针刺治疗原发性痛经止痛效果观察

Analgesic effects of primary dysmenorrhea treated with acupuncture

目的:观察针刺治疗原发性痛经的止痛效果。方法:将62例原发性痛经(气滞血瘀证或寒凝血瘀证)确诊患者随机分为两组,针刺组于经期第1天疼痛最为明显时针刺十七椎、三阴交、次髎、地机等穴,每日1次,连针3次,1个月经周期为1个疗程,连续治疗3个疗程。对照组于治疗期疼痛视觉模拟评分(Visual Analogue Scale,VAS)≥80 mm时给予阿司匹林泡腾片,0.5 g/片,1片/次。3个疗程结束后连续随访3个月经周期,对两组病例筛选期、治疗期及随访期的Mcgill疼痛问卷简表(SF-MPQ)及痛经症状量表(CMSS)评分进行比较。结果:①针刺组治疗期及随访期的SF-MPQ评分均显著低于对照组(均P<0.01);CMSS总频率及严重程度评分明显低于对照组(P<0.01,P<0.05)。②针刺组筛选期、治疗期及随访期的SF-MPQ评分依次比较,均具有明显差异(P<0.01),CMSS总频率及严重程度分值均具有明显差异(P<0.01,P<0.05);对照组筛选期、治疗期及随访期的SF-MPQ评分、CMSS总频率及严重程度评分依次比较均无明显差异(P>0.05)。结论:针刺十七椎、三阴交、次髎、地机等穴治疗原发性痛经效果显著。

Objective：To observe the analgesic effect of primary dysmenorrhea treated with acupuncture.Methods：Totall 62 cases primary dysmenorrhea（the type of blood stasis due to stagnation of Qi or the type of blood stasis due to cold） were divided into 2 groups randomly：acupuncture group was treated with acupunture on Shiqizhui,Sanyinjiao,Ciliao and Diji at the most analgesic moment on the first day of emmenia,1 time a day,3 days continuously,a menstrual cycle was a treatment course,3 courses were needed continuously.The control group was given aspirin effervescent tablets when visual analogue scale（VAS）≥80 mm,0.5 g/tablet,1 tablet/time,for oral use.Two groups were followed up for 3 menstrual cycle after treatment,compared the short form of McGill pain questionnaire（SF-MPQ） and the Cox menstrual symptom scale（CMSS） in screening stage,treatment stage and follow-up stage.Results：①The scores of SF-MPQ in acupuncture group at treatment and follow-up stages were decreased than those of control group（P0.01）;the CMSS total frequency and the severity scores of acupuncture group were also decreased than those of control group（P0.01,P0.05）.②As for the SF-MPQ,the total frequency and severity scores in the acupuncture group,there were significant differences at the screening stage,treatment stage and follow-up stage（P0.01,P0.05）.In the control group,there were no differences（P0.05）.Conclusion：Needling on Shiqizhui,Sanyinjiao,Ciliao and Diji have prominent effect on primary dysmenorrhea.