针刺得气对痛经患者三阴交穴即刻镇痛效应的影响初探  

Influence of Deqi on Immediate Analgesia by Needling at SP6 in Dysmenorrhea Patients

作　　者：胡妮娟[1] 苑鸿雯[2] 林驰[1] 齐丹丹[1] 张鹏[3] 王培[1] 赵珉一 郝杰[1] 胡尚卿 吴桂雯 陈国勇[1] 朱江[1] 

机构地区：[1]北京中医药大学,北京100029 [2]首都医科大学,北京100029 [3]首都医科大学附属北京同仁医院,北京100029

出　　处：《针灸临床杂志》2016年第6期5-9,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家重点基础研究发展计划(973计划)资助项目;编号:2012CB518506;2006CB504503;2005CB523308;国家自然科学基金面上项目;编号:30973793;教育部博士点基金项目;编号:20090013110005

摘　　要：目的:通过分析不同得气感成分与针刺痛经患者三阴交穴即刻镇痛效应间的关系,初步了解得气对针刺效应的影响。方法:以72例痛经女大学生为研究对象,于两个月经周期的痛经第1天针刺双侧三阴交穴进行治疗。进针后行均匀提插捻转至得气。采用量表记录受试者针感情况,用疼痛视觉模拟评分量表记录针刺前后腹痛VAS值。根据受试者针感和针刺前后腹痛VAS值,分析得气感成分对效应的影响。结果:得气感成分中,胀满感、钝痛、麻木感出现频率最高,胀满感(P=0.046)、电击样感(P=0.045)、沉重感(P=0.053)与效应间有相关性,其余得气感成分与效应间的相关性P值均大于0.05。结论:在前后自身对照试验中,针刺痛经患者三阴交穴时,最易出现胀满感、钝痛和麻木感,且胀满感、沉重感和电击样感与针刺即刻镇痛效应有一定相关性,尚未发现其他得气感成分与针刺效应有关。建议开展随机对照试验深入研究得气对效应的影响。Objective： To explore the influence of Deqi on immediate analgesia by analyzing the relationship between Deqi sensation components and immediate analgesic effect of needling at bilateral SP6 in patients with dysmenorrhea. Methods： 72 cases with dysmenorrhea among female college students received acupuncture at bilateral SP6. The treatment started from the first day when abdominal pain emerged for two menstrual cycles.Lifting,thrusting and twirling were given to elicit Deqi. Needle sensation scale and Visual Analogue Scale were used to record needle sensation and abdominal pain VAS values before and after acupuncture treatment. The influence of Deqi sensation components on immediate analgesia was observed by gathering needle sensation data and abdominal pain VAS values before and after acupuncture treatment. Results： Only distension / fullness（ P =0. 046） and electric- shock（ P = 0. 045） and heaviness（ P = 0. 053） had the relation with effects. There was no statistical difference between the effect and other different kinds of Deqi sensation components（ P 0. 05）.Conclusion： In self- controlled experiment,distension / fullness and electric- shock and heaviness have the relationship with the effect of needling at SP6 in patients with dysmenorrhea. Further analysis about the influence of Deqi on the acupuncture analgesia should be carried out in a randomized controlled trial.

关 键 词：三阴交 痛经 针刺 得气 

分 类 号：R246.3[医药卫生—针灸推拿学]