针四关穴为主治疗原发性痛经临床观察

Acupuncture at Siguan points for treatment of primary dysmenorrhea

目的:观察青龙摆尾法针刺四关穴为主治疗原发性痛经(PD)的临床疗效,并探讨其作用机制。方法:将180例PD患者随机分为针四关穴组( A组)60例、常规取穴组(B组)60例、月月舒组(C组)60例。A组以青龙摆尾法针刺四关穴(合谷、太冲);B组常规取穴,穴取三阴交、次醪为主;C组口服月月舒冲剂。治疗3个月后统计疗效,并观察治疗前后患者血液流变学及前列腺素等指标的改变。结果:A组治愈率为75.0%,总有效率为100.0%;B组分别为60.0%、95.O%;C组分别为25.0%、90.0%。A、B组疗效优于C组(P<0.01);而治疗30分钟内止痛疗效比较,A、B两组优于C组(P<0.01),A组优于B组(P<0.01)。结论:青龙摆尾法针刺四关穴为主治疗原发性痛经疗效显著,其作用机制可能是通过改善患者的血液循环状态、抑制前列腺素而达到缓解疼痛的目的。

Objective To obsetve the therapeutic effect of acupuncture at Siguan points with Qinglong Baiwei method on primary dysmenorrhea （PD） and to study the mechanism. Methods One hundred and eighty cases of PD were randomly divided into group A, group B and group C, 60 cases in each group. Group A were treated by acupuncture at Hegu （LI 4） and Taichong （LR 3） with Qinglong Baiwei method; group B were treated by routine acupuncture with Sanyinjiao （SP 6）, Ciliao （BL 32） selected as main points： and group C were treated by oral administration of Yueyueshu Decoction. After treatment of 3 months, the therapeutic effects were analyzed, and changes of hemorrheological indexes and prostaglandin level were observed. Results The cured rate and the total effective rate were 75.0% and 100.0% in group A, 60.0% and 95.0% in group B, and 25.0% and 90.0% in group C, respectively, group A and B being significantly better than group C （P〈0. 01）. And the analgesic effects within 30 min of treatment in both group A and group B were significantly better than that in group C （P〈0.01）, and that in group A was significantly better than that in group B （P〈0. 01）. Conclusion Acupuncture at Siguan points with Qing-long Baiwei method has a significant therapeutic effect on primary dysmenorrhea. The possible mechanism is to relieve pain by improving blood circulation and inhibiting production of prostaglandin.