摘要
【目的】探讨针刺董氏奇穴火主穴治疗原发性痛经的临床疗效。【方法】将60例原发性痛经患者随机分为观察组和对照组,每组各30例。观察组给予针刺董氏奇穴火主穴(行左氏调气法)治疗,对照组给予假针刺董氏奇穴火主穴(不行手法)治疗,分别于每次月经前(3 d内)及月经第1、 2天各进行1次治疗,1个月经周期为1个疗程,每个疗程治疗3次,共治疗3个疗程。观察2组患者治疗前后疼痛视觉模拟量表(VAS)评分和痛经症状量表(CMSS)评分的变化情况。【结果】(1)在VAS评分方面,治疗1个月经周期后,2组患者的VAS评分均无明显变化(P>0.05);治疗2、3个月经周期后,观察组的VAS评分较治疗前明显下降(P<0.01),而对照组的VAS评分均无明显变化(P>0.05);组间比较,观察组在治疗2、3个月经周期后的VAS评分均明显低于对照组,差异均有统计学意义(P<0.05)。(2)在CMSS评分方面,治疗1个月经周期后,2组患者的症状总频率和严重程度评分均无明显变化(P>0.05);治疗2、3个月经周期后,2组患者的症状总频率和严重程度评分均较治疗前降低(P<0.05);组间比较,观察组在治疗2、3个月经周期后的症状总频率和严重程度评分均明显低于对照组,差异均有统计学意义(P<0.05)。【结论】以左氏调气法针刺董氏奇穴火主穴治疗原发性痛经疗效确切。
Objective To explore the clinical effect of acupuncture at Huozhu point of DONG’s extra acupoints in treating primary dysmenorrhea. Methods Sixty primary dysmenorrhea patients were randomly divided into observation group and control group,and each group had 30 cases. Patients of the observation group were treated by acupuncture at Huozhu point of DONG’s extra acupoints together with ZUO’s manipulative method for regulating qi, while patients of the control group were treated by pseudo-acupuncture at Huozhu point of DONG’s extra acupoints without any manipulations. All of the patients in the two groups were treated for 3 times in one course of treatment(one time within 3 days before menstruation,one time on the first day of menstruation,and one time on the second day of menstruation),and the treatment lasted 3 periods of menstrual cycles. Before and after treatment, the changes in visual analogue scale(VAS) pain scores and the scores of Cox Menstrual Symptom Scale(CMSS)in the two groups were compared. Results(1)In terms of VAS scores,the VAS scores in the two groups after treatment for one period of menstrual cycle showed no obvious changes in comparison with those before treatment(P>0.05). After treatment for 2 and 3 periods of menstrual cycle, VAS scores in the observation group were obviously decreased(P<0.01)while the control group showed no obvious changes in VAS scores(P>0.05). The intergroup comparison showed that the VAS scores in the observation group after treatment for 2 and 3 periods of menstrual cycle were much lower than those in the control group,and the difference was statistically significant(P<0.05).(2)The scores of overall symptom frequency and severity of CMSS in the two groups after treatment for one period of menstrual cycle showed no obvious changes in comparison with those before treatment(P>0.05).After treatment for 2 and 3 periods of menstrual cycle, the scores of overall symptom frequency and severity of CMSS in the two groups were obviously decreased(P<0.05). The intergroup comp
作者
王谦
陈璐
左常波
WANG Qian;CHEN Lu;ZUO Chang-Bo(Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510370 Guangdong,China;ZUO Chang-Bo International Acupuncture Research Centre of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2021年第1期58-61,共4页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省科技计划项目(编号:2016ZC0106)。
关键词
针刺
董氏奇穴
火主穴
左氏调气法
原发性痛经
临床观察
acupuncture
DONG’s extra acupoints
Huozhu point
ZUO’s manipulative method
primary dysmenorrhea
clinical observation
