电针治疗原发性痛经（寒凝血瘀型）的临床疗效观察

发布时间：2018-02-20 01:27

本文关键词： 电针原发性痛经寒凝血瘀型　出处：《黑龙江中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本研究通过临床随机对照试验,观察并探讨电针治疗原发性痛经(寒凝血瘀型)的临床疗效,寻找治疗原发性痛经的更多的优化方案,以缓解月经期痛经患者的疼痛状态,减少对其日常生活和工作的影响,提高生活质量。方法：采集符合本课题诊断标准、纳入标准的60例原发性痛经(寒凝血瘀型)患者随机分为治疗组和对照组。治疗组30例患者给予电针加艾灸治疗,对照组给予针刺加艾灸治疗。痛经发作的第1天开始治疗,每天1次,1个月经周期连续治疗3天,共治疗3个月经周期,治疗结束3个月后进行随访。两组的观察指标均为中医痛经症状积分、视觉模拟量表(VAS)、简化McGill疼痛量表(SF-MPQ)在治疗前后记录其结果,进行统计学分析,评定疗效。结果：1、两组患者临床总体疗效比较治疗组(30例)：治愈8例,显效14例,有效6例,无效2例,总有效率93.33%；对照组(30例)：治愈3例,显效7例,有效13例,无效7例,总有效率76.67%。两组临床总体疗效比较(P0.01),差异有统计学意义,治疗组疗效优于对照组。2、两组患者即时疗效比较根据第1个月经周期痛经发作时两种治疗方法作用于机体时疼痛的缓解程度和伴随症状的消失程度,结果显示：治疗组30例患者：显效4例,有效9例,无效17例,有效率43.33%；对照组30例患者：显效1例,有效5例,无效24例,有效率2 0.00%。两组即时疗效比较(P0.05),有显著差异,治疗组疗效优于对照组。3、两组患者治疗前后痛经症状积分、VAS评分以及简化McGill疼痛积分比较两组各自治疗前后痛经症状积分、VAS评分以及简化McGill疼痛积分比较有显著性差异(P0.01),治疗后两组之间的痛经症状积分、VA S评分以及简化McGill疼痛积分比较显示(P0.05),差异有统计学意义,说明在降低痛经症状积分、VAS评分以及简化McGill疼痛积分方面,两组均有效,但治疗组治疗效果明显优于对照组。结论：在针刺和艾灸的基础上,增加电针疗法,能更好的改善痛经患者的临床症状,达到更高的临床疗效。
[Abstract]:Objective: to observe and explore the clinical effect of electroacupuncture on primary dysmenorrhea (cold coagulation and blood stasis type) by randomized controlled trial, and to find out more optimal schemes for the treatment of primary dysmenorrhea. In order to alleviate the pain state of menstrual dysmenorrhea patients, reduce the influence on their daily life and work, improve the quality of life. Sixty patients with primary dysmenorrhea (cold coagulation and blood stasis type) were randomly divided into treatment group and control group. 30 patients in treatment group were treated with electroacupuncture plus moxibustion, while those in control group were treated with acupuncture plus moxibustion. Once a day, 1 menstrual cycle was treated continuously for 3 days, a total of 3 menstrual cycles were treated, followed up 3 months after the end of treatment. The observation indexes of both groups were Chinese medicine dysmenorrhea symptom score. Visual analogue scale (VAS), simplified McGill pain scale (SF-MPQ), recorded the results before and after treatment, statistically analyzed and evaluated the curative effect. Results the total clinical efficacy of the two groups was compared: 8 cases were cured, 14 cases were effective, and 6 cases were effective. In the control group, 3 cases were cured, 7 cases were effective, 13 cases were effective, 7 cases were ineffective, 7 cases were ineffective, and the total effective rate was 76.677.The total effective rate of the two groups was significantly higher than that of the control group (P 0.01). The curative effect of the treatment group was better than that of the control group. The immediate curative effect of the two groups was compared according to the degree of pain relief and the degree of disappearance of the accompanying symptoms during the first menstrual cycle dysmenorrhea attack. The results showed that 30 patients in the treatment group were significantly effective in 4 cases, effective in 9 cases, ineffective in 17 cases, and effective rate in 43.33 cases, while in the control group, there were 1 case of remarkable effect, 5 cases of effective effect, 24 cases of ineffective, and 2 0.005% of effective rate. There was a significant difference between the two groups in immediate curative effect (P 0.05). The curative effect of the treatment group was better than that of the control group .VAS score of dysmenorrhea symptom and simplified McGill pain score before and after treatment in the two groups were better than those in the control group. The scores of dysmenorrhea symptom and McGill before and after treatment in the two groups were significantly higher than those in the control group. After treatment, the scores of dysmenorrhea symptoms and VA S scores and simplified McGill scores showed that there was significant difference between the two groups. It shows that both groups are effective in reducing the score of dysmenorrhea and simplifying the score of McGill pain, but the therapeutic effect of the treatment group is obviously better than that of the control group. Conclusion: on the basis of acupuncture and moxibustion, the electroacupuncture therapy is increased. Can better improve the clinical symptoms of dysmenorrhea patients, to achieve a higher clinical efficacy.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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