灵龟八法针刺配合热敏灸治疗原发性痛经的疗效观察及对子宫动脉血流动力学指标的影响  

Therapeutic observation of Ling Gui Ba Fa acupuncture combined with heat-sensitive moxibustion for primary dysmenorrhea and the effect on uterine hemodynamic indexes

作　　者：邝玉莲 陈博欣 曾念鹏 李鑫[1] 谌桑妮 赵彩娇[1,2] KUANG Yulian;CHEN Boxin;ZENG Nianpeng;LI Xin;CHEN Sangni;ZHAO Caijiao(Guangxi University of Chinese Medicine,Nanning 530001,China;Ren’ai Hospital of the First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530001,China)

机构地区：[1]广西中医药大学,南宁530001 [2]广西中医药大学第一附属医院仁爱分院,南宁530001

出　　处：《上海针灸杂志》2024年第3期254-259,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广西自然科学基金项目(2017GXNSFAA198257);广西一流学科建设开放课题(2019XK031);广西研究生教育创新计划项目(YCSY2022010)。

摘　　要：目的 观察灵龟八法按时开穴针刺配合热敏灸治疗原发性痛经的临床疗效及其对子宫动脉血流动力学指标的影响。方法 将60例原发性痛经患者随机分为治疗组和对照组,每组30例。对照组予口服布洛芬缓释胶囊治疗,治疗组予灵龟八法按时开穴针刺配合热敏灸治疗。观察两组治疗前后的子宫动脉血流动力学指标[子宫动脉阻力指数(resistance index, RI)、搏动指数(pulsatility index, PI)和收缩期峰值/舒张期峰值]、中医证候积分、COX痛经症状量表(Cox menstrual symptom scale, CMSS)评分和视觉模拟量表(visual analog scale,VAS)评分的变化,并比较两组临床疗效及不良反应情况。结果 治疗组的总有效率为90.0%(27/30),高于对照组的76.7%(23/30)(P<0.05)。治疗后,两组VAS评分、中医证候评分和CMSS评分均较治疗前降低(P<0.05),且治疗组低于对照组(P<0.05)。治疗后,两组RI、PI和收缩期峰值/舒张期峰值均较治疗前降低(P<0.05),且治疗组各项指标明显低于对照组(P<0.05)。治疗组不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论灵龟八法按时开穴针刺配合热敏灸治疗原发性痛经效果显著,可有效减轻患者的疼痛症状及缩短痛经时间,改善子宫微循环,缓解平滑肌痉挛。Objective To observe the clinical efficacy of Ling Gui Ba Fa(eight magic tortoise method)acupuncture following the opening hour of points plus heat-sensitive moxibustion in treating primary dysmenorrhea and its effect on uterine hemodynamic indexes.Method Sixty patients with primary dysmenorrhea were randomized into a treatment group and a control group,with 30 cases in each group.The control group received oral administration of Ibuprofen sustained release capsules,and the treatment group received Ling Gui Ba Fa acupuncture following the opening hour of points plus heat-sensitive moxibustion.Before and after the treatment,the uterine hemodynamic indicators[uterine artery resistance index(RI),pulsatility index(PI),and peak systolic value/peak diastolic value(S/D)],symptom score of traditional Chinese medicine(TCM),Cox menstrual symptom scale(CMSS)score,and visual analog scale(VAS)score were observed.The clinical efficacy and adverse reactions of the two groups were compared.Result The total effective rate was 90.0%(27/30)in the treatment group,higher than 76.7%(23/30)in the control group(P<0.05).After the treatment,the VAS,TCM symptom,and CMSS scores dropped in both groups(P<0.05)and were lower in the treatment group than in the control group(P<0.05).The RI,PI,and S/D also decreased after the intervention in the two groups(P<0.05)and were significantly lower in the treatment group than in the control group(P<0.05).The treatment group had a lower adverse reaction rate than the control group,and the difference was statistically significant(P<0.05).Conclusion Ling Gui Ba Fa acupuncture following the opening hour of points plus heat-sensitive moxibustion produces significant efficacy in treating primary dysmenorrhea.This method can reduce the pain symptom,shorten pain duration,improve uterine microcirculation,and relieve smooth muscle spasms.

关 键 词：针刺疗法 针灸疗法 灵龟飞腾 热敏灸 痛经 子宫动脉 血流动力学 

分 类 号：R246.3[医药卫生—针灸推拿学]