“针上灸”法与“温针灸”法临床治疗效应的差异比较

Comparison of the Clinical Treatment Effect Difference between“Zhen-Shang-jiu”and“Wen-Zhen-jiu”

目的:通过"针上灸"法与"温针灸"法治疗寒凝血瘀型原发性痛经,来比较"针上灸"法与"温针灸"法临床治疗效应的差异。方法:将患者随机分为"针上灸"组和"温针灸"组,采取相应的治疗,并进行观察。结果:"针上灸"组与"温针灸"组总有效率分别为94.44%、82.86%,通过χ2检验分析,2组总有效率之间没有显著的差异(P>0.05);比较2组治疗前后的疼痛积分数据,"针上灸"法的近期疗效要优于"温针灸"法,随访结果显示2种方法的远期疗效都有待提高。结论:"针上灸"法与"温针灸"法临床疗效确切,但前者温热效应更快速,可控性更好;可以充分发挥艾灸时艾油的作用;能最大限度避免出现患者被烫伤和烧坏床单的事故,使患者能以放松的体态和心态接受治疗,达到"两神合一"的最佳治疗效果。

Objective：To compare the clinical efficacy between ＂Zhen-Shang-jiu＂ and ＂Wen-Zhen-jiu＂ through the treating cold coagu-lation of blood stasis dysmenorrhea. Methods： Patients were randomly divided into the ＂Zhen-Shang-jiu＂ group and the ＂Wen-Zhen-jiu＂ group to perform appropriate treatment. Curative effects were observed afterwards. Results： The total efficiency of the ＂Zheu-Shang-jiu＂ group was 94.44%, and the ＂Wen-Zhen-jiu＂ group 82.86%. Through X^2 test analysis, two groups had no significant differ-ence in terms of efficiency （P 〉 0. 05 ）. Comparing the pain score data of two groups before and after the treatment, ＂Zhen-Shang-jiu＂ group＇s efficacy was better than that of the ＂Wen-Zhen-jiu＂ group. Long-term efficacy of the two methods is yet to be improved. Conclu-sion： Both ＂Zhen-Shang-jiu＂ and ＂Wen-Zhen-jiu＂ show clinical efficacy, but the former： 1 ） has a faster warm effect and is easy to ma- nipulate ; 2） gives full play to moxa and moxibustion oil ; 3） avoids patients or bed sheets to get burnt to the greatest degree possible, so that patients can always have the best therapeutic effect by relaxing completely.