热敏灸关元治疗原发性痛经的非随机同期对照研究

Non-randomized Concurrent Control Trial of Guanyuan Point Thermal Moxibustion in Treating Primary Dysmenorrhea

目的:观察热敏灸与普通悬灸关元治疗原发性痛经(寒湿凝滞型)的临床疗效。方法:采用灸感法及红外法探查关元是否被热敏化,据此将患者分为2组,热敏灸组(灸感法与红外法探查皆阳性)61例,采用热敏灸疗法;普通悬灸组(灸感法与红外法探查皆阴性)56例,采用普通悬灸法。结果:热敏灸组与普通悬灸组近期疗效、即时疗效比较,差异均有非常显著性意义(P<0.01);2组症状积分、简化McGill疼痛询问量表(MPQ)中疼痛分级指数(PR)I、目测类比定级法(VAS)、现有疼痛强度(PP)I第1疗程、第3疗程及治疗后3月比较,差异均有非常显著性意义(P<0.01)。结论:热敏灸关元治疗原发性痛经疗效优于普通悬灸。

Objective： To compare the curative effect of thermal moxibustion and routine moxibustion for the treat- ment of primary dysmenorrheal with the syndrome pattern of cold-dampness stagnation. Methods： The patients were divided into two groups according to the response of Guanyuan point to moxibustion stimulation and infrared radiation. Sixty-one patients with positive response to both moxibustion stimulation and infrared radiation were treated with ther- mal moxibustion on Guanyuan point, and 56 with negative response to both moxibustion stimulation and infrared radiation were treated with routine moxibustion on C, uanyuan point. Results= Thermal moxibustion group had significant difference with routine moxibustion group in short-term curative effect and immediate curative effect（P 〈 0.01）. There were also significant differences of symptoms scores, pain rating index of Simplified McGill pain questionnaire（MPQ）, Visnal Ana- logue Scale（VAS） pain score and present pain intensity（PPI） between the two groups during the first and third treatment course, and 3 months after treatment（P〈0.01）. Conclusion： Thermal moxibustion on Cuanyuan point has better effect than routine moxibustion in treating primary dysmenorrhea.