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针刺配合穴位贴敷治疗寒凝血瘀型痛经临床观察 被引量:15

Clinical Observation of Acupuncture plus Medicinal Application for Dysmenorrhea Due to Blood Stagnation Led by Cold
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摘要 目的比较传统针刺配合穴位贴敷与传统针刺配合TDP治疗寒凝血瘀型痛经的疗效差异。方法将60例患者随机分成两组,治疗组31例,对照组29例。治疗组采用传统针刺配合穴位贴敷治疗,对照组采用传统针刺配合TDP治疗。治疗前后通过对Mc Gill疼痛量表分值统计,比较两组患者治疗前后疼痛分级指数(PRI)评分、视觉模拟评分(VAS)、现有疼痛强度(PPI)评分,同时对比疗效。结果治疗组治愈率为58.1%,明显高于对照组的24.1%(P<0.01);治疗组总有效率为90.3%,明显高于对照组的62.1%(P<0.01),提示治疗组疗效明显优于对照组。治疗组治疗前PRI、VAS、PPI与对照组比较差异均无统计学意义(P>0.05),说明具有可比性。两组治疗后PRI、VAS、PPI比较差异均有统计学意义(P<0.05),治疗组PRI、VAS、PPI数值明显减小。结论传统针刺配合穴位贴敷可以改善痛经的症状,减少患者痛苦,疗效优于传统针刺配合TDP治疗。 Objective To compare the efficacies between conventional acupuncture plus acupoint application and conventional acupuncture plus TDP in treating dysmenorrhea due to blood stagnation led by cold. Method Sixty patients were randomized into two groups, 31 cases in the treatment group and 29 cases in the control group. The treatment group was intervened by conventional acupuncture plus acupoint application, while the control group was by conventional acupuncture plus TDP. Before and after the intervention, Mc Gill Pain Questionnaire was adopted to compare the Pain Rating Index(PRI) score, Visual Analogue Scale(VAS) score, and Present Pain Index(PPI) score, and the therapeutic efficacy was also compared. Result The recovery rate was 58.1% in the treatment group, significantly higher than 24.1% in the control group(P〈0.01); the total effective rate was 90.3% in the treatment group, significantly higher than 62.1% in the control group(P〈0.01), indicating that the therapeutic efficacy of the treatment group was more significant than that of the control group. Before the intervention, there were no significant differences in comparing the PRI, VAS, and PPI scores between the two groups(P〉0.05), suggesting the comparability. After the intervention, there were significant differences in comparing the PRI, VAS, and PPI scores between the two groups(P〈0.05), and the PRI, VAS, and PPI scores were markedly decreased in the treatment group. Conclusion Conventional acupuncture plus acupoint application can improve dysmenorrhea symptoms and reduce patient's pain, and can produce a more significant efficacy compared with conventional acupuncture plus TDP.
出处 《上海针灸杂志》 2015年第12期1154-1156,共3页 Shanghai Journal of Acupuncture and Moxibustion
关键词 痛经 针刺 穴位贴敷法 Dysmenorrhea Acupuncture Acupoint sticking therapy
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