摘要
Objective:To observe the clinical efficacy of herbal cake-partitioned moxibustion for dysmenorrhea due to deficiency cold.Methods:A total of 70 patients with dysmenorrhea who met the inclusion criteria were randomized into a mild moxibustion group and a herbal cake-partitioned moxibustion group by the random number table,with 35 cases in each group.Shenque(CV 8),Zhongji(CV 3)and bilateral Zigong(EX-CA 1)were selected for both groups.The treatment continued for 3 menstrual cycles.The visual analog scale(VAS)and COX menstrual symptom scale(CMSS)were scored in both groups before treatment,after treatment and at the end of the 3rd menstrual cycle after treatment.The clinical efficacy was evaluated at the end of the 3rd menstrual cycle after treatment.Results:After treatment,the clinical efficacy of the herbal cake-partitioned moxibustion group had the tendency to be superior to that of the mild moxibustion group,while there was no statistically significant difference in the overall efficacy between the two groups(P>0.05).The VAS and CMSS scores after treatment and at the follow-up were significantly lower than those before treatment in both groups(all P<0.05).At the follow-up,the VAS scores in both groups had no significant intra-group differences from those after treatment(both P>0.05).The CMSS scores in both groups were significantly lower than those after treatment(both P<0.05).The VAS scores at the follow-up of both groups had no statistical differences from those after treatment(both P>0.05).After treatment,the CMSS score in the herbal cake-partitioned moxibustion group was significantly lower than that in the mild moxibustion group(P<0.05).At the follow-up,there were no statistical differences in the CMSS score between the two groups(P>0.05).Conclusion:The herbal cake-partitioned moxibustion has the same therapeutic efficacy for dysmenorrhea as the mild moxibustion;the two moxibustion methods can significantly improve the concomitant symptoms of dysmenorrhea,and the herbal cake-partitioned moxibustion is little
目的:观察隔药饼灸治疗虚寒型痛经的临床疗效.方法:将符合筛选标准的70例痛经患者根据随机数字随机分为温和灸组和隔药饼灸组,每组35例.两组均取穴神阙、中极和双侧子宫,连续治疗3个月经周期.治疗前、治疗结束后及治疗结束后3个月经周期末随访时进行两组视觉模拟量表(VAS)及COX痛经症状量表(CMSS)评分,并于治疗停止后3个月经周期末评估临床疗效.结果:治疗后,隔药饼灸组的临床疗效有优于温和灸组的趋势,但两组总体疗效差异无统计学意义(P>0.05).治疗后及随访时组内比较,两组VAS及CMSS评分均较同组治疗前有明显降低(均P<0.05);随访时,两组VAS评分均与同组治疗后评分无统计学差异(均P>0.05);两组CMSS评分均显著低于同组治疗后评分(均P<0.05).治疗后与随访时组间比较,两组VAS评分均无统计学差异(均P>0.05);治疗后,隔药饼灸组CMSS评分显著低于温和灸组(P<0.05);随访时,两组CMSS评分无统计学差异(P>0.05).结论:隔药饼灸和温和灸治疗痛经疗效相当;两种灸法均能显著改善痛经的伴随症状,且隔药灸效果优于温和灸.
基金
973 Program,国家重点基础研究发展计划项目,No.2015CB554505.
