温针灸联合化癥止痛汤治疗寒湿凝滞型原发性痛经临床研究  

Clinical Study on Warming-Needle Moxibustion Combined with Huazheng Zhitong Tang for Primary Dysmenorrhea of Cold-Dampness Congealing and Stagnation Type

作　　者：薛利凤[1] 苗玉新[1] XUE Lifeng;MIAO Yuxin

机构地区：[1]济源市人民医院针灸科,河南济源459000

出　　处：《新中医》2022年第7期184-187,共4页New Chinese Medicine

摘　　要：目的:观察温针灸联合化癥止痛汤治疗寒湿凝滞型原发性痛经的临床疗效。方法:选取80例寒湿凝滞型原发性痛经患者作为研究对象,按随机数字表法分为研究组和对照组各40例。对照组采用化癥止痛汤治疗,研究组在对照组基础上加用温针灸治疗。比较2组临床疗效、疼痛视觉模拟评分法(VAS)评分、痛经持续时间、子宫动脉血流动力学指标以及不良反应发生率。结果:研究组总有效率为97.5%,高于对照组70.0%,差异有统计学意义(P<0.05)。治疗后,2组VAS评分、痛经持续时间较治疗前降低,且研究组治疗后VAS评分、痛经持续时间均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组子宫动脉搏动指数(API)、阻力指数(RI)以及收缩期峰值/舒张期峰值(S/D)较治疗前降低,且研究组治疗后子宫API、RI以及S/D均低于对照组,差异有统计学意义(P<0.05)。结论:温针灸联合化癥镇痛汤治疗原发性痛经疗效显著,可以有效改善患者痛经症状,降低子宫动脉血流动力学指标水平。Objective:To observe the clinical effect of warming-needle moxibustion combined with Huazheng Zhitong tang for primary dysmenorrhea of cold-dampness congealing and stagnation type. Methods:A total of 80 cases of patients with primary dysmenorrhea of cold-dampness congealing and stagnation type were selected as the research objects and divided into the study group and the control group according to the random number table method,with 40 cases in each group. The control group was treated with Huazheng Zhitong tang, and the study group was additionally treated with warming-needle moxibustion based on the treatment of the control group. Clinical effects, Visual Analogue Scale(VAS)scores, duration of dysmenorrhea, uterine arterial hemodynamic indexes and incidences of adverse reactions were compared between the two groups. Results: The total effective rate was 97.5% in the study group, higher than that of70.0% in the control group, the difference being significant(P<0.05). After treatment, VAS scores and duration of dysmenorrhea in the two groups were decreased when compared with those before treatment;VAS score and duration of dysmenorrhea in the study group were lower than those in the control group,differences being significant(P<0.05). After treatment,arterial pulsatility indexes(API),resistance indexes(RI) and systolic peak value/diastolic peak value(S/D) in uterus in the two groups were decreased when compared with those before treatment;API,RI and S/D in uterus in the study group were lower than those in the control group,the difference being significant(P<0.05). Conclusion:The therapy of warmingneedle moxibustion combined with Huazheng Zhitong tang has a significant curative effect in treating primary dysmenorrhea,which can effectively improve the symptoms of dysmenorrhea and reduce the levels of uterine arterial hemodynamic indexes.

关 键 词：原发性痛经 寒湿凝滞型 温针灸 化癥止痛汤 疼痛视觉模拟评分法 痛经持续时间 子宫动脉血流动力学指标 

分 类 号：R711.51[医药卫生—妇产科学]