特定波长低功率可见光治疗原发性痛经有效性与安全性研究  

Study on the safety and effectiveness of primary dysmenorrhea with specific wavelength and low power visible light therapy

作　　者：张杰[1] 白继庚 白丽霞 丁玲[1] 赵敏 史莉玲 李艳 ZHANG Jiel;BAI Ji-geng;BAI Li-xia;DING Lingl;ZHAO Min;SHI Li-ling;LI Yan(S harLxi Medical University, S harLxi Taiyuan 030000, China;Children＇s hospital of SharLxi Province,SharLxi Taiyuan 030000,China)

机构地区：[1]山西医科大学,山西太原030000 [2]山西省儿童医院山西省妇幼保健院,山西太原030000

出　　处：《实用妇科内分泌电子杂志》2018年第7期3-7,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：国家自然基金青年科学基金项目(81602932);国家自然基金青年科学基金项目(81703313)

摘　　要：目的评价特定波长低功率可见光技术治疗原发性痛经的有效性与安全性。方法以山西省某高校原发性痛经者作为研究对象,采用随机对照盲法研究,试验组使用"特定波长低功率可见光技术(Color-NDA-WSF)"治疗仪,对照组使用不发出可见光的虚拟仪器。采用视觉模拟量表(VAS)评分与COX痛经症状量表(CMSS)评分作为评价指标,治疗前收集基线资料并在治疗开始至结束三月内每月月经期间随访收集数据,治疗结束后观察得分差异。研究期间患者、研究者、资料收集者均不知道具体分组情况。结果治疗前(t0时间点)试验组与对照组年龄、VAS得分、COX严重程度与持续时间得分均无统计学差异(P<0.05)。治疗开始后,t1、t2、t3时间点试验组与对照组VAS得分(除t1时间点)、COX严重程度和持续时间得分均有统计学差异(P<0.05),各时间点试验组得分均低于对照组。治疗结束后,试验组与对照组组内VAS得分、COX严重程度与持续时间得分均有统计学差异(P<0.05),试验组得分均低于对照组,试验组得分下降趋势较对照组更加明显,下降幅度大于对照组。VAS得分试验组总体有效率为76.3%,对照组为50%,两组有效率不同(x^2=7.146,P=0.009<0.05),试验组高于对照组。研究期间无不良反应报告。结论特定波长低功率可见光疗法治疗原发性痛经是一种安全、有效的方法。Objective To evaluate the effectiveness and technique in the treatment of primary, dysmenorrhea.Methods safety of specific wavelength low power visible light The primary dysmenorrhea in a university in Sharbxi province was selected as the research object.The blind control group was used in the randomized controlled study.The experimental group used the ＂specific wavelength low power visible light technology （Color-NDA-WSF）＂ therapeutic appaxatus,while the control group used the virtual instrument without visible light.Visual analogue scale （VAS） score and COX dysmenonheal symptom scale （CMSS） score were used as evaluation indexes.Baseline data were collected before treatment,and the data were collected during the menstrual period from the beginning to the end of three mounths,and the difference was observed after the txeatment.During the study period,with researchers,patients and data collector did not know flae specific group.Results There were no significant differences in age,VAS score,COX severity and duration of duration between the two groups （P 〈 0.05）.At the beginning of treatxnent,T 1,T2 and T3 time points showed statistically significant difference between the experimental group and the control group in VAS score （except T1 time point）,COX severity and duration （P〈0.05）,and the scores in the experimental group were lower than those in the control group at all time points.After the end of treatment,VAS score,COX severity and duration scores were statistically significant between the experimental group m-d control group （P〈0.05）,experimental group scores were lower than the control group,the score change trend chart shows the score of the experimental group was decreased more obviously than control group,the decrease is greater than that of the control group.The total effective rate of the VAS test group was 76.3%,the control group was 50%,the two groups had different efficiency （x2=7.146,P=0.009〈0.05）,and the experimental group was higher than the control group

关 键 词：原发性痛经 可见光 VAS CMSS 

分 类 号：R711[医药卫生—妇产科学]