的疼痛VAS评分较治疗前比较差异均有统计学意义(P<0.01),龙虎交战组VAS评分为28.73±16.15,优于平补平泻组的46.93±12.18(P<0.001)。组间比较,在针刺5min,两组VAS分值比较,差异无统计学意义(P>0.05),但此观察时间点的VAS减值幅度比较,差异具有统计学意义(P<0.01);在针刺10min、20min、30min直至起针后120min,两组的VAS分值及减值幅度比较,差异均具有统计学意义(均P<0.01)。两组即时针刺疗效都可维持至起针后2小时。结论:两种针刺方法对原发性痛经都有一定的即时及远期镇痛作用,但龙虎交战组较平补平泻组更具优势,留针20min即可达到最佳止痛效果。Objective To observe the clinical analgesic efficacy and the relation between clinical analgesic effect and duration of effect of two acupuncture methods of Longhu Jiaozhan （fight of dragon and tiger, an acupuncture reinforcing and reducing manipulation characterized with nine counterclockwise and six clockwise rotations） and even manipulations. Methods Sixty-two patients with primary dysmenorrhea were randomly divided into an observation group （32 cases） and a control group （30 cases）. The observation group was applied with Longhu Jiaozhan manipulation, while the control group was applied with even manipulation. Acupuncture treatment was given on both of the groups since onset of the pain. The score of the visual analogue scale （VAS） of the 2 groups was observed at different times. And 8 VAS values were recorded at the point right before acupuncture, needle remaining of 5 min, 10 min, 20 min and 30 min as well as and 30 min, 60 min, 120 min after needle withdrawal. Comparison was made on differences between the 2 groups. Results Comparison with the same group before acupuncture showed that the VAS difference of the time from needling remaining of 5 min to 120 min after acupuncture were all with statistic significance （all P〈0.01）. The score of VAS of needle remaining for 20 min and 30 min of the observation group was without significant difference （P〈0. 05）. The score of VAS value of needle remaining for 20 min and 30 min of the control group was with significant difference （P〈0.01）. Comparison of the VAS scores before the treatment and the scores of the 2nd menstrual cycle were found with significant difference （P〈0.01）.The VAS score of 2nd menstrual cycle was （28. 73 ±16. 15） in the observation group, which was better than （46.93±12.18） in the control group （P〈0. 001）. Comparison of the VAS score of the two groups at 5 min r emaining of the needle was without statistic significance between two groups （P〈0.05）. However, the VAS impairment magnitude d

关 键 词：原发性痛经 龙虎交战 针刺方法 镇痛 

分 类 号：R245.3[医药卫生—针灸推拿学]