隔药灸脐法对原发性痛经患者下腹部疼痛及额外卧床时间的影响

摘要

目的：观察隔药灸脐法对原发性痛经患者下腹部疼痛时间、疼痛程度、额外卧床时间的影响。方法将符合纳入标准的75名原发性痛经患者随机分为隔药灸脐组、隔淀粉灸脐组、针三阴交组，每组各25例，采用 COX 痛经症状量表评价3组患者治疗前、第1、2、3月经期及随访期下腹部疼痛情况及疼痛引起的额外卧床时间。结果第2、3月经期，隔药灸脐组对下腹部疼痛时间及疼痛程度改善优于隔淀粉灸脐组和针三阴交组（P ＜0．05～0．01）；对额外卧床时间的改善优于针三阴交组（P ＜0．01）。随访期隔药灸脐组对下腹部疼痛时间及疼痛程度、额外卧床时间的改善优于隔淀粉灸脐组和针三阴交组（P ＜0．05～0．01）。结论隔药灸脐组对原发性痛经患者下腹部疼痛时间及疼痛程度、额外卧床时间改善明显，且远期疗效较好。%OBJECTIVE To investigate the effect of umbilical medicine moxibustion on the duration and degree of lower ab-dominal pain and extra time in bed of patients with primary dysmenorrhea.METHODS 75 patients with primary dysmenor-rhea were randomly divided into umbilical medicine moxibustion group,umbilical starch moxibustion group and sanyinjiao acu-puncture group with 25 cases in each group.Lower abdominal pain and the extra time in bed which caused by pain were evalua-ted by Cox Menstrual Symptom Scale before treatment,and in the 1st,2nd and 3rd menstrual cycle after treatment as well as in the follow-up menstrual cycles.RESULTS After treatment,in the second and the third menstrual cycles,the duration of the pain and degree of lower abdominal pain were decreased more significantly in umbilical medicine moxibustion group than those of the other two groups(P <0.05~0.01);extra time in bed decreased significantly in umbilical medicine moxibustion group than that of the sanyinjiao acupuncture group(P <0.01).At follow-up period,the duration and degree of lower abdomi-nal pain and extra time in bed decreased more in umbilical medicine moxibustion group those of the other two groups(P <0.05~0.01).CONCLUSION The duration and degree of lower abdominal pain and extra time in bed were remarkably decreased in umbilical medicine moxibustion group compared with the other two groups,especially at the second,third menstrual cycle after treatment and follow-up period.The therapeutic effect of umbilical medicine moxibustion lasts longer.