加味桃红四物汤敷脐结合艾灸治疗运动员原发性痛经的临床研究

Treating Primary Dysmenorrhea of Athletes Using Modified Taohongsiwutang Applied on Umbilical Coupled with Moxibustion Therapy

目的:观察加味桃红四物汤敷脐结合艾灸治疗运动员原发性痛经的临床疗效,为临床开展此疗法提供理论依据。方法:选取60例原发性痛经运动员,采用随机数字表方法分为中药+艾灸组(加味桃红四物汤敷脐+艾灸疗法)、中药组(加味桃红四物汤敷脐)和艾灸组(艾灸疗法),以上3种治疗方法均于经前5天至月经来潮第2天,每天1次,连续治疗3个月,观察治疗前、治疗后及治疗后3个月3组患者痛经症状评分、疼痛程度评分及子宫弓动脉搏动指数(PI)和阻力指数(RI)的变化,并判定各组临床疗效计算有效率和治愈率。结果:1.三组治疗后的痛经症状评分均显著低于治疗前(P<0.05),治疗后3个月各组评分均显著高于治疗后(P<0.05),但仍显著低于治疗前(P<0.05);中药+艾灸组在治疗后和治疗后3个月的评分显著低于艾灸组(P<0.05),但与中药组间并无显著性差异。2.三组治疗后的疼痛程度评分均显著低于治疗前(P<0.05),治疗后3个月各组评分均显著高于治疗后(P<0.05),但仍显著低于治疗前(P<0.05);中药+艾灸组在治疗后和治疗后3个月的评分均显著低于艾灸组和中药组(P<0.05)。3.与治疗前比较,中药+艾灸组和艾灸组在治疗后RI值和PI值均有显著下降(P<0.05),中药组经治疗后仅有PI值有显著下降(P<0.05);治疗后3个月,三组的RI值和PI值均显著高于治疗后(P<0.05),但仍显著低于治疗前(P<0.05)。无论是治疗后还是治疗后3个月,中药+艾灸组的RI值和PI值均显著低于其他两组(P<0.05)。4.治疗后,中药+艾灸组有效率为100%,中药组83.33%,艾灸组76.47%;中药+艾灸组治愈率为31.25%,中药组5.56%,艾灸组5.88%,中药+艾灸组的治愈率优于其他两组(P<0.05),有效率无显著性差别。结论:加味桃红四物汤敷脐结合艾灸疗法能显著改善痛经症状,有效缓解疼痛程度,显著降低子宫弓动脉搏动指数和阻力指数,改善子宫微循环,提高有效率和治愈率。近期疗效肯定。此疗法疗效确切,操作简便,适合在运动队中推广。

Objective To observe the clinical efficacy of treating the primary dysmenorrheal of athletes usingthe modified Taohongsiwutang applied on the umbilical coupled with the moxibustion therapy,so as to providea theoretical basis for its clinical application.Methods Sixty athletes diagnosed as the primary dysmenorrhealwere randomly divided into a herbal medicine+moxibustion group(n=20),a herbal medicine group(n=20) anda moxibustion group(n=20),provided with modified Taohongsiwutang applied on the umbilical coupled with themoxibustion therapy,the modified Taohongsiwutang applied on the umbilical only and the moxibustion therapyonly respectively.Each treatment was given daily from the 5th day before the menstruate until the 2nd day ofit.The whole treatment lasted 3 menstrual cycles.The symptom score,pain score,bow of uterus arterial pulsatility index(PI) and resistance index(RI) in each group were observed before,right after and 3 months aftertreatment.The effectiveness rate and cure rate were evaluated.Results The symptom score of each group de-creased significantly right after the treatment(P<0.05),but increased significantly 3 months later(P<0.05),stillsignificantly lower than before the treatment(P<0.05).Furthermore,the score of herbal medicine+moxibustiongroup right and 3 months after the treatment was significantly lower than the moxibustion group(P<0.05),butno significant differences were found when compared to the herbal medicine group.The pain score of eachgroup dropped significantly right after the treatment(P<0.05),but increased significantly 3 months after the treat-ment,which was still significantly lower than before the treatment(P<0.05).Moreover,the pain score of theherbal medicine+moxibustion group measured right and 3 months after the treatment was significantly lowerthan the other two groups(P<0.05).The RI and PI of the herbal medicine+moxibustion and moxibustiongroups both decreased significantly after the treatment(P<0.05),but only PI reduced significantly in the herbalmedicine group.Three months after the treatment,RI and PI of all the three groups were significantly higherthan right after the treatment,but still significantly lower than before the treatment(P<0.05).Both RI and PI ofthe herbal medicine+moxibustion group were lower than the other two groups right and 3 months after thetreatment(P<0.05).The effectiveness rate of the herbal medicine+moxibustion group,herbal medicine groupand moxibustion group was 100%,83.33% and 76.47%,while the cure rate was 31.25%,5.56% and 5.88% re-spectively.The cure rate of the herbal medicine+moxibustion group was significantly higher than the other twogroups(P<0.05).Conclusion Modified Taohongsiwutang applied on the umbilical combined with the moxibustiontherapy can significantly relieve the symptoms of dysmenorrheal and pain,reduce the RI and PI values,en-hance the microcirculation of the uterine,thus improving the treating efficiency and cure rate.The short-term ef-fect of this treatment is definite and obvious.Such therapy is simple and effective,and worth popularizing insport teams.