摘要
目的观察温火堂无火恒温灸与悬灸治疗寒凝血瘀型原发性痛经的临床疗效差异。方法将60例寒凝血瘀型原发性痛经患者随机分为观察组(30例)和对照组(30例)。观察组采用温火堂无火恒温灸取神阙及小腹部气海、关元、子宫等穴,于月经来潮前7 d开始治疗,隔日1次,共治疗3次,治疗3个月经周期为1个疗程。对照组使用温灸盒置入艾条悬灸,取穴部位及疗程与观察组相同。1个疗程后观察两组患者治疗后临床疗效,并比较两组治疗前后VAS评分及痛经评分。结果观察期间观察组患者脱落1例,对照组患者脱落2例,均作无效统计。观察组总有效率为83.3%(25/30),对照组总有效率为80.0%(24/30),观察组与对照组总有效率相近(P>0.05)。两组治疗后VAS评分及痛经评分均较治疗前明显降低(P<0.05),且观察组与对照组疗效接近(P>0.05)。结论温火堂无火恒温灸治疗寒凝血瘀型原发性痛经在临床疗效、改善疼痛及其他伴随症状方面与悬灸相近,是一种有效的治疗方法。
Objective To compare the clinical efficacy between Wen Huo Tang fireless homothermal moxibustion and suspended moxibustion in treating primary dysmenorrhea due to cold-coagulation and blood-stagnation. Method Sixty patients with primary dysmenorrhea due to cold-coagulation and blood-stagnation were randomized into an observation group （30 cases） and a control group （30 cases）. The observation group was intervened by Wen Huo Tang fireless homothermal moxibustion at Shenque （CV8） and acupoints on lower belly such as Qihai （CV6）, Guanyuan （CV4） and Zigong （EX-CA1）, starting from 7 d prior to menstruation, once every other day for 3 times. Treatment for 3 menstrual cycles was taken as one course. The control group was intervened by suspended moxibustion with a moxibustion box, with the same acupoint selection and treatment course as for the observation group. The clinical efficacy was evaluated after one course of treatment. The Visual Analogue Scale （VAS） score and dysmenorrhea score of the two groups were compared before and after the treatment. Result During the observation, 1 case in the observation group and 2 cases in the control group dropped out and were taken as invalid data. The total effective rate was 83.3% （25/30） in the observation group versus 80.0% （24/30） in the control group, and the total effective rates of the two groups were equivalent （P〉0.05）. The VAS and dysmenorrhea scores significantly declined after the treatment in the two groups （P〈0.05）, and the therapeutic efficacy of the observation group was similar to that of the controlgroup （P〉0.05）. Conclusion Wen Huo Tang fireless homothermal moxibustion can produce equivalent clinical efficacy compared with suspended moxibustion in treating primary dysmenorrhea due to cold-coagulation and blood-stagnation, as well as the effect in improving pain and other accompanied symptoms. Therefore, it is an effective approach.
作者
褚晓彦
周丽艳
陶善平
何天峰
段希栋
宋银花
丁金磊
邴兴红
CHU Xiao-yan;ZHOU Li-yan;TAO Shan-ping;HE Tian-feng;DUAN Xi-dong;SONG Yin-hua;DING Jin-lei;BING Xing-hong(Shanghai Jiading District Hospital of Traditional Chinese Medicine,Shanghai 201800,China)
出处
《上海针灸杂志》
2018年第12期1345-1348,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
上海市中医药事业发展三年行动计划项目(ZY3JSFC-3-1001)
关键词
温灸器灸
痛经
寒凝血瘀
VAS量表
痛经评分
温灸盒灸
Moxa-apparatus moxibustion
Dysmenorrhea
Cold-coagulation and blood-stagnation
Visual Analogue Scale
Dysmenorrhea score
Moxa-box moxibustion
