针刺配合刺血疗法治疗气滞血瘀型原发性痛经的临床研究

发布时间：2018-05-28 12:23

本文选题：刺血疗法 + 针刺　；参考：《广州中医药大学》2016年硕士论文

【摘要】：原发性痛经是目前妇科最常见的疾病之一,严重影响女性的生活、工作及学习,同时给女性带来抑郁、心烦等不良情绪,影响人际交往,甚至对社会经济的发展产生不良影响。现代医学虽能有效防治痛经的发生,但副作用明显,对机体代谢影响大。因此,从传统医学角度寻找能更为有效降低痛经发生率、缓解痛经疼痛症状的疗法具有现实社会意义。本研究采用针刺配合刺血疗法治疗气滞血瘀型原发性痛经,并进行疗效评价。目的：通过比较针刺配合刺血与单纯针刺治疗气滞血瘀型原发性痛经的疗效差异,分析刺血疗法的干预对气滞血瘀型原发性痛经的疗效影响,为针刺配合刺血治疗气滞血瘀型原发性痛经提供临床应用依据。方法：本课题病例来源于广州中医药大学在校大学生以及广州中医药大学第一附属医院针灸科及妇科门诊,收集符合纳入标准病例62例,脱落1例,最终纳入统计分析共61例,其中治疗组31例(针刺配合刺血疗法)和对照组30例(单纯针刺治疗)。两组均连续治疗3个月经周期,使用VAS评分、痛经症状评分以及CMSS评分比较两组在治疗结束后的疗效差异。结果：针刺配合刺血疗法及单纯针刺疗法治疗气滞血瘀型原发性痛经疗效显著,且在治疗结束后,基于VAS评分、痛经症状评分差异比较,P0.05,两组在改善疼痛症状方面疗效相近。基于CMSS评分差异比较,P＜0.05,提示针刺配合刺血疗法在改善痛经症状发作总频率、痛经症状严重程度方面优于单纯针刺组。结论：针刺配合刺血及单纯针刺治疗气滞血瘀型原发性痛经均具有确切的疗效。针刺配合刺血疗法能更为有效减少痛经症状发作总频率、减轻痛经严重程度,可在临床推广使用。
[Abstract]:Primary dysmenorrhea is one of the most common diseases in gynecology at present, which seriously affects the life, work and study of women, at the same time brings depression, upset and other bad emotions to women, affects interpersonal communication, and even has a negative impact on the development of social economy. Modern medicine can effectively prevent and cure dysmenorrhea, but the side effects are obvious and have great influence on body metabolism. Therefore, it is of practical and social significance to find a more effective way to reduce the incidence of dysmenorrhea and relieve the symptoms of dysmenorrhea from the point of view of traditional medicine. In this study, acupuncture combined with blood acupuncture was used to treat primary dysmenorrhea of qi stagnation and blood stasis. Objective: to compare the curative effect of acupuncture combined with blood acupuncture on primary dysmenorrhea of qi stagnation and blood stasis type, and to analyze the effect of blood acupuncture therapy on primary dysmenorrhea of qi stagnation and blood stasis type. To provide clinical basis for acupuncture combined with blood acupuncture in the treatment of primary dysmenorrhea of qi stagnation and blood stasis type. Methods: the cases were collected from the college students of Guangzhou University of traditional Chinese Medicine and the Department of Acupuncture and Gynecology of the first affiliated Hospital of Guangzhou University of traditional Chinese Medicine. There were 31 cases in treatment group (acupuncture combined with blood puncture therapy) and 30 cases in control group (simple acupuncture treatment). VAS score, dysmenorrhea symptom score and CMSS score were used to compare the curative effect between the two groups after the end of treatment. Results: the curative effect of acupuncture combined with blood acupuncture therapy and simple acupuncture therapy on primary dysmenorrhea of Qi stagnation and blood stasis type was remarkable. After the treatment, the difference of dysmenorrhea symptom score based on VAS score was compared with that of P0.05. The curative effect of the two groups on improving pain symptom was similar. Based on the difference of CMSS score (P < 0.05), it was suggested that acupuncture combined with blood acupuncture could improve the total frequency of dysmenorrhea symptoms and the severity of dysmenorrhea symptoms. Conclusion: acupuncture combined with blood acupuncture and simple acupuncture has definite curative effect on primary dysmenorrhea of qi stagnation and blood stasis type. Acupuncture combined with blood acupuncture can effectively reduce the total frequency of dysmenorrhea and alleviate the severity of dysmenorrhea.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

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