肌筋膜疼痛触发点在原发性痛经治疗中的应用

发布时间：2018-05-27 12:11

本文选题：肌筋膜疼痛触发点(MTrPs) + 原发性痛经(PD)　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:拟验证以肌筋膜疼痛触发点(MTrPs)为原理,应用湿针疗法加以家庭腹壁拉伸运动治疗原发性痛经(PD)的安全性及有效性,探讨这一治疗方法可能的镇痛机制。方法:30例PD患者经知情同意后应用湿针疗法加以家庭腹壁拉伸运动进行治疗,通过视觉模拟评分法(VAS)对治疗前后经期腹痛改善状况进行评价;分别对比治疗前、治疗后月经来潮48小时内血清前列腺素PGF2α、PGE2水平变化。另为试验组患者按一般信息相似为前提匹配1位正常对照者,以试验组治疗后月经来潮48小时内血清PGF2α、PGE2水平与正常对照组同月月经来潮48小时内血清PGF2α、PGE2进行对比,以进一步评价治疗效果。运用SPSS16.0统计软件进行统计分析,检验水平P0.05为差异有统计学意义。结果:通过湿针疗法加以家庭腹壁拉伸运动治疗1疗程,试验组次月月经来潮48小时内VAS最高评分较治疗前显著降低,P值0.01;试验组治疗后次月月经来潮48小时内血清PGF2α水平较治疗前显著降低,P值0.01;试验组治疗后月经来潮48小时内血清PGE2水平较治疗前升高,P0.01;试验组治疗后月经来潮48小时内血清PGE2水平接近正常对照组同月月经来潮48小时内血清PGE2水平,P0.05;试验组治疗后月经来潮48小时内血清PGF2α水平低于正常对照组同月月经来潮48小时内血清PGF2α,P0.05。结论:通过湿针疗法加以家庭腹壁拉伸运动治疗PD的效果确切,可显著降低试验组治疗后月经来潮48小时内血清PGF2α水平,升高治疗后月经来潮48小时内血清PGE2水平,从而改善试验组经期腹痛等相关不适症状。该治疗方法成本低,在院治疗过程简单且安全性高,不良反应少且症状轻,具备良好的安全性及有效性,值得在临床中进行推广。
[Abstract]:Objective: to verify the safety and efficacy of wet acupuncture therapy in the treatment of primary dysmenorrhea (PDD) by using wet acupuncture therapy based on the trigger point of myofascial pain (MTrPs), and to explore the possible analgesic mechanism of this treatment. Methods 30 cases of PD patients were treated with wet acupuncture therapy after informed consent. The improvement of menstrual abdominal pain before and after treatment was evaluated by visual analogue score method (VASs), respectively before and after treatment. The changes of serum prostaglandin PGF2 伪 and PGE 2 levels were observed within 48 hours after menstruation. In addition, according to the premise of general information similarity, the patients in the trial group were matched with a normal control group. The serum PGF2 伪 PGE2 levels in the experimental group were compared with those in the normal control group within 48 hours of menstrual onset in the same month, and compared with those in the control group within 48 hours after menstrual onset. To further evaluate the therapeutic effect. Using SPSS16.0 statistical software for statistical analysis, the test level of P0.05 for the difference was statistically significant. Results: by wet acupuncture therapy, the abdominal wall of the family was treated with stretching exercise for a course of treatment. The highest score of VAS in 48 hours after menstruation in the trial group was significantly lower than that before treatment (P = 0.01), the serum PGF2 伪 level in the test group was significantly lower than that in the control group within 48 hours after menorrhagia, and that in the test group was lower than that in the control group. The level of serum PGE2 in 48 hours after treatment was higher than that before treatment in the experimental group, the level of serum PGE2 in 48 hours after menstruation in the experimental group was close to that in the normal control group within 48 hours of menstrual onset in the control group, and in the experimental group the level of serum PGE2 in the same month within 48 hours of menorrhagia was close to that in the control group. The serum PGF2 伪 level in the control group was lower than that in the normal control group within 48 hours after menstruation. Conclusion: it is effective to treat PD by wet acupuncture therapy with stretching movement of abdominal wall, which can significantly reduce the level of serum PGF2 伪 within 48 hours of menstrual onset and increase the level of serum PGE2 within 48 hours of menstrual onset in the experimental group. In order to improve the trial group menstrual abdominal pain and other related symptoms. This method has low cost, simple and high safety in hospital, less adverse reactions and mild symptoms, and has good safety and effectiveness, so it is worth popularizing in clinic.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R711.51

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