针刺治疗原发性痛经120例临床疗效观察

发布时间：2018-07-14 22:44

【摘要】：目的:本临床研究通过观察针刺治疗原发性痛经的临床疗效,为该疗法的推广应用提供可靠的理论及疗效依据。方法:筛选前往黑龙江中医药大学附属二院妇一科就诊的符合入组条件病例120例,按入组先后顺序随机分为两组,(A)治疗组和(B)对照组,每组60例患者。治疗组给予针刺治疗,对照组给予口服布洛芬颗粒,分别观察6个月经治疗前后疼痛指标变化及症状积分变化,并进行组间对比,并观察其安全性,随访3个月后情况。结果:1、两组患者治疗前后组内VAS评分比较(P0.05),两组均有良好的止痛的作用,针刺治疗10min、治疗20min VAS读数与对照组组间比较(P0.05),有统计学意义,表明针刺组的即时止痛效果优于对照组;2、疗后针刺组的中医症候评分与对照组比较(P0.01),两者存在显著差异,说明在缓解痛经的中医临床症候方面,针刺组优于对照组;3、中医症候疗效比较:针刺组的总有效率为94.1%,对照组总有效率为73.6%,经统计学分析,P0.05,两组组间疗效差异具有统计学意义,针刺组的中医症候疗效明显高于对照组。结论:1、针刺治疗原发性痛经可明显缓解患者疼痛程度,其即时止痛效果优于布洛芬。2、针刺治疗原发性痛经的中医症状改善疗效优于布洛芬。3、本法安全有效,实用性强,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of acupuncture on primary dysmenorrhea and to provide reliable theoretical and curative basis for its popularization. Methods: one hundred and twenty patients who were admitted to the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine were randomly divided into two groups:, (A) treatment group and (B) control group with 60 patients in each group. The treatment group was treated with acupuncture and the control group was given ibuprofen granules. The changes of pain index and symptom score were observed before and after 6 months of treatment. Results the scores of VAS in the two groups were compared before and after treatment (P0.05). Both groups had good analgesic effect. The reading of 20min VAS in acupuncture group was significantly higher than that in control group for 10 min (P0.05). The results showed that the immediate analgesic effect of the acupuncture group was better than that of the control group, and the TCM symptom score of the acupuncture group was significantly different from that of the control group (P0.01), which indicated that the TCM clinical symptoms of dysmenorrhea could be alleviated. The total effective rate of acupuncture group was 94.1 and the total effective rate of control group was 73.6.The difference of curative effect between the two groups was statistically significant. The curative effect of TCM symptom in acupuncture group was significantly higher than that in control group. Conclusion the effect of acupuncture on patients with primary dysmenorrhea is better than that of ibuprofen. 2. The effect of acupuncture on improving symptoms of primary dysmenorrhea is better than that of ibuprofen. 3. This method is safe, effective and practical. It is worth popularizing in clinic.
【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】：2017
【分类号】：R246.3

【参考文献】

相关期刊论文 前10条

1 王桂花;刘洪峰;;自拟参灵香附通经汤治疗痛经58例疗效观察[J];湖南中医杂志;2017年03期

2 柴华;王嘉梅;;气血瘀滞型原发性痛经中医身心同治的临床疗效观察与分析[J];世界中医药;2015年06期

3 李英;孙兴云;;布洛芬缓释胶囊联合经痛康颗粒对原发性痛经患者炎症因子、β-EP、PGE2及PGF2a的影响[J];中国妇幼保健;2015年17期

4 刘英含;钟峰;石文英;章薇;;子宫穴在妇科疾病中的应用及现代理论依据[J];上海针灸杂志;2015年04期

5 杨桂芬;王新华;汪慧敏;;针刺不同单穴对寒凝血瘀型原发性痛经即刻止痛作用规律的观察[J];中华中医药学刊;2014年09期

6 刘满国;张小楠;曲影;聂新平;刘永茂;;针灸治疗痛经60例临床观察[J];吉林中医药;2013年05期

7 丛慧芳;曲瑾;赵锐;;浅谈“月经为排邪的方式”[J];医学信息(中旬刊);2011年03期

8 王超;常小荣;严洁;刘佳玟;;艾灸三阴交穴缓解兔子宫痉挛的实验研究[J];中华中医药学刊;2010年05期

9 李坚;;使用口服避孕药的利与弊[J];中国实用妇科与产科杂志;2009年10期

10 马玉侠;衣华强;孙玉国;王志磊;陈晟;张明庆;于岩瀑;高树中;;针灸治疗原发性痛经的取穴现状分析[J];山东中医药大学学报;2009年05期

，

本文编号：2123197