分期穴位埋线治疗原发性痛经的临床疗效观察

摘要

目的：观察分期穴位埋线治疗原发性痛经的近期和远期疗效。方法：将60例原发性痛经患者随机分成埋线组和对照组各30例。埋线组于经前期（月经来潮前5～10天）和经后期（月经干净第3～7天）分别埋线1次，经前期以关元、十七椎、子宫、次髎为主，经后期以肝俞、脾俞、肾俞、三阴交为主；对照组给予口服布洛芬缓释胶囊，月经来潮第1天开始口服，每次0．3 g，每天两次，至疼痛缓解。1个月经周期为1个疗程，连续治疗3个疗程后观察近期疗效，并随后停止治疗满3个月经周期时，随访远期疗效。采用痛经积分进行疗效评定。结果：埋线组治疗后痛经积分与对照组相比，差异具有非常显著性意义（P＜0．01）；埋线组近期和远期疗效与对照组相比，差异具有统计学意义（P＜0．05、P＜0．01）。结论：穴位埋线法的近期和远期疗效均优于口服西药布洛芬缓释胶囊，且穴位埋线法经济、安全、疗效持久稳定。%Objective:To observe the short-term and long-term efficacies on primary dysmenorrhea treated by staging acupoint catgut embedment therapy.Methods:Sixty cases of primary dysmenorrheal were randomly assigned into an embedment therapy group and a control group,with 30 cases in each one.In the embedment therapy group,the embedment therapy was applied twice during the menstrual cycle,one treatment for 5~10 days before menstruation and one treatment for 3 ~7 days after menstrual clean.Guanyuan, Shiqizhui, Zigong and Ciliao were the main acupoints in the treatment for 5~10 days before menstruation.Ganshu,Pishu,Shenshu and Sanyinjiao were the main acupoints in the treatment for 3 ~7 days after menstrual clean.In the control group,fenbid was oraled,0.3 g each time,twice a day,starting the first day of menstruation till pain was re-lieved.The treatment of one menstrual cycle was one session.The continuous treatment of 3 menstrual cycles was required.The short-term and long-term efficacies were evaluated at the end of the 3rd cycle and in 3 months after the treatment.The dysmenorrhea score was used to evaluate the efficacy.Results:The dysmenorrhe-al score in the embedment therapy group was much better than that in the control group after the 3 menstrual cy-cles(P<0.01).The short-term and long-term efficacies in the embedment therapy group were better than those in the control group(P<0.05,P<0.01).Conclusion:The staging acupoint embedment therapy achieves superior short-term and long-term efficacies as compared with the oral administration of fenbid in the treat-ment of primary dysmenorrheal,and the acupoint embedment therapy is economical and safe,which has a contin-uously curative effect.