温针灸配合耳穴治疗寒凝型原发性痛经临床研究  

Clinical Study on Needle-Warming Moxibustion Combined with Auricular Point Pressing in the Treatment of Cold Coagulation Type of Primary Dysmenorrhea

作　　者：白东艳[1] 李海珊 冯秋娟 陈淑琪 陆丽明[1] BAI Dongyan;LI Haishan;FENG Qiujuan;CHEN Shuqi;LU Liming

机构地区：[1]广州中医药大学

出　　处：《新中医》2019年第7期199-202,共4页New Chinese Medicine

摘　　要：目的:观察温针灸法配合耳穴贴压治疗原发性痛经的临床疗效。方法:将60例寒凝型原发性痛经患者随机分为温针灸加耳穴组(治疗组) 30例,布洛芬组(对照组) 27例(脱落3例)。治疗组于经后1周进行温针灸配合耳穴贴压治疗,每周2次,1个月经周期为1个疗程,共3个疗程;布洛芬组于患者痛经难以忍受或疼痛视觉模拟评分法(VAS)评分80分以上时给予布洛芬口服,观察时间为3个月经周期;观察比较2组临床疗效及治疗后1、2、3个月VAS评分。结果:总有效率治疗组为93.3%,对照组为63.0%,2组比较,差异有统计学意义(P <0.05)。治疗后1、2、3个月,2组VAS评分均较治疗前下降(P <0.05);且治疗组VAS评分低于对照组(P <0.05)。治疗期间,2组不良反应均较轻,未影响治疗。2组不良反应率比较,差异无统计学意义(P> 0.05)。结论:温针灸结合耳穴贴压治疗寒凝型原发性痛经临床疗效显著,值得临床推广应用。Objective:To observe the clinical effect of needle-warming moxibustion combined with auricular point pressing in the treatment of cold coagulation type of primary dysmenorrhea. Methods: Sixty patients with cold coagulation type of primary dysmenorrhea were randomly divided into the treatment group(namely the needle-warming moxibustion plus auricular point pressing group)30 cases,the control group(namely the ibuprofen group)27 cases(3 cases of abscission). One week after menstruation, the treatment group received needle-warming moxibustion combined with auricular point pressing twice a week for three courses, one menstrual cycle being one. Patients in the control group were given ibuprofen orally when dysmenorrhea was unbearable or the score of visual analogue scale(VAS) for pain was above 80,and they were also observed for three menstrual cycles. The clinical effect and VAS scores at one,two and three months after treatment were observed and compared between the two groups. Results:The total effective rate was 93.3% in the treatment group and 63.0% in the control group,the difference being significant(P < 0.05). At one,two and three months after treatment,VAS scores in both groups were decreased when compared with those before treatment(P < 0.05), and the VAS score in the treatment group was lower than that in the control group(P < 0.05). During the treatment period,the adverse reactions of the two groups were mild and did not affect the treatment. There was no significant difference between the two groups(P > 0.05). Conclusion:The therapy of needle-warming moxibustion combined with auricular point pressing has significant effect in the treatment of cold coagulation type of primary dysmenorrhea and is worthy of clinical promotion and application.

关 键 词：原发性痛经 寒凝证 温针灸 耳穴贴压 

分 类 号：R246.3[医药卫生—针灸推拿学]