药物铺灸治疗寒湿凝滞型原发性痛经及对患者子宫动脉血流的影响

发布时间：2018-04-02 00:03

本文选题：原发性痛经　切入点：药物铺灸　出处：《中国针灸》2016年08期

【摘要】：目的:观察药物铺灸与口服美洛昔康治疗寒湿凝滞型原发性痛经的临床疗效差异,并探讨其作用机制。方法:将101例原发性痛经患者随机分为两组,铺灸组52例采用药物铺灸治疗,先铺灸腰骶部穴区再小腹部穴区,于月经前5d开始治疗,至经期第3d停止,每3d灸1次。西药组49例采用口服美洛昔康片治疗,每天1次,每次7.5mg,在月经来潮前1d开始服用,连服3d,比较两组1个疗程(3个月经周期)后的临床疗效;并通过彩色多普勒超声检测两组治疗前后子宫动脉和弓状动脉阻力指数(RI)、搏动指数(PI)的变化情况。结果:1个疗程后,铺灸组总有效率为92.3%(48/52),优于西药组的67.3%(33/49,P0.05);1个疗程后,铺灸组子宫动脉及弓状动脉的RI、PI值较治疗前均明显下降(均P0.05),且均优于西药组(均P0.05),而西药组子宫动脉及弓状动脉的RI、PI值均无明显下降(均P0.05)。结论:药物铺灸能改善原发性痛经寒湿凝滞型患者的临床症状,疗效优于美洛昔康片,其作用与可改善患者子宫的血供情况有关。
[Abstract]:Objective: to observe the difference of clinical curative effect between medicine-spread moxibustion and oral meloxicam in treating primary dysmenorrhea with cold and dampness and to explore its mechanism.Methods: 101 patients with primary dysmenorrhea were randomly divided into two groups. 52 patients in the moxibustion group were treated with drug moxibustion. The patients in the moxibustion group were treated with moxibustion at the lumbosacral and small abdominal points. The treatment began 5 days before menstruation, stopped at the 3rd day of menstrual period, and was moxibustion once every 3 days.In the western medicine group, 49 cases were treated with oral meloxicam once a day, 7.5 mg per time, taking it 1 day before menorrhagia and taking it continuously for 3 days. The clinical efficacy of the two groups after one course of treatment (3 menstrual cycles) was compared.The changes of resistance index (RI) and pulsatile index (Pi) of uterine artery and arcuate artery before and after treatment were detected by color Doppler ultrasound.Results: after one course of treatment, the total effective rate of the moxibustion group was 92.3% / 52%, which was better than that of the western medicine group (67.3% 49% P0.05).The Pi value of uterine artery and arcuate artery in moxibustion group was significantly lower than that before treatment (all P0.05 and higher than that in western medicine group (P0.05), but the RII-PI value of uterine artery and arcuate artery in western medicine group was not significantly decreased (P0.05).Conclusion: medicinal moxibustion can improve the clinical symptoms of patients with primary dysmenorrhea, and the curative effect is better than that of meloxicam tablets, which is related to the improvement of the blood supply of uterus in patients with dysmenorrhea.
【作者单位】：金华市中心医院针灸理疗科;金华市中心医院超声科;
【分类号】：R711.51

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