无火恒温灸治疗寒凝血瘀型原发性痛经临床研究
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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. MethodSixty 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 control group(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.
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. MethodSixty 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 control group(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.
引文
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[13]杜冬青,尹翠菊,马玉侠,等.隔药灸脐法治疗原发性痛经临床研究[J].上海针灸杂志,2011,30(8):514-516.
[14]石志华,郭燕洁.温针灸治疗原发性痛经即刻镇痛效应临床观察[J].中医学报,2017,32(7):1343-1346.
[15]冉文菊,张鹏祥,郜然然,等.门金穴配合火疗法治疗寒凝血瘀型痛经的临床经验总结[J].中医临床研究,2015,7(31):33,35.
[16]张英杰,王圣燕,张晔,等.TTM在艾灸关元穴治疗胞宫虚寒型痛经中的应用研究[J].山东中医杂志,2013,32(9):651-653.
[17]黄小琴,李成志.原发痛经的发病机制研究进展[J].中国医药指南,2013,11(34):54-56.
[18]杨雨竹.中医药治疗原发性痛经综述[J].辽宁中医药大学学报,2014,16(10):211-213.
[2]张吉.针灸学[M].第2版,北京:人民卫生出版社,2012:690.
[3]谢幸,苟文丽.妇产科学[M].北京:人民卫生出版社,2014:362.
[4]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:61.
[5]来佩琍.妇科疾病诊断标准[M].北京:科学出版社,2001:434.
[6]郑筱萸.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:263.
[7]孙艳明,王玲,李戈.1800名女大学生痛经影响因素调查分析[J].天津中医药,2009,26(5):367-369.
[8]乔靖,林亮.近五年针灸治疗原发性痛经的研究进展[J].临床医学工程,2012,19(12):2280-2282.
[9]马玉侠,衣华强,刘兵,等.近20年原发性痛经针灸方法统计分析[J].山东中医杂志,2009,28(9):595-596.
[10]Li XH,Sun XX,Liang YL,et al.Effects of moxibustion at different times on prostaglandin and vasopressin levels in uterine tissues of rats with dysmenorrhea due to colddampness retention[J].J Acupunct Tuina Sci,2017,15(4):250-256.
[11]陶小芳,鲁望,徐炎林,等.温和灸治疗原发性痛经疗效观察[J].上海针灸杂志,2014,33(9):824-825.
[12]杨露,张鹏,尤璐,等.针刺组穴治疗原发性痛经临床研究[J].中医学报,2015,30(2):294-296.
[13]杜冬青,尹翠菊,马玉侠,等.隔药灸脐法治疗原发性痛经临床研究[J].上海针灸杂志,2011,30(8):514-516.
[14]石志华,郭燕洁.温针灸治疗原发性痛经即刻镇痛效应临床观察[J].中医学报,2017,32(7):1343-1346.
[15]冉文菊,张鹏祥,郜然然,等.门金穴配合火疗法治疗寒凝血瘀型痛经的临床经验总结[J].中医临床研究,2015,7(31):33,35.
[16]张英杰,王圣燕,张晔,等.TTM在艾灸关元穴治疗胞宫虚寒型痛经中的应用研究[J].山东中医杂志,2013,32(9):651-653.
[17]黄小琴,李成志.原发痛经的发病机制研究进展[J].中国医药指南,2013,11(34):54-56.
[18]杨雨竹.中医药治疗原发性痛经综述[J].辽宁中医药大学学报,2014,16(10):211-213.