周氏调气止痛方对气滞血瘀型原发性痛经的防治作用

Clinical observation onpreventive treatment of primary dysmenorrhea with acupuncture of regulating Qi and relieving pain

目的：探讨周氏调气止痛方对气滞血瘀型原发性痛经的疗效。方法收集2013年1-11月首都医科大学附属北京中医医院针灸科气滞血瘀型原发性痛经患者60例，按就诊顺序将患者随机分为两组各30例，治疗组以周氏调气止痛方三络穴列缺、丰隆、蠡沟为主穴方，对照组以常规穴合谷、地机、三阴交为主穴方。均于自预测经期开始前1周内接受针灸治疗3次，共治疗3个月经周期。采用疼痛视觉模拟量表（VAS）、痛经严重程度评分（CMSSⅡ）、疼痛时长为观察指标，判定治疗后第1、2、3个月经周期的临床疗效。结果两组治疗后第1、2、3个月经周期VAS 评分、疼痛时长及CMSSⅡ评分[治疗组第1个月经周期分别为（5.05±0.98）分、（14.03±8.37）h、（12.77±3.64）分，第2个月经周期分别为（4.18±0.87）分、（12.53±7.13）h、（12.07±3.69）分，第3个月经周期分别为（3.43±0.82）分、（11.50±6.88）h、（11.33±3.64）分；对照组第1个月经周期分别为（5.00±1.05）分、（14.97±9.19）h、（14.40±3.52）分，第2个月经周期分别为（4.25±0.93）分、（13.83±9.12）h、（13.70±3.43）分，第3个月经周期分别为（3.73±0.91）分、（12.63±9.02）h、（13.03±3.41）分]均较同组治疗前[治疗组分别为（5.70±1.02）分、（14.77±8.78）h、（13.27±3.92）分，对照组分别为（5.60±0.96）分、（15.47±9.44）h、（14.87±3.75）分]显著降低（P＜0.01）。治疗后治疗组 VAS 评分低于对照组（P＜0.05），疼痛时长及CMSSⅡ评分减轻程度两组比较差异无统计学意义（P＞0.05）。结论周氏调气止痛方可有效缓解气滞血瘀型原发性痛经的疼痛程度、降低疼痛时间、改善痛经程度。

Objective To study the effect of preventive treatment of primary dysmenorrhea （belonging to syndrome of stagnation of Qi and blood） by using “acupunctureof regulating Qi and relieving pain”. Methods 60 patientsfrom January 2013 to November 2013（in acupuncture and moxibustion department of Beijing Chinese Medicine Hospital affiliated to Capital Medical University）, with Qi and blood stasis type of primary dysmenorrhea were randomly divided into a treatment group （formula of regulating Qi and relieving pain）and a control group（routine acupuncture group）, 30 cases in each group. The treatment group was treated with acupuncturing onlieque,fenglong,ligou as the main points while the control group withhegu, diji, sanyinjiao as the main points. All patients received 3 times of acupuncture treatment at the beginning of the week before menstruation and were treated three menstrual cycles altogether. VAS scores, length of pain and CMSSⅡscores during baseline period and three menstrual cycles were observed in order to determine the clinical effects. Results VAS score, length of pain and CMSSⅡscores were significantly reduced than before（P＆lt;0.01）[the treatment group in cycle 1 was（5.05±0.98）, （14.03±8.37）h, （12.77±3.64）, in cycle 2 was （4.18±0.87）, （12.53±7.13）h, （12.07±3.69）, in cyce 3 was（3.43±0.82）, （11.50±6.88）h, （11.33±3.64）;the control group in cycle was 1（5.00± 1.05）, （14.97±9.19）h、（14.40±3.5）, in cycle 2 was（4.25±0.93）, （13.83±9.12）h, （13.70±3.43）, in cycle 3 was（3.73±0.91）, （12.63±9.02）h, （13.03±3.41）];Compared with the control group, VAS scores intreatment groupdecreased more significantly （P〈0.05）, while reduced level of pain time and CMSSⅡscores showed no＆amp;nbsp;significant difference between the two groups （P〈0.05）. Conclusion Acupuncture of regulating Qi and relieving painmay effectively relieve pain, shortenlength of pain, improve symptoms of dysmenorrhea severity. It has a significant preventive treatment for Qi and blood stasis type of primary dysmenorrhea.