麦粒灸治疗原发性痛经60例临床观察  

Clinical Observation of 60 cases of Primary Dysmenorrhea Treated with Wheat-grain Size Cone Moxibustion

作　　者：王凌燕 陈洪沛[2] WANG Lingyan;CHEN Hongpei

机构地区：[1]金华市中医医院,浙江金华321017 [2]成都中医药大学,四川成都610000

出　　处：《新中医》2018年第7期174-176,共3页New Chinese Medicine

摘　　要：目的:观察麦粒灸治疗原发性痛经的临床疗效。方法:将120例原发性痛经患者随机分为观察组和对照组各60例。观察组采用麦粒灸治疗,于经前1周开始治疗,每天1次,直到月经来潮时结束。对照组于每次痛经发作时口服布洛芬缓释胶囊。治疗后观察2组疼痛程度、痛经持续时间及伴随症状的改善情况。结果:观察组总有效率96.7%,对照组总有效率76.7%,2组比较,差异有统计学意义(P<0.05)。治疗后,2组视觉模拟评分法(VAS)、痛经伴随症状持续时间(RSS-COX1)及伴随症状程度(RSS-COX2)评分均较治疗前降低(P<0.01);观察组VAS、RSS-COX1及RSS-COX2评分均低于对照组(P<0.01)。随访时,2组VAS、RSS-COX1及RSS-COX2评分比较,差异均有统计学意义(P<0.01)。治疗后,2组痛经持续时间均较治疗前缩短(P<0.01);观察组痛经持续时间短于对照组(P<0.01)。2组随访时的痛经持续时间比较,差异有统计学意义(P<0.01)。结论:麦粒灸在缓解原发性痛经患者疼痛程度、缩短疼痛持续时间和改善痛经伴随症状方面均优于布洛芬缓释胶囊,且能产生近期和远期疗效。Objective： To observe the clinical effect of wheat-grain size cone moxibustion for primary dysmenorrhea. Methods：Divided 120 cases of patients with primary dysmenorrhea into the observation group and the control group randomly,60 cases in each group. The observation group received wheat-grain size cone moxibustion for treatment once a day from one week before menstruation to the onset of menstruation. The control group received ibuprofen sustained release capsules when dysmenorrhea occurred. After treatment,observed the pain degree,duration of dysmenorrhea and improvement of concomitant symptoms in the two groups. Results：The total effective rate was 96.7% in the observation group and was 76.7% in the control group,the difference being significant（P〈0.05）. After treatment, scores of visual analogue scale（VAS）, duration of concomitant symptoms of dysmenorrhea（RSS-COX1） and degree of concomitant symptoms（RSS-COX2） were decreased when compared with those before treatment（P〈0.01）. Scores of VAS,RSS-COX1 and RSS-COX2 in the observation group were lower than those in the control group（P〈0.01）. During the follow-up,the comparisons of VAS, RSS-COX1 and RSS-COX2 between the two groups showed significance in the difference（P〈0.01）. After treatment, the duration of pain in the two groups was shortened when compared with that before treatment（P〈0.01）. The duration of dysmenorrhea in the observation group was shorter than that in the control group（P〈0.01）. The comparison of the duration of dysmenorrhea between the two groups during the follow-up showed significance in the difference（P〈0.01）. Conclusion： The therapy of wheat-grain size cone moxibustion is superior to that of ibuprofen sustained release capsules in relieving the pain degree,shortening the duration of pain and improving concomitant symptoms of dysmenorrhea of patients with primary dysmenorrhea. The therapy also has short term effect and long term effect.

关 键 词：原发性痛经 麦粒灸 疼痛程度 痛经持续时间 伴随症状 

分 类 号：R271.113[医药卫生—中医妇科学]