针刺三阴交、地机、合谷对原发性痛经患者即刻镇痛效应的观察

发布时间：2018-05-19 18:24

本文选题：针刺 + 三阴交　；参考：《湖北中医药大学》2017年硕士论文

【摘要】：目的:观察针刺三阴交、地机、合谷及健康教育指导对原发性痛经(PD)患者痛经疼痛程度、各症状的持续总时间以及严重程度的影响,为针刺三阴交、地机、合谷对PD的即刻镇痛效应提供客观依据,并推广其临床应用。方法:经过一个月经周期的基线筛选,用随机数字表法将64例PD患者分为针刺组和空白组,每组各32例。空白组患者仅给予痛经相关的健康教育指导,不予其他治疗;针刺组予以相同的健康教育指导,并于月经期给予针刺治疗。取穴为双侧三阴交、地机、合谷,采用平补平泻行针手法,留针30分钟,并每隔10分钟行针一次,每次行针30秒,共行针四次。每日治疗1次,每个月经周期连续治疗3天。持续3个月经周期,共治疗9次。所有患者在相对应时间节点记录下痛经疼痛程度VAS评分、COX痛经症状评分(CMSS)。记录的数据通过SPSS19.0统计软件进行统计处理、分析。比较两组患者基线期、治疗期VAS评分和COX痛经症状评分的差异。结果:1.针刺组VAS评分的组内比较:针刺组每个月经周期在针刺5min时VAS读数与针刺前即时VAS读数比较即具有显著差异(P0.01),其余相对应时间节点VAS读数与针刺前即时VAS读数比较均有显著差异(P0.01);针刺组治疗期回顾性的VAS读数与基线期回顾性的VAS读数比较,差异均有统计学意义(P0.01)。2.组间的VAS评分比较:第一个月经周期针刺组在针刺前即时VAS读数与空白组针刺前即时VAS读数比较,差异无统计学意义(P0.05);第二个月经周期针刺组在针刺前即时VAS读数与空白组针刺前即时VAS读数比较,差异有统计学意义(P0.01);第三个月经周期针刺组在针刺前即时VAS读数与空白组针刺前即时VAS读数比较,差异有统计学意义(P0.01);针刺组在针刺5min、针刺10min、针刺20min、针刺30min、起针后30min、起针后60min、起针后90min等相对应时间节点VAS读数与空白组相对应时间节点VAS读数比较,差异具有统计学意义(P0.01)。两组治疗期相对应时间节点回顾性的VAS读数比较,差异均具有统计学意义(P0.01)。3.针刺组CMSS评分的组内比较:针刺组治疗期CMSS评分与基线期CMSS评分相比,差异显著,具有统计学意义(P0.05)。4.组间的CMSS评分比较:针刺组治疗期CMSS评分与空白组治疗期CMSS评分相比,差异显著,具有统计学意义(P0.05)。5.空白组VAS评分的组内比较:空白组每个月经周期在针刺5min、针刺10min、针刺20min、针刺30min等相对应时间节点VAS读数与针刺前即时VAS读数比较,差异均无统计学意义(P0.05);在起针后30min、起针后60min、起针后90min等相对应时间节点VAS读数与针刺前即时VAS读数比较,差异具有统计学意义(P0.05)。6.空白组CMSS评分的组内比较:空白组治疗期、基线期CMSS评分比较,差异无统计学意义(P0.05)。结论:1.针刺三阴交、地机、合谷治疗PD能起到即刻缓解患者主观疼痛的作用,并起到缩短痛经临床部分症状持续总时间以及减轻痛经临床部分症状严重程度的作用。2.单独的健康教育指导在缓解PD患者主观疼痛、缩短痛经临床各症状持续总时间以及减轻痛经临床各症状严重程度等方面均无明显作用。
[Abstract]:Objective: To observe the effect of acupuncture on the degree of pain of dysmenorrhea, the duration of the symptoms and the severity of the pain of the patients with primary dysmenorrhea (PD), and to provide an objective basis for the immediate analgesic effect of the acupuncture of the three yin, ground and Hegu on the immediate analgesic effect of the patients with primary dysmenorrhea (PD), and to promote its clinical application. 64 cases of PD patients were divided into acupuncture group and blank group with 32 cases in each group. The patients in the blank group were given only the health education guidance related to dysmenorrhea and no other treatment. The acupuncture group was given the same health education guidance, and the acupuncture treatment was given in the menstrual period. For 30 minutes, the needle was kept for 30 minutes, and every 10 minutes, each needle was needles once, each needle was 30 seconds and a total of four times. 1 times a day and 3 days for each menstrual cycle. The 3 menstrual cycles were treated for 9 times. All patients recorded the degree of dysmenorrhea VAS and COX dysmenorrhea symptom score (CMSS) at the relative time node. The data were processed and analyzed by SPSS19.0 statistical software. The difference between the baseline period of the two groups of patients, the VAS score in the treatment period and the COX dysmenorrhea symptom score were compared. Results: 1. in the group of the acupuncture group, the comparison of the VAS scores in the acupuncture group was significant (P0.01) in each menstrual cycle of the acupuncture group when the VAS reading was compared with the VAS reading before the acupuncture at 5min. The VAS readings of the rest of the relative time nodes were significantly different from that before the acupuncture (P0.01), and the VAS readings in the treatment period of the acupuncture group were compared with the VAS readings of the baseline retrospective VAS. The difference was statistically significant (P0.01) the VAS score of the.2. group: the first menstrual cycle was in the VAS reading and empty before the acupuncture group. There was no significant difference in VAS reading before acupuncture in the white group (P0.05). The difference was statistically significant between the instant VAS reading before needling in the second menstrual cycles and the immediate VAS reading before needling in the blank group (P0.01); the immediate VAS reading before needling in the third menstrual cycle group was compared with the VAS readings before the needling in the blank group. The difference was statistically significant (P0.01); the acupuncture group was in the acupuncture 5min, the acupuncture of 10min, the acupuncture 20min, the acupuncture 30min, the 30min after the needle, 60min after the needle, the VAS reading of the relative time node and the relative time node VAS reading of the blank group after the needle, and the difference was statistically significant (P0.01). Two groups of treatment period relative time node review were reviewed. VAS reading comparison, the difference was statistically significant (P0.01).3. acupuncture group CMSS score in group comparison: the CMSS score in the treatment period of the acupuncture group was significantly different from the baseline CMSS score. The difference was statistically significant (P0.05) in the CMSS score of the.4. group: the CMSS score in the treatment period of the acupuncture group was significantly different from that in the blank group. The comparison of the VAS scores in statistical significance (P0.05).5. blank group: each menstrual cycle in the blank group was compared with the acupuncture 5min, acupuncture 10min, acupuncture 20min, and acupuncture 30min, compared with the instant VAS reading before the acupuncture, the difference was not statistically significant (P0.05); after the needle, the 60min, after the needle was started, and so on. Relative time node VAS reading compared with instant VAS reading before acupuncture, the difference was statistically significant (P0.05).6. blank group CMSS score in group comparison: blank group treatment period, baseline CMSS score comparison, the difference was not statistically significant (P0.05). Conclusion: 1. acupuncture at the three yin, the ground machine, the Hegu treatment PD can immediately relieve the subjective pain of the patient's pain The role of.2. to shorten the total duration of the clinical symptoms of dysmenorrhea and to reduce the severity of the clinical symptoms of dysmenorrhea, the individual health education guidance has no significant effect on alleviating subjective pain in PD patients, reducing the duration of the symptoms of dysmenorrhea, and alleviating the severity of the symptoms of dysmenorrhea.
【学位授予单位】：湖北中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.3

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