腹针疗法治疗原发性痛经临床观察

摘要

目的:比较腹针疗法与口服布洛芬治疗原发性痛经临床疗效差异.方法:将64例原发性痛经患者随机分为腹针组和布洛芬组,每组各32例.腹针组选穴中脘、下脘、气海、关元,双侧滑肉门、外陵、下风湿点,于每次月经来潮前1周进行针刺治疗,至疼痛消失时停止针刺治疗;布洛芬组采用口服布洛芬缓释胶囊,于每次月经来潮痛经出现时开始服用,至疼痛消失时停止服药.两组均治疗3个月经周期,并于停止治疗后连续随访3个月经周期,观察远期疗效.采用VAS评分法、痛经症状评分及SF-36量表进行疗效评价.结果:两组患者VAS评分在治疗后均下降(P＜0. 05),治疗期两组间评分下降差异无统计学意义(P＞0. 05);随访期腹针组VAS评分下降明显优于布洛芬组(P＜0. 05).两组患者痛经评分在治疗后均下降(P＜0. 05),治疗期两组间下降差异无统计学意义(P＞0. 05);随访期腹针组评分下降明显优于布洛芬组(P＜0. 05).两组患者生活质量评分(SF-36评分)在治疗期均提高(P＜0. 05),两组间评分差异无统计学意义(P＞0. 05);随访期腹针组生活质量评分明显优于布洛芬组(P＜0. 05).结论:腹针疗法能改善患者的痛经疼痛及伴随症状,远期疗效持久稳定,且可提高患者生活质量.%Objective:To compare the clinical differences between Ibuprofen and abdominal acupuncture in the treatment of primary dysmenorrhea. Methods:64 cases of primary dysmenorrhea were randomized into the observation group (n =32) and the control group (n =32). The control group was treated with Ibuprofen; the observation group was treated with abdominal acupuncture, and points chosen were CV12, CV10, CV6, CV4, ST24, ST26, and Xiafengshi Dian. The treatment started one week before the period until dysmenorrhea disappear in the observation group; whereas it started from the period until dysmenorrhea disappear in the control group. Both groups were treated for three menstrual cycles, and long-term effect was observed during three-month follow-up. The therapeutic effects were evaluated by scores of VAS, dysmenorrhea symptoms, and SF-36. Results:In terms of VAS score, it was significantly decreased after the treatment in the two groups (P ＜0. 05), but there was no statistical significance between the two groups during the treatment(P ＞0. 05); it was decreased more significantly in the observation group than that in the control group during the follow-up period(P ＜0. 05). In terms of symptoms score, it was significantly decreased after the treatment in the two groups(P ＜0. 05), but there was no statistical significance between the two groups during the treatment (P ＞ 0. 05); it was decreased more significantly in the observation group than that in the control group during the follow-up period(P ＜0. 05). In terms of SF-36 score, life quality was both improved in the two groups during the treatment period (P ＜0. 05), it showed no significant difference between the two groups(P ＞0. 05); it was improved more in the observation group than that in the control group during the follow-up period (P ＜0. 05). Conclusion:Abdominal acupuncture can improve pain and concomitant symptoms, the long-term effect is reliable, and it can improve life quality of the patients.