不同介入时机针刺十七椎穴对原发性痛经的影响

Effects of Different Time Acupuncture at Point Shiqizhui on Primary Dysmenorrhea

目的观察不同介入时机针刺十七椎穴对原发性痛经的影响,比较其差异。方法将200例原发性痛经患者随机分为治疗组和对照组,每组100例。两组均针刺十七椎穴,治疗组在经前第5天开始治疗,对照组在疼痛发作第1天开始治疗。治疗3个月经周期后分别记录两组简明McGill疼痛评分表(SF-MPQ)的变化,评价两组治疗前后症状改善情况。结果两组治疗后SF-MPQ各项指标与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。治疗组治疗后SF-MPQ各项指标与对照组比较,差异均具有统计学意义(P<0.05)。结论经前针刺十七椎穴与疼痛即刻针刺十七椎穴对原发性痛经均有疗效,经前针刺十七椎穴疗效较好。

Objective To compare the effects of different time acupuncture at point Shiqizhui on primary dysmenorrhea. Methods Two hundred patients with primary dysmenorrhea were randomly allocated to the treatment and control groups, 100 cases each. The treatment group began to be treated at five days before menstruation and the control group, at one day after the pain attack. The short-form McGill Pain Questionnaire （SF-MPO） score was counted in the two groups before and after three menstrual periods of treatment. Improvements in the symptoms were assessed in the two groups after treatment. Results There were statistically significant pre-/post-treatment differences in the SF-MPO item scores in the two groups （P〈0.01,P〈0.05）. There were statistically significant post-treatment differences in the SF-MPO item scores between the treatment and control groups （P〈0.05）. Conclusion Acupuncture at point Shiqizhui not only before menstruation but also immediately after the pain attack has a therapeutic effect on primary dysmenorrhea. Premenstrual acupuncture at point Shiqizhui produces a better therapeutic effect.