火针留针治疗寒凝血瘀型原发性痛经的效果观察  

Effect of fire-needling in staying deep stab stitch on patients with primary dysmenorrhea of cold-coagulation and blood stasis type

作　　者：杨晓琳[1] 郭峰[1] 陶金红 罗庆盛 刘炜[1] Yang Xiaolin;Guo Feng;Tao Jinhong;Luo Qingsheng;Liu Wei(Department of Traditional Chinese Medicine,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院中医科,300211

出　　处：《中国实用医刊》2021年第17期117-120,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析火针留针治疗寒凝血瘀型原发性痛经的临床效果。方法抽取天津医科大学第二医院门诊2019年1月至2021年1月收治的原发性痛经且符合寒凝血瘀型患者88例为研究对象,根据电脑双盲法分为观察组与对照组,每组44例。对照组选择常规西医药物治疗,观察组选择火针留针治疗。比较两组临床疗效,以及治疗前后中医证候(小腹冷痛、腰骶酸痛、肢体畏寒、肛门坠胀)积分与视觉模拟评分法(VAS)评分。结果观察组总有效率(95.45%,42/44)高于对照组(81.82%,36/44),P<0.05。治疗前,两组中医证候积分比较差异未见统计学意义(P>0.05);治疗后,观察组中医证候积分均低于对照组(P均<0.05)。治疗前,两组VAS评分比较差异未见统计学意义(P>0.05);治疗后,观察组VAS评分低于对照组(P<0.05)。结论火针留针治疗寒凝血瘀型原发性痛经不仅可以提高疗效,还可以更好地改善患者的中医证候积分并缓解疼痛。Objective To analyze the clinical effect of fire-needling in staying deep stab stitch on patients with primary dysmenorrhea of cold-coagulation and blood stasis type.Methods A total of 88 patients with primary dysmenorrhea of cold-coagulation and blood stasis type in the Department of Outpatient,the Second Hospital of Tianjin Medical University from January 2019 to January 2021 were selected as the research object,and they were divided into observation group and control group according to computer double-blind method,with 44 patients in each group.The control group was treated with conventional Western medicine,while the observation group was treated by fire-needling in staying deep stab stitch.The clinical effect,the scores of Traditional Chinese Medicine(TCM)syndrome and visual analogue scale(VAS)score before and after treatment were compared between the two groups.Results The total effective rate of the observation group(95.45%,42/44)was higher than that of the control group(81.82%,36/44),P<0.05.There was no significant difference in the scores of TCM syndromes between the two groups before treatment(P>0.05).After treatment,the scores of TCM syndromes in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference in VAS score between the two groups(P>0.05);after treatment,the VAS scores in the observation group was lower than that in the control group(P<0.05).Conclusions The treatment of primary dysmenorrhea of cold coagulation and blood stasis type with fire-needling in staying deep stab stitch can not only improve the curative effect,but also improve the integral of TCM syndromes of the patients,and promote the pain relief better.

关 键 词：痛经 寒凝血瘀型 火针留针 治疗效果 

分 类 号：R246.3[医药卫生—针灸推拿学]