隔药灸不同穴位配伍对寒凝血瘀型原发性痛经疗效的影响  

Effect of different moxibustion points on primary dysmenorrhoea caused by cold coagulation and blood stasis

作　　者：朱慧娟[1] 兰向东 石芳[1] 王艳君[1] ZHU Hui-juan;LAN Xiang-dong;SHI Fang;WANG Yan-jun(Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang Hebei 050011,China)

机构地区：[1]河北省中医院,河北石家庄050011

出　　处：《时珍国医国药》2021年第11期2781-2784,共4页Lishizhen Medicine and Materia Medica Research

基　　金：国际合作,临床注册号(ChiCTR-ROC-17012129);河北省科技厅支撑计划项目(14277706D)。

摘　　要：目的观察腹灸组和腰骶灸组两组不同腧穴隔药灸对寒凝血瘀型原发性痛经疗效的影响。方法将86例寒凝血瘀型原发性痛经患者随机分为腹灸组(43例)与腰骶灸组(43例,脱落1例)。腹灸组取中脘、神阙、关元、双侧归来;腰骶灸组取命门、双侧肾俞、双侧次髎。两组均于月经来潮前3天施灸,每个月经周期治疗3次(每日1次),连续治疗3个月经周期。比较两组患者治疗前后和随访时的VAS评分、CMSS评分及治疗前后血清PGE_(2)、PGF_(2a)水平,评估隔药灸不同穴位配伍对寒凝血瘀型原发性痛经的疗效。结果治疗后及随访时两组患者VAS评分、CMSS评分均降低(P<0.05),腹灸组患者评分低于腰骶灸组(P<0.05);两组患者治疗后均能降低血清PGF_(2a)水平,升高血清PGE_(2)水平(P<0.05),腹灸组效果优于腰骶灸组(P<0.05)。结论腹灸组能明显改善寒凝血瘀型原发性痛经患者症状,其机制可能与降低血清PGF_(2a)水平,升高血清PGE_(2)水平有关。Objective To observe the effect of abdominal moxibustion group and lumbosacral moxibustion group on primary dysmenorrhoea caused by cold coagulation and blood stasis. Methods 80 cases of primary dysmenorrhoea with cold coagulation and blood stasis were randomly divided into abdominal moxibustion group(40 cases) and lumbosacral moxibustion group(40 cases, 1 case of abscission). The abdominal moxibustion group took Zhongwan, Shenque, Guanyuan, and bilateral Guilai;the lumbosacral moxibustion group took Mingmen, bilateral Shenshu, and bilateral Ciliao. Moxibustion was performed in both groups 3 days before menstruation, once a day, for a total of 3 times, and for 3 consecutive menstrual cycles, for a total of 9 times. VAS and CMSS scores before and after treatment and during follow-up were compared between the two groups, and the serum levels of PGE_(2) and PGF_(2a) before and after treatment, to evaluate the efficacy of moxibustion with different acupuncture points in treating primary dysmenorrhea with cold coagulation and blood stasis. Results VAS scores and CMSS scores of patients in both groups were decreased after treatment and during follow-up(P<0.05), and the scores of patients in the abdominal moxibustion group were lower than those in the lumbosacral moxibustion group(P<0.05). After treatment, serum PGF_(2a) level was decreased and serum PGE_(2) level was increased in both groups(P<0.05). The effect of abdominal moxibustion group was better than that of lumbosacral moxibustion group(P<0.05). Conclusion The abdominal moxibustion group can significantly improve the symptoms of primary dysmenorrhoea with cold coagulation and blood stasis, the mechanism may be related to the decrease of serum PGF_(2a) level and the increase of serum PGE_(2)level.

关 键 词：隔药灸 选穴配伍 寒凝血瘀型 原发性痛经 

分 类 号：R245.82[医药卫生—针灸推拿学]