针刺配合穴位贴敷治疗原发性痛经疗效观察

Observations on the Efficacy of Acupuncture Plus Point Application in Treating Primary Dysmenorrheal

目的观察针刺配合穴位贴敷治疗原发性痛经的疗效。方法原发性痛经患者75例随机分为治疗组45例(针刺配合穴位贴敷治疗)与对照组30例(口服双氯芬酸钠缓解胶囊),观察治疗3、6、12个月的疗效,及治疗3个月疼痛积分情况及治疗过程中止痛起效时间、维持时间变化,并进行对照分析。结果针刺配合穴位贴敷治疗的疗效、止痛起效时间、维持时间、疼痛积分改善情况均优于口服双氯芬酸钠缓解胶囊,差异有统计学意义(P<0.05)。结论针刺配合穴位贴敷是治疗原发性痛经较为有效的方法,止痛维持时间较长。

Objective To investigate the efficacy of acupuncture plus point application in treating primary dysmenorrhea. Methods Seventy-five patients with primary dysmenorrhea were randomly allocated to a treatment group of 45 cases （treated by acupuncture plus point application） and a control group of 30 cases （oral administration of diclofenac sodium）. The therapeutic effects were evaluated after three, six and twelve months of treatment. Pain score was counted after three months of treatment. The time for producing an analgesic effect and the time for maintaining it were recorded during the treatment. Comparative analyses were made. Results The therapeutic effect of acupuncture plus point application was better than that of oral administration of diclofenac sodium. The time for producing an analgesic effect, the time for maintaining it and pain score improved more for acupuncture plus point application compared with oral administration of diclofenac sodium. There was a statistically significant difference （P^0.05）. Conclusion Acupuncture plus point application is a more effective way to treat primary dysmenorrhea. The maintenance time of analgesia is longer.