艾灸神阙配合温针灸关元、三阴交治疗原发性痛经疗效观察  

Therapeutic effects on primary dysmenorrhea treated with moxibustion at Shenque(CV 8) and warm needling at Guanyuan(CV 4) and Sanyinjiao(SP 6)

作　　者：廖柏丹 柳元娥 彭志谋 周畅[2] 刘超[2] 何晶晶[2] 余蓉 LIAO Bai-dan;LIU Yuan-e;PENG Zhi-mou;ZHOU Chang;LIU Chao;HE Jing-jing;YU Rong(GuangzhouUniversity of CM, Guangzhou 510006, Guangdong Province, China;the Eighth Hospital Affiliated to Sun Yat-SenUniversity, Shenzhen 518033, Guangdong Province;Department of Rehabilitation of Shenzhen Xili People'sHospital)

机构地区：[1]广州中医药大学,广东广州510006 [2]中山大学附属第八医院,广东深圳518033 [3]深圳市西丽人民医院康复科

出　　处：《中国针灸》2019年第4期367-370,376,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:探讨艾灸神阙穴配合温针灸关元、三阴交穴治疗原发性痛经的临床疗效。方法:将120例青年原发性痛经女性患者随机分为观察组和对照组,每组60例。对照组采用温针灸关元和三阴交治疗,观察组予艾灸神阙穴配合温针灸关元和三阴交治疗,共4个月经周期。记录并比较两组患者治疗前后痛经症状回顾性量表中的严重程度评分、总频率评分以及痛经视觉模拟评分(VAS),并评估两种治疗方法的安全性。结果:治疗后,两组患者严重程度评分、总频率评分及痛经疼痛VAS评分均较治疗前下降(均P<0.05),观察组较对照组下降明显(均P<0.05)。两组患者安全性评估方面差异无统计学意义(P>0.05)。结论:采用艾灸神阙穴配合温针灸关元、三阴交治疗原发性痛经,具有较单用温针灸关元、三阴交更好的临床疗效,且安全可靠。Objective To explore the clinical effects on primary dysmenorrhea treated with moxibustion at Shenque(CV 8) and warm needling at Guanyuan(CV 4) and Sanyinjiao(SP 6). Methods A total of 120 patients with primary dysmenorrhea were randomized into an observation group and a control group, 60 cases in each one. In the control group, the warm needling technique was used at Guanyuan(CV 4) and Sanyinjiao(SP 6). In the observation group, besides the same treatment as the control group, moxibustion was added at Shenque(CV 8). The treatment was given for 4 menstrual cycles consecutively. Before and after treatment, the score of the severity and the score of the total frequency in the retrospective scale of dysmenorrhea symptoms as well as the score of the visual analog scale(VAS) were recorded and compared in the patients between the two groups. Additionally, the safety of the two therapeutic methods was evaluated. Results After treatment, the score of severity and the score of total frequency as well as VAS score of menstrual pain were all reduced as compared with those before treatment in the patients of the two groups(all P<0.05). The scores in the observation group were more obvious as compared with the control group(all P<0.05). Regarding the safety evaluation, the difference was not significant between the two groups(P>0.05).Conclusion The combined treatment of moxibustion at Shenque(CV 8) with the warm needling technique at Guanyuan(CV 4) and Sanyinjiao(SP 6) achieves the better clinical effects on primary dysmenorrhea as compared with the simple application of the warm needling technique at Guanyuan(CV 4) and Sanyinjiao(SP 6). This therapy is safety in clinical practice.

关 键 词：原发性痛经 艾灸 针刺 温针灸 穴 神阙 穴 关元 穴 三阴交 

分 类 号：R246.3[医药卫生—针灸推拿学]