针刺联合红外光疗仪对比温针灸治疗原发性痛经的临床疗效评价

Assessment on Clinical Efficacy of Acupuncture combined with Infrared Light and Efficacy of Warming Needle Acupuncture for Primary Dysmenorrheal

目的:比较针刺联合红外光疗仪与温针灸治疗原发性痛经的临床疗效。方法:64例寒凝血瘀型原发性痛经患者,随机分为治疗组22例、温针灸组22例和对照组20例。从月经前7天开始,3组患者均针刺气海、关元、水道、归来、三阴交、地机,1次/天,直至月经来临。治疗组在留针的同时,接受红外光疗仪照射小腹部;温针灸组在留针的同时,接受温针灸;对照组只接受针刺。1个月经周期为1个疗程,连续治疗3个疗程,随访3个月后评价疗效。结果:3组综合疗效分别为68.18%、63.64%和45.00%;治疗组、温针灸组综合疗效均优于对照组,差异有统计学意义(P<0.05);治疗组、温针灸组组间比较,差异无统计学意义(P>0.05)。治疗组、温针灸组治疗后VAS分值均低于对照组,差异有统计学意义(P<0.05);治疗组、温针灸组组间比较,差异无统计学意义(P>0.05)。治疗组、温针灸组治疗后COX痛经症状分值均低于对照组,差异有统计学意义(P<0.05);治疗组、温针灸组组间比较,差异无统计学意义(P>0.05)。结论:针刺联合红外光疗仪和温针灸均是治疗原发性痛经的有效手段。红外光疗仪以其温控好、易操作、无污染等优点,将具有广大应用前景。

Objective：To assess the clinical efficacy of acupuncture combined with infrared light and efficacy of warming needle acupuncture for primary dysmenorrheal patients.Methods：Sixty-four patients were randomly divided into treatment group of 22 cases,warming-needle moxibustion group of 22 cases,and control group of 20 patients.From 7 days before menstruation,all patients in 3 groups were acupunctured Qihai（CV6）,Guanyuan（CV4）,Shuidao（ST28）,Guilai（ST29）,Sanyinjiao（SP6）,Diji（SP8）,once a day until onset of menstrual flow.While retaining needle,treatment group received infrared irradiation,and warming-needle moxibustion group received warming-needle moxibustion.Control group only received acupuncture.All patients were treated with 3 menstruation cycles and followed up for 3 months.Results：Overall curative effects of 3 groups were respectively 68.18% and 63.64%,and 45.00%,two treatment groups were significantly superior to that of control group（P ＆lt; 0.05）,and there was no statistical difference between the two treatment groups.Treat groups also showed significantly lower Vas scores,and Cox scores than that of control group（P ＆lt; 0.05）,and the scores were not significantly different between the two groups.Conclusion：Acupuncture combined with infrared light,and warming needle moxibustion are both effective method to treat primary dysmenorrheal.Infrared light will be more widely accepted for such advantages as user-friendliness and zero pollution.