原发性痛经患者不同子宫位置与三阴交穴效应关系的分析  

Analysis of the Relation between Uterine Position and the Effect of Sanyinjiao(SP6) in Patients with Primary Dysmenorrhea

作　　者：辛思源[1] 王培[2] 王玉满[1] 张鹏[2] 林驰[2] 胡妮娟[2] 郝杰[2] 齐丹丹[2] 吴桂雯 胡尚卿 马良宵[2] 朱江[2,3] 

机构地区：[1]承德医学院,承德067000 [2]北京中医药大学针灸推拿学院,北京100029 [3]国家中医药管理局针灸特色疗法评价重点研究室,北京100029

出　　处：《上海针灸杂志》2015年第8期703-706,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划项目(2012CB518506;2006CB504503;2005CB523308);国家自然科学基金面上项目(30973793);教育部博士点基金项目(20090013110005)

摘　　要：目的通过对一项电针治疗原发性痛经的临床试验的相关数据进行分析,探讨子宫位置与经穴效应的关系。方法通过超声对每位受试者子宫位置进行评估,采用视觉模拟评分法(VAS)评估干预前后各时点的疼痛情况,采用痛经伴随症状表(RSS)值评估症状缓解程度。结果不同子宫位置间治疗前后各时点VAS值、起针即刻效应与后效应、反应者率比较差异均无统计学意义(P>0.05)。电针三阴交穴可以即刻缓解子宫前位患者的腹痛和痛经相关伴随症状,子宫后位其次,子宫中位者则未见缓解。结论电针三阴交穴可能对子宫前位腹痛和痛经相关伴随症状的缓解具有相对的特异性效应,子宫位置可能与相关经脉和脏腑有关。但现有统计结果提示子宫位置与经穴三阴交效应无关,其结果有待于前瞻性临床随机对照试验的证实。Objective To explore the relation between the uterine position and acupoint effect by analyzing the data of a clinical trial of electroacupuncture in treating primary dysmenorrhea. Method The uterine position was detected by ultrasonic examination; Visual Analogue Scale（VAS） was used to evaluate the pain degree before and after intervention; Retrospective Symptom Scale（RSS） was adopted to determine the improvement of symptoms. Result There were no significant differences in comparing the VAS score, real-time effect and post-treatment effect, and effective rate among different uterine positions（P〉0.05）. Electroacupuncture at Sanyinjiao（SP 6） can produce a real-time effect in releasing abdominal pain and relevant symptoms of dysmenorrhea in patients with anteversion of uterus, a less significant effect was shown in patients with retroposition of uterus, while no effect was shown in patients with uterus at middle position. Conclusion Electroacupuncture at Sanyinjiao possibly has a specific effect in releasing abdominal pain and relevant symptoms of dysmenorrhea at anteversion of uterus, and the uterine position may be related to the corresponding meridians and Zang-fu organs. The current statistical result indicates that there is no relation between the uterine position and the effect of Sanyinjiao, but this conclusion still needs proving by prospective randomized controlled clinical trials.

关 键 词：电针 痛经 针灸效应 子宫位置 穴 三阴交 VAS 

分 类 号：R246.3[医药卫生—针灸推拿学]