针刺三阴交对原发性痛经患者子宫动脉血流影响的研究
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摘要
目的:本研究主要证明三阴交在治疗原发性痛经方面具有相对特异性,为腧穴特异性理论提供依据;初步探讨针刺三阴交治疗原发性痛经的作用机理。方法:将41例原发性痛经患者随机分为四组,其中三阴交组10例;悬钟组12例;非穴组9例,以上三组针刺治疗;另外空白组10例,不予针刺治疗。观察针刺后10min即刻四组(空白组不针刺)的疼痛视觉模拟评分(Visual Analogue Scale,VAS)及子宫动脉血流阻力指数(RI)、收缩期峰值流速/舒张末期流速(S/D)的变化,并比较四组之间的差异。结果:针刺后10min即刻三阴交组VAS值及RI、S/D值均明显降低,子宫血流速度明显加快,其他组子宫动脉血流指数无明显变化。充分说明三阴交在改善原发性痛经患者子宫动脉血流高阻低速状态方面均优于悬钟组、非穴组和空白组,从而说明三阴交在治疗原发性痛经方面具有特异性,从而证明经穴之间、经穴与非经非穴之间存在特异性,亦证明了腧穴的特异性与经络密切相关。
Objective: This study mainly proves that Sanyinjiao (SP6) has relative specificity of treatment effect on primary dysmenorrhea, provides evidence for the theory of acupoint specificity,and briefly analyses the mechanism of Sanyinjiao (SP6) on primary dysmenorrheal.Methods:41cases of patients with primary dysmenorrhea were divided into 4 groups at random. Among the 41 cases, there were 10 cases in the Sanyinjiao (SP6) group, 12 cases in the Xuanzhong (GB39) group, 9 cases in the non-acupoint group. The patients in the above there groups were given acupuncture treatment. 10 cases in the control group and no treatment was provided. We observed the changes of VAS (Visual Analogue Scale) and resistive index (RI), the ratio of systolic peak and diastolic peak (S/D) of volunteers’uterine artery flow of the 4 groups when 10 minutes later after acupuncture was given and compared the differences between the 4 groups. Conclusion: VAS,RI and S/D decreased greatly and the uterine artery flow speeded up obviously in the Sanyinjiao (SP6) group and there was no obvious change in the other groups. The result shows Sanyinjiao (SP6) was superior to Xuanzhong (GB39) group, non-acupoint group and control group in improving the uterine artery flow of the patients with primary dysmenorrhea (PD). And we can conclude that there is acupoint specificity between acuponts, acuponts and non-acupoints. It also proves that acupoint specificity has a close relationship with meridians.
Objective: This study mainly proves that Sanyinjiao (SP6) has relative specificity of treatment effect on primary dysmenorrhea, provides evidence for the theory of acupoint specificity,and briefly analyses the mechanism of Sanyinjiao (SP6) on primary dysmenorrheal.Methods:41cases of patients with primary dysmenorrhea were divided into 4 groups at random. Among the 41 cases, there were 10 cases in the Sanyinjiao (SP6) group, 12 cases in the Xuanzhong (GB39) group, 9 cases in the non-acupoint group. The patients in the above there groups were given acupuncture treatment. 10 cases in the control group and no treatment was provided. We observed the changes of VAS (Visual Analogue Scale) and resistive index (RI), the ratio of systolic peak and diastolic peak (S/D) of volunteers’uterine artery flow of the 4 groups when 10 minutes later after acupuncture was given and compared the differences between the 4 groups. Conclusion: VAS,RI and S/D decreased greatly and the uterine artery flow speeded up obviously in the Sanyinjiao (SP6) group and there was no obvious change in the other groups. The result shows Sanyinjiao (SP6) was superior to Xuanzhong (GB39) group, non-acupoint group and control group in improving the uterine artery flow of the patients with primary dysmenorrhea (PD). And we can conclude that there is acupoint specificity between acuponts, acuponts and non-acupoints. It also proves that acupoint specificity has a close relationship with meridians.
引文
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