任脉铺灸治疗原发性痛经的临床研究

发布时间：2018-01-13 22:29

本文关键词：任脉铺灸治疗原发性痛经的临床研究　出处：《河南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的本课题应用任脉铺灸法治疗原发性痛经为治疗组,以督脉铺灸治疗原发性痛经为对照组,经过有效的临床观察和数据分析,对比其治疗效果,为治疗原发性痛经拓展一条有效、安全、实用治疗方法。方法采用随机信封法将入选的60例原发性痛经患者随机分成治疗组(任脉铺灸组)和对照组(督脉铺灸组),每组各30例。治疗组采用任脉铺灸治疗,对照组采用督脉铺灸进行治疗。均每次月经来潮前7天开始治疗,任脉铺灸每2天一次(每个月经周期约2~3次),直至月经来潮。1个月经周期为1疗程,分别在治疗前、治疗后3个疗程后记录症状表现,然后按照原发性痛经疗效判定标准进行量化评分,并在疗程结束后进行疗效评价。结果1.原发性痛经临床症状、体征积分比较,两组自身治疗前后比较均有改善,治疗后两组的痛经临床主症评分与总分均较治疗前有明显提高。2.两组临床总疗效比较:治疗组临床治愈6例占20.00%,显效16例占53.33%,有效5例占36.67%,无效3例占16.67%,总有效率为90.00%;对照组临床治愈1例占3.33%,显效6例占20.00%,有效7例占23.33%,无效16例占53.33%,总有效率为46.67%。经秩和检验,Z=-4.100,P=0.0000.05。提示两组差异有统计学意义。3.两组治疗后总积分差值比较:治疗组为6.93±3.03,对照组为8.73±3.35,两组经独立样本t检验,t=-2.183,P=0.0330.05差异有统计学意义,提示治疗组明显优于对照组。结论1.任脉铺灸治疗与督脉铺灸治疗原发性痛经,均有较好疗效。2.任脉铺灸组在治疗总显效率方面与督脉铺灸治疗有显著性差异,并在改善小腹疼痛、腰骶酸痛、形寒肢冷等症状方面明显优于督脉铺灸组。3任脉铺灸治疗原发性痛经,安全、有效、易被患者所接受。
[Abstract]:Objective to treat primary dysmenorrhea with Ren Mai Pu moxibustion as treatment group and du pulse moxibustion as control group. After effective clinical observation and data analysis, the therapeutic effect was compared. To develop an effective and safe treatment for primary dysmenorrhea. Methods 60 patients with primary dysmenorrhea were randomly divided into two groups: treatment group (moxibustion group) and control group (moxibustion group). 30 cases in each group. The treatment group was treated with moxibustion on any pulse and the control group was treated with moxibustion of du pulse spread. All patients were treated 7 days before menorrhagia. Any pulse spread moxibustion every 2 days (about 2 times of menstrual cycle, until menstruation. 1 menstrual cycle is a course of treatment, respectively before treatment, after 3 courses of treatment to record symptoms. Then according to the primary dysmenorrhea curative effect judgment standard to carry on the quantification score, and carries on the curative effect appraisal after the course of treatment. 1. The primary dysmenorrhea clinical symptom, the sign integral comparison. 2. The two groups were improved before and after self-treatment. After treatment, the scores and total scores of dysmenorrhea in the two groups were significantly improved as compared with those before treatment. Comparison of the total clinical efficacy between the two groups: in the treatment group, 6 cases were cured and 16 cases were significantly effective (53.33% cases). The effective rate was 36.67 in 5 cases, 16.67 in 3 cases, and the total effective rate was 90.00. In the control group, 1 case was cured, 6 cases were markedly effective, 7 cases were effective, and 16 cases were ineffective (53.33% cases). The total effective rate was 46.67. The difference of total integral between the two groups after treatment was 6.93 卤3.03 and 8.73 卤3.35 in the treatment group and the control group respectively. The difference between the two groups was statistically significant after t-test of independent samples. Conclusion 1.Renmai spread moxibustion treatment and du pulse moxibustion treatment of primary dysmenorrhea. 2. Renmai spread moxibustion group in the treatment of the total effective rate was significantly different from the du pulse moxibustion treatment, and in the improvement of abdominal pain, lumbosacral pain. The symptoms of cold limbs were obviously superior to those of du pulse spreading moxibustion group in treating primary dysmenorrhea. It was safe, effective and easy to be accepted by patients.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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