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不同时间温针灸配合中药治疗寒湿凝滞型痛经临床研究 被引量:15

Clinical study on treating cold and damp-type dysmenorrhea with warm acupuncture and Chinese herbs at different time
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摘要 目的:探究不同时间温针灸配合中药治疗寒湿凝滞型痛经的临床效果。方法:选取120例寒湿凝滞型痛经患者作为研究对象,按照不同的治疗时间进行分组试验。A组(n=40)选择经前1d给予温针灸+中药治疗;B组(n=40)选择经前3d给予温针灸+中药治疗;C组(n=40)选择经前5d给予温针灸+中药治疗。对比分析三组患者的临床治疗效果。结果:三组治疗后的NRS评分均显著优于治疗前(P>0.05);治疗后,B、C组的NRS评分显著优于A组;C组的NRS评分显著优于B组(P>0.05);B、C组的痛经症状评分均显著优于A组,C组的痛经症状评分均显著优于B组(P<0.05);B、C两组的总有效率显著高于A组,C组的总有效率又显著高于B组(P<0.05);C组的不良反应总发生率(2.50%)显著低于A、B两组(25.00%、20.00%)(P<0.05)。结论:不同时间点对寒湿凝滞型痛经患者予以温针灸联合中药治疗均可获得显著的临床疗效,但经前5d和经前3d予以温针灸配合中药治疗的效果显著优于经前1d,而经前5d的效果又显著优于经前3d治疗,故接受温针灸配合中药治疗的时间越早,其临床疗效越显著。 Objective:To explore the clinical effects of warming acupuncture and moxibustion with traditional Chinese medicine on cold dysmenorrhea.Methods:A total of 120 patients with cold-damp stagnation dysmenorrheal were selected as study subjects.Group trials were conducted according to different time of treatment.In group A(n=40),warm acupuncture moxibustion and traditional Chinese medicine were given1day before;Group B(n=40)was given warm acupuncture moxibustion plus Chinese medicine3days before;Group C(n=40)was selected 5 days before warm acupuncture plus Chinese medicine treatment.The clinical treatment effects of the3groups of patients were compared and analyzed.Results:The NRS scores of the three groups after treatment were significantly better than before treatment(P>0.05).After treatment,the NRS scores of group B and C were significantly better than that of group A;the NRS scores of group C were significantly better than that of group B(P>0.05);B,C group dysmenorrhea symptom scores were significantly better than A group,C group dysmenorrhea symptom scores were significantly better than B group(P<0.05);B,C group total effective rate was significantly higher than A group The total effective rate in group C was significantly higher than that in group B(P<0.05);the total incidence of adverse reactions in group C(2.50%)was significantly lower than that in groups A and B(25.00%,20.00%)(P<0.05).Conclusion:Clinical acupuncture and moxibustion combined with traditional Chinese medicine can be used to treat patients with cold and damp stagnation dysmenorrhea at different time points.However,the effect of warm acupuncture and moxibustion combined with traditional Chinese medicine on the first5days and the first 3 days is significantly better than that of the former1Days,and the effect of the first5days is significantly better than the first3days of treatment,so the earlier the time of receiving warm acupuncture and Chinese medicine treatment,the more significant its clinical efficacy.
作者 张艳 贾淑亚 ZHANG Yan;JIA Shuya(Department of Traditional Chinese Medicine, Anyang people's Hospital in Henan Province ,Anyang 455000)
出处 《陕西中医》 2019年第1期122-124,共3页 Shaanxi Journal of Traditional Chinese Medicine
基金 河南省中医药管理局科研项目(17200072)
关键词 痛经 不同时间 温针灸 中药 寒湿凝滞型 少腹逐瘀汤 Dysmenorrhea Different time Warm acupuncture Chinese medicine Cold and humid stagnation Shaofu Zhuyu decoction
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