| 耳穴揿针治疗寒凝血瘀型原发性痛经的对照临床研究 |
| A Controlled Clinical Study of Thumbtack Needling in The Treatment of Primary Dysmenorrhea of Cold Coagulation and Blood Stasis |
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| 中文关键词: 原发性痛经 寒凝血瘀 耳穴揿针 布洛芬 |
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| 中文摘要: |
| 目的：观察耳穴揿针治疗寒凝血瘀型原发性痛经(PD)的临床疗效。方法：将110例寒凝血瘀型PD患者随机分为试验组和对照组。试验组55例采用耳穴揿针。耳穴揿针选取内生殖器(TF2)、腹(AH8)、内分泌(CO18)、神门(TF4)、皮质下(AT4)、肝(CO12)、肾(CO10)、脾(CO13)、三焦(CO17)穴和耳部敏化点,于月经来潮前5d 开始干预,隔日更换 1 次。对照组55例口服布洛芬缓释胶囊,于痛经出现时给药。2组均治疗3个月经周期,然后随访3个月经周期。观察2组患者治疗前后痛经症状量表(CMSS)和疼痛视觉模拟量表(VAS)评分变化,并评价临床疗效。结果：试验组治疗1,2,3个月经周期后和随访3个月经周期CMSS严重程度和CMSS总分均低于对照组(P<0.05,P<0.01)；试验组治疗3个月经周期后和随访3个月经周期CMSS持续时间也低于对照组(均P<0.01)；此外,试验组治疗1、2个月经周期后和随访3个月经周期VAS评分低于对照组(P<0.01)。试验组随访期总有效率明显高于对照组(P<0.01),但治疗期2组有效率无统计学差异(P＞0.05)。结论：耳穴揿针能有效改善寒凝血瘀型PD患者临床症状,降低痛经相关症状严重程度和持续时间,其远期疗效明显优于口服布洛芬缓释胶囊。 |
| 英文摘要: |
| Objective: To evaluate the clinical efficacy of thumbtack needling in the treatment of primary dysmenorrhea (PD) with cold coagulation and blood stasis. Methods: 110 PD patients with cold coagulation and blood stasis were randomly divided into treatment group and control group. Fifty-five patients in the treatment group were treated with thumbtack needling. Thumbtack needling started 5 days before menstruation, replace once every other day. Ear acupoints of TF2,AH8,CO18,TF4,AT4,CO12,CO10,CO13,CO17 and sensitized points were selected. Fifty-five patients in the control group were given ibuprofen sustained release capsules orally at the time of dysmenorrhea. Both groups were treated until the pain disappeared for a total of 3 cycles, and then followed up for 3 cycles. The score changes of Cox menstrual symptom scale (CMSS) and visual analogue scale (VAS) were compared between the two groups after treatment, and the clinical effect was evaluated. Results: The CMSS severity and total CMSS score in the treatment group were lower than those in the control group (P<0.05, P<0.01). The CMSS duration of the treatment group was lower than that of the control group at the third cycle of the treatment period and each cycle of the follow-up period (all P<0.01). In addition, VAS scores of the treatment group were lower than those of the control group at the 1st and 2nd cycles of the treatment period and each cycle of the follow-up period (P<0.01). The total effective rate of treatment group was significantly higher than that of control group (P<0.01). However, there was no significant difference between the two groups in the treatment period (P > 0.05). Conclusion: Thumbtack needling was effective in improving the clinical symptoms, reducing the severity and duration of dysmenorrhea related symptoms of PD patients with cold coagulation and blood stasis, and its long-term efficacy is significantly better oral ibuprofen. |
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