热敏灸联合中药热敷与布洛芬治疗原发性痛经疗效比较

Heat sensitive moxibustion plus herbal hot compress for primary dysmenorrhea

目的：观察热敏灸配合中药热敷治疗（primary dysmenorrhea, PD）的临床疗效。方法收集2012年1月－2014年1月湖北医药学院附属太和医院PD患者90例，按就诊顺序将患者随机分为2组各45例。治疗组采用热敏灸配合中药热敷，对照组口服布洛芬缓释胶囊，均治疗3个月经周期。结果第1个月经周期结束时，治疗组即时疗效总有效率为95.6%（43/45），对照组为82.2%（37/45），2组比较差异有统计学意义（χ2＝4.050，P＜0.05）；3个月经周期结束时，治疗组痊愈率为66.7%（30/45）、总有效率为97.8%（44/45），对照组分别为35.6%（16/45）、80.0%（36/45），2组痊愈率和总有效率比较差异均有统计学意义（χ2值分别为8.720、7.200，P均＜0.05）；6个月随访时，治疗组复发率为6.7%（2/30），对照组为43.8%（9/16），2组比较差异有统计学意义（χ2＝4.050，P＜0.05）。结论热敏灸配合中药热敷治疗原发性痛经疗效显著。

Objective To evaluate the efficacy of heat sensitive moxibustion plus herbal hot compress for primary dysmenorrhea. Methods Ninety patients with primary dysmenorrhea were randomly allocated to a treatment and a control group, with 45 patients in each group. The treatment group was treated with heat sensitive moxibustion plus herbal hot compress, and the control group received ibuprofen （slow-release capsule） for three menstrual cycles. Results At the end of the first menstrual cycle, the total instant effective rate in the treatment group was significantly higher than that in the control group （95.6%vs. 82.2%;χ2=4.050, P〈0.05）;at the end of the third menstrual cycle, healing rate （66.7% vs. 35.6%; χ2=8.720, P〈0.05）, total effective rate （97.8%vs. 80.0%;χ2=7.200, P〈0.05） in the treatment group were significantly higher than those in the control group;at 6 months follow-up, the relapse rate in the treatment group were significantly lower than that in the control group （6.7% vs. 43.8%; χ2=4.050, P〈0.05）. Conclusion Heat sensitive moxibustion plus herbal hot compress is a effective approach for primary dysmenorrhea.