三阴交穴真假针刺对原发性痛经镇痛作用临床观察  

Analgesic effect on primary dysmenorrheal treated with conventional and sham acupuncture at Sanyinjiao(SP 6)

作　　者：韩莹[1] 周友龙[2] 郭现辉[3] 刘宜军[3] 李慧[3] 陈晓燕[2] 

机构地区：[1]新疆医科大学第一附属医院针灸推拿科,乌鲁木齐830011 [2]河南中医学院第三附属医院,郑州450008 [3]河南中医学院针灸推拿学院

出　　处：《中国针灸》2015年第4期318-322,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察月经来潮疼痛时针刺与假针刺三阴交穴对原发性痛经镇痛作用的疗效差异,评价心理效应对针刺镇痛的影响。方法:将60例受试者随机分为针刺组和假针刺组,每组30例。均取双侧三阴交穴分别予以常规针刺及假针刺,于月经来潮疼痛发作时进行针刺干预,每次留针30min,共观察3个月经周期。采用视觉模拟评分法(VAS)对每个月经周期疼痛发生时针刺前和针刺后0.5h、1h、3h、6h、12h各时点进行VAS疼痛程度评分评定。结果:针刺组每个月经周期疼痛发生时针刺后任一时点VAS评分均较前任一时点下降,差异均有统计学意义(均P<0.05);假针刺组在针刺后6h、12h较前一时点下降,差异有统计学意义(均P<0.05);针刺后针刺组各时点VAS评分均低于假针刺组(均P<0.05)。结论:针刺三阴交穴对原发性痛经镇痛效果显著,假针刺的心理安慰剂效应对针刺镇痛没有明显影响。Objective To observe the difference in the analgesic effect on primary dysmenorrheal between acupuncture and sham acupuncture at Sanyinjiao（SP 6）during menstrual pain and evaluate the impact of psychological effect on acupuncture analgesia.Methods Sixty subjects were randomized into an acupuncture group and a sham acupuncture group,30 cases in each one.The conventional acupuncture and sham acupuncture were applied to Sanyinjiao（SP 6）on bilateral sides when menstrual pain began to attack and needles were retained for 30 min each time.Three menstrual cycles were required.The visual analogue scale（VAS）was adopted to determine the scores before and 0.5h,1h,3h,6hand 12 hafter acupuncture during menstrual pain in each cycle separately.Results In the acupuncture group,VAS score at each time point after acupuncture was reduced as compared with that at the previous one during menstrual pain in each menstrual cycle,indicating the significant difference（all P〈0.05）.In the sham acupuncture group,the scores in 6hand 12 hof acupuncture were reduced as compared with the previous one,indicating the significant difference（all P〈0.05）.After acupuncture,VAS score at each time point in the acupuncture group was lower than that in the sham acupuncture group（all P〈0.05）.Conclusion The conventional acupuncture at Sanyinjiao（SP 6）achieves the significant analgesic effect on primary dysmenorrheal.The psychological placebo effect of sham acupuncture has no obvious impact on acupuncture analgesia.

关 键 词：原发性痛经 针刺 假针刺 针刺镇痛 随机对照试验 

分 类 号：R246.3[医药卫生—针灸推拿学]