立极针法治疗寒湿凝滞型原发性痛经的疗效及其改善生活质量的观察

摘要

目的 观察立极针法治疗寒湿凝滞型原发性痛经的临床疗效及对其相关生活质量评价.方法 采用随机单盲对照试验,将符合纳入标准的寒湿凝滞型原发性痛经患者76例,随机分为两组,立极针法组38例和传统体针法组38例,两组均治疗3个月经周期,采用生活质量评价量表SF-36、痛经症状评分和VAS评分法,观察其近期疗效,并对患者治疗前后的健康相关生活质量进行评价,包括生理机能(PF)、生理职能(RP)、躯体疼痛(BP)、一般健康状况(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)等,用累计得分换算法进行分析.结果 立极针法组脱落2例,传统体针法脱落1例,经过治疗后,立极针法组和传统体针法组总有效率分别为91.67％和83.78％,两组间比较,差异有统计学意义(P＜0.05).两组VAS评分、痛经症状评分在治疗期间均有不同程度的下降(P＜0.05),两组间比较,立极针法组明显优于传统体针法组(P＜0.05).两组SF-36量表各维度评分在治疗期间均有不同程度提高(P＜0.05),除PF外,各维度两组间比较,立极针法组明显优于传统体针法组(P＜0.05).结论 立极针法治疗寒湿凝滞型原发性痛经临床疗效显著,能明显减轻疼痛,并能改善痛经所伴随症状,从而提高痛经患者的生活质量,值得临床推广.%Objective To Evaluate the efficacy of Liji acupuncture on primary dysmenorrhea of cold-damp coagulation type and its improvement on the life quality. Methods In this study, 76 cases of primary dysmenorrhea of cold-damp coagulation type were randomly divided into 2 groups, Liji acupuncture group (n=38) and body acupuncture group (n=38). The participants in the both groups were treated for 3 menstrual cycles. The quality of life assessment scale SF-36, dysmenorrhea symptoms score and visual analogue scale (VAS) were used to observe the therapeutic efficacy. The health-related quality of life before and after treatment, including physical functioning (PF), role physical functioning (RP), body pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional functioning (RE), mental health (MH), and report health transition (HT), were recorded. Results There were 2 cases lost in the Liji acupuncture group and 1 cases in the body acupuncture group. After treatment, the total effective rates of Liji acupuncture and body acupuncture were 91.67％ and 83.78％, respectively, which was significantly higher of Liji acupuncture (P＜0.05). The VAS scores and dysmenorrhea symptom scores in the both groups were significantly reduced during treatment (P＜0.05), and were significantly more prominent of Liji acupuncture (P＜0.05). The scores of SF-36 scale of the two groups were significantly improved during treatment (P＜0.05). Apart from PF, improvements in the rest dimensions were significantly superior in Liji acupuncture to the body acupuncture group (P＜0.05). Conclusion The clinical efficacy of Liji acupuncture is remarkable. Liji acupuncture significantly relieve pain and improve symptoms of dysmenorrhea, thereby improving the quality of life of dysmenorrhea patients.