分期穴位埋线治疗原发性痛经的临床研究

发布时间：2018-03-27 11:35

本文选题：原发性痛经　切入点：分期治疗　出处：《广西中医药大学》2016年硕士论文

【摘要】：目的:本课题通过对分期穴位埋线和口服西药两者治疗原发性痛经的临床疗效进行对比,科学的评价分期穴位埋线治疗原发性痛经的临床疗效及安全性,为分期穴位埋线法治疗原发性痛经的推广而提供依据。方法:将60例原发性痛经患者随机分成埋线组和西药组,分别30例。埋线组于经前期(月经来潮前5-7天)和经后期(月经干净5天内)分别埋线一次,经前期取穴:关元、十七椎、子宫、次毼、地机。经后期以膈俞、肝俞、脾俞、肾俞、三阴交为主。西药组口服布洛芬缓释胶囊,月经来潮前2-3天开始口服,每次0.3g,一天两次,连续服用至月经期,经期感疼痛缓解或消失即可停药。1个月经周期为1个疗程,连续治疗3个疗程。3个疗程结束后观察近期疗效,并停止治疗3个月后随访远期疗效。采用痛经积分进行疗效判定,并且比较两组临床疗效结果。结果:埋线组和西药组近期痛经积分对比治疗前,差异均有统计学意义(P0.01)。埋线组远期痛经积分与治疗前比较,差异具有统计学意义(P0.01),西药组远期痛经积分与治疗前比较,差异无统计学意义(P0.05)。近期临床疗效比较,埋线组治愈13例,显效9例,有效6例,无效2例;西药组治愈5例,显效7例,有效8例,无效10例。远期临床疗效比较,埋线组治愈15例,显效11例,有效2例,无效2例;西药组治愈5例,显效4例,有效6例,无效15例。结论:(1)分期穴位埋线治疗原发性痛经疗效确切,近期疗效可,随着埋线效应的累加、机体素质的改善,远期疗效也可观。(2)埋线通过对机体的良性调节发挥作用,线体吸收需要时间,早期起效会较慢,但作用却持久稳定,不易复发。(3)1个月经周期仅需要治疗2次,与口服西药比较,大大减少治疗次数,同时可以保证治疗的连贯性和有效性,亦无需担心副作用,操作简便,经济安全。(4)布洛芬缓释胶囊即刻镇痛效果显著,迅速缓解症状,但作用多数是不可持久的,停药后易反弹,且服药有副作用的可能。(5)分期穴位埋线治疗原发性痛经值得临床推广运用。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of primary dysmenorrhea treated by stage catgut embedding at acupoints and western medicine by oral administration, and to evaluate scientifically the clinical efficacy and safety of the treatment of primary dysmenorrhea. Methods: 60 patients with primary dysmenorrhea were randomly divided into catgut embedding group and western medicine group. 30 cases were treated with catgut embedding in the premenstrual period (5-7 days before the onset of menstruation) and in the late menstrual period (within 5 days of menstruation) respectively. The acupoints were collected in the premenstrual period: Guan Yuan, 17 vertebrae, uterus, secondary phlegm, ground machine. Shenshu, Sanyinjiao mainly. The western medicine group takes ibuprofen sustained release capsule orally, 2-3 days before menstruation, 0.3g each time, twice a day, continuously take until the menstrual period, the menstrual pain can be relieved or disappeared. 1 menstrual cycle is a course of treatment. Three consecutive courses of treatment. After the end of three courses of treatment to observe the short-term effect, and to stop treatment for 3 months follow-up long-term effect. Dysmenorrhea score was used to determine the curative effect. Results: there were significant differences in the scores of dysmenorrhea between the catgut embedding group and the western medicine group before treatment (P 0.01). The long-term dysmenorrhea score of the catgut embedding group was compared with that of the control group. There was no significant difference in long-term dysmenorrhea score between western medicine group and before treatment. In recent clinical effect comparison, 13 cases were cured, 9 cases were effective, 6 cases were effective, 2 cases were ineffective in western medicine group, 5 cases were cured in western medicine group, 5 cases were cured in western medicine group, 5 cases were cured in western medicine group, 5 cases were cured in western medicine group, and 5 cases were cured in western medicine group. There were 7 cases of remarkable effect, 8 cases of effective and 10 cases of failure. Compared with the long-term clinical effect, 15 cases were cured, 11 cases were effective, 2 cases were effective, 2 cases were ineffective, 5 cases were cured, 4 cases were effective and 6 cases were effective in western medicine group. Conclusion the curative effect of stage catgut implantation on primary dysmenorrhea is definite, and the short-term effect can be achieved. With the accumulation of catgut embedding effect and the improvement of body quality, the long-term effect is considerable. (2) Catgut embedding plays a role in the benign regulation of the body. Line body absorption takes time, early effect will be slower, but the effect is persistent and stable, not easy to recur.) 1 menstrual cycle only needs to be treated twice, compared with oral western medicine, greatly reduce the number of times of treatment. At the same time, it can ensure the continuity and effectiveness of the treatment, and it is easy to operate, safe and economical. The immediate analgesic effect of ibuprofen sustained release capsule is remarkable, and the symptoms can be relieved quickly, but most of the effects are not sustainable. The treatment of primary dysmenorrhea is worth popularizing in the treatment of primary dysmenorrhea.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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