不同时机电针对寒湿凝滞证原发性痛经镇痛效应的影响  

Influence of different electro-acupuncture timing on the analgesic effect of primary dysmenorrhea with a cold and damp stagnation pattern

作　　者：李春华 胡妮娟 徐大钊 马良宵[3] 吴晓红 刘平 朱江[3] 朵皓英 LI Chunhua;HU Nijuan;XU Dazhao;MA Liangxiao;WU Xiaohong;LIU Ping;ZHU Jiang;DUO Haoying(Department of Acupuncture and Physiotherapy,Medical University Electric Power Teaching Hospital,Beijing100073,China;Department of Oncology,Zhongguancun Hospital of Beijing,Beijing100073,China;School of Acupuncture-Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing100029,China;Department of Internal Medicine,Medical University Electric Power Teaching Hospital,Beijing100073,China)

机构地区：[1]首都医科大学电力教学医院针灸理疗科,北京100073 [2]北京市中关村医院肿瘤科,北京100073 [3]北京中医药大学针灸推拿学院,北京100029 [4]首都医科大学电力教学医院内科,北京100073

出　　处：《中国医药导报》2022年第36期126-130,共5页China Medical Herald

基　　金：国家重点基础研究发展计划(973计划)资助项目(2012CB518506);北京中医药大学科研纵向发展基金项目(2018-ZXFZJJ-010);国家电网公司科技项目(O2017007)。

摘　　要：目的探讨不同时机电针对寒湿凝滞证原发性痛经(PD)镇痛效应的影响。方法选取2018年12月至2020年12月首都医科大学电力教学医院门诊纳入的72例寒湿凝滞证PD患者为研究对象,采用随机数字表法将其分为经前组和经期组,各36例。两组均取三阴交、地机和悬钟,电针30 min,连续治疗3个月经周期,随访2个月经周期。采用疼痛视觉模拟评分法(VAS)和伴随症状严重程度评分(RSS-COX2)评价临床症状。结果整体分析发现:组间比较及交互作用的VAS评分比较,差异均无统计学意义(P>0.05);时间点VAS评分比较,差异有统计学意义(P<0.05)。第1~5周期的VAS评分与治疗前比较均降低,第2~5周期VAS评分与第1周期比较均降低,第3~5周期VAS评分较第2周期降低,第4~5周期的VAS评分较第3周期降低,第5周期VAS评分较第4周期降低,差异有统计学意义(P<0.05)。整体分析:组间比较、时间点比较及交互作用RSS-COX2评分差异均有统计学意义(P<0.05)。组内比较:第1~5周期RSS-COX2评分较治疗前降低,第2~5周期RSS-COX2评分较第1周期降低,第3~5周期的RSS-COX2评分较第2周期降低,第4~5周期RSS-COX2评分较第3周期降低,第5周期RSS-COX2较第4周期降低,差异均有统计学意义(P<0.05)。组间比较:从第2~5周期,经期组RSS-COX2评分高于经前组(P<0.05)。结论经前及经期电针对寒湿凝滞证PD均能显著缓解疼痛及伴随症状,经前治疗改善伴随症状优于经期。Objective To explore the influence of different electro-acupuncture timing on the analgesic effect of primary dysmenorrhea(PD)with a cold and dampness stagnation pattern.Methods A total of 72 PD patients with cold and dampness syndrome enrolled in the outpatients of Electric Power Teaching Hospital of Capital Medical University from December 2018to December 2020 were selected as the research objects.They were divided into premenstrual group and menstrual group by random number table method,with 36 cases in each group.Both groups were treated with electroacupuncture for 30 minutes at the sānyīnjiāo,dìjī,and xuánzhōng for three consecutive menstrual cycles and followed up for two menstrual cycles.The visual analogue scale(VAS)and the retrospective symptom scale-COX2(RSS-COX2)were used to evaluate clinical symptoms.Results The overall analysis showed that there was no significant difference in the VAS scores of inter-group comparison and interaction(P>0.05).Time point comparison of VAS scores,the difference was statistically significant(P<0.05).The VAS score in the first to fifth cycle was decreased compared with that before treatment,the VAS score in the second to fifth cycle was decreased compared with that in the first cycle,the VAS score in the third to fifth cycle was decreased compared with that in the second cycle,the VAS score in the fourth to fifth cycle was decreased compared with that in the third cycle,and the VAS score in the fifth cycle was decreased compared with that in the fourth cycle,the difference was statistically significant(P<0.05).Overall analysis:there were statistically significant differences between groups,time point comparison and RSS-COX2 scores of interaction(P<0.05).Intra-group comparison:The RSS-COX2 score in the first to fifth cycle was lower than before treatment,the RSS-COX2 score in the second to fifth cycle was lower than that in the first cycle,the RSS-COX2 score in the third to fifth cycle was lower than that in the second cycle,the RSS-COX2 score in the fourth cycle wa

关 键 词：原发性痛经 介入时机 经前电针 经期电针 

分 类 号：R246.3[医药卫生—针灸推拿学]