隔药灸脐法治疗中重度原发性痛经患者临床疗效观察

发布时间：2019-01-26 06:57

【摘要】：目的:本研究以中重度原发性痛经患者为研究对象,以隔药灸脐法为治疗方法,西药布洛芬胶囊为对照,观察隔药灸脐法治疗原发性痛经的临床疗效,并评价二者的疗效差异,为隔药灸脐法的临床推广提供证据。方法:将符合纳入标准的66例原发性痛经患者采用中医症状积分表分为中度和重度,采用随机、双盲双模拟、阳性对照的研究方法,将患者分为治疗组隔药灸脐+西药模拟剂胶囊和对照组隔模拟剂灸脐+布洛芬胶囊,以中医症状评分为观察指标,观察治疗前后及随访期两组中医症状的改善情况,并比较两组差异。结果:1.随着治疗周期的延长,治疗组原发性痛经患者中医症状逐步改善,尤其是疼痛程度、疼痛持续时间、有血块、畏寒或手足欠温、经血量少方面疗效显著,且远期效果好;对照组对原发性痛经患者疼痛程度、疼痛持续时间、乳房胀痛、腰部酸痛即时效果明显,但远期效果差。2.对照组中度原发性痛经患者在第一周期腰酸症状改善较治疗组明显;第二周期两组无明显差异;第三周期和随访期,治疗组在疼痛程度、疼痛持续时间、经血量少、畏寒方面的改善明显优于对照组。3.在第一、二、三周期,两组重度原发性痛经患者的疼痛程度和持续时间均随治疗周期延长而改善,在随访期治疗组患者疼痛程度和持续时间较治疗前持续降低,对照组疼痛程度和持续时间较一、二、三周期明显升高。结论:隔药灸脐法改善中重度原发性痛经患者中医症状疗效优于布洛芬胶囊,且远期疗效显著。
[Abstract]:Objective: to observe the clinical effect of moxibustion on primary dysmenorrhea and evaluate the difference between them. To provide evidence for clinical popularization of moxibustion with separated medicine. Methods: 66 patients with primary dysmenorrhea who met the inclusion criteria were divided into moderate and severe by TCM symptom score table. The patients were divided into two groups: the treatment group was treated with moxibustion omphalicum analogue capsule and the control group was treated with moxibustion ibuprofen capsule. The improvement of TCM symptoms was observed before and after treatment and during the follow-up period. The differences between the two groups were compared. Results: 1. With the prolongation of the treatment cycle, the TCM symptoms of primary dysmenorrhea patients in the treatment group were gradually improved, especially the degree of pain, duration of pain, blood clot, chills or undertemperature of the hand and foot, less menstrual blood volume, and good long-term effect. In the control group, the pain degree, duration of pain, breast pain, waist pain were obvious, but the long-term effect was poor. In the control group, the improvement of lumbar acid symptoms in the first cycle was more obvious than that in the treatment group, but there was no significant difference between the two groups in the second cycle. In the third cycle and follow-up period, the improvement in pain degree, pain duration, menstrual blood volume and chills in the treatment group was significantly better than that in the control group. In the first, second, and third cycles, the pain degree and duration of severe primary dysmenorrhea patients in both groups improved with the prolongation of the treatment cycle, and the pain degree and duration of the patients in the treatment group continued to decrease during the follow-up period compared with those before treatment. The pain degree and duration in the control group were significantly higher than that in the first, second and third cycles. Conclusion: the curative effect of herbal moxibustion on the symptoms of moderate and severe primary dysmenorrhea is better than ibuprofen capsule, and the long-term curative effect is remarkable.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

【引证文献】