摘要
目的观察隔药温和灸治疗虚寒型原发性痛经(PD)的临床疗效。方法选择2016年5月至2017年5月上海中医药大学附属第七人民医院收治的60例虚寒型PD患者为研究对象,按照随机数字法分为研究组和对照组,各30例。研究组进行隔药温和灸治疗,对照组进行单纯温和灸治疗,两组均治疗3个月经周期。比较两组患者治疗前后的各项疼痛评分,包括视觉模拟评分表(VAS)、数字评价量表(NRS)、行为疼痛测定表(BRS-6)评分;采用回顾性症状量表(RSS)评价症状严重程度(SSS)和症状持续时间评分(SDS);治疗结束后随访3个月,比较两组患者的临床疗效。结果治疗后研究组VAS评分、NRS评分和BRS-6评分显著低于对照组[(1.3±0.4)分比(3.5±0.3)分、(1.4±0.6)分比(3.2±0.4)分、(1.0±0.3)分比(2.5±0.4)分](P<0.05)。治疗后研究组SSS和SDS显著低于对照组[(7.3±1.4)分比(12.5±1.3)分、(2.2±0.3)分比(5.1±1.2)分](P<0.05)。研究组治疗总有效率显著高于对照组[93.3%(27/30)比66.7%(20/30)](P<0.05)。结论与单纯温和灸相比,隔药温和灸更能改善虚寒型PD患者症状,临床效果更好。
Objective To explore the clinical effect of herb-partition mild moxibustion on primal- dysmenorrhea（PD）. Methods A total of 60 cases of cold-damp stagnation Upe PD admitted to the Seventh People＇s Hospital of Shanghai University of Traditional Chinese Medicine front May-2016 to May-2017 were assigned to an observation group（ 30 cases） and a control group（ 30 cases） , who were treated by herb-partition mild moxibustion or mild moxibustion respectively. Pain scores including visual analogue scale （ VAS）, numeric rating scale （ NRS）, behavioral rating scale （BRS） 45 were evaluated before or after treatment. Retrospective symptom scale （RSS） was used to evaluate symptom severity score （SSS） and symptom duration score（SDS）. The clinical effect was evaluated after 3-months of follow-up after treatment termination. Results After treatment, the VAS, NRS, BRS-6 in the observation group were significantly lower than those in the control group [ （ 1.3 ± 0.4） score vs （3.5 ± 0.3） score, （ 1.4 ±0.6） score vs （3.2 ± 0.4） score, （ 1.0 ± 0.3） score vs （ 2.5 ± 0.4 ） score [ （ P 〈 0.05）. After treatment,SSS and SDS in the observation group were much lower than those in the control groupl （7.3 ± 1.4） score vs （ 12.5 ± 1.3 ） score, （2.2 ± 0.3 ） score vs （ 5.1 ±1.2） score I （ P 〈 0.05 ）. The clinical effective rate of the observation group was significantly higher than that of the control group193.3 % （27/30） vs 66.7% （20/30） 1 （P 〈 0.05 ）. Conclusion Compared with mild moxibustion treatment, herb-partition moxibustion is more effective to improve the outcomes of cold-damp stagnation Upe PD patients.
作者
金珠
周一心
JIN Zhu;ZHOU Yixin(Department of Accupunc＇ture,the Seventh People＇s Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)
出处
《医学综述》
2018年第19期3941-3945,共5页
Medical Recapitulate
基金
浦东新区"国家中医药发展综合改革试验区"建设项目(PWZ-2017-36)
关键词
原发性痛经
隔物灸
温和灸
Primary dysmenorrhea
Sandwiched moxibustion
Mild moxibustion
