关元与三阴交配伍针刺对原发性痛经镇痛效果的影响

Clinical Study of Analgesia Effect of Compatibility of Acupuncture on Guanyuan(CV4)and Sanyinjiao(SP6) Acupoints on Primary Dysmenorrhea

目的 :观察针刺关元和同时针刺关元、三阴交两穴对原发性痛经镇痛效果的影响,并探讨其镇痛作用机制。方法 :将符合纳入标准的40例原发性痛经患者随机分成治疗组(A组)和对照组(B组)。A组20例针刺关元、三阴交,B组20例针刺关元。观察针刺前、针刺后及起针后各时间点的VAS评分的变化,并比较各组间的差异。结果:治疗后A组和B组VAS各项指标评分与治疗前比较均有显著性差异(P<0.05);在针刺30 min内,两组VAS评分无显著性差异(P>0.05),起针后60 min、90 min、120 min两组比较有显著性差异(P<0.05),A组优于B组。结论:针刺能有效缓解原发性痛经的疼痛症状,针刺关元配伍三阴交较单针关元穴镇痛效果显著,说明关元配三阴交在治疗原发性痛经中可能有协同关系。

Objective：To observe the analgesia effects of acupuncture on Guanyuan（CV4） acupoint and simultaneous acupuncture on Guanyuan and Sanyinjiao（SP6） acupoints on primary dysmenorrhea and discuss the mechanism of the analgesia effect. Methods：Forty patients with primary dysmenorrhea were randomly divided into treatment group（group A） and control group（group B）. Twenty patients in group A were acupunctured on Guanyuan acupoint and Sanyingjiao acupoints and twenty patients in group B were acupunctured on Guanyuan acupoint. The changes of pain visual analogue scale（VAS） before acupuncture,after acupuncture and on different time after finishing the acupuncture of the two groups were observed and the differences between the two groups were compared. Results：After acupuncture,all the indexes of the VAS of the two groups were significantly different from those before acupuncture（P 〈0.05）.Within 30 minutes,the difference of the VAS score between the two groups was not significant（P 〉0.05）.The difference of the VAS score between the two groups was significant on the 60 th,90 th and 120 th minute after the finish of the acupuncture（P 〈0.05）. The group A was better than the group B. Conclusion：Acupuncture can relieve the pain of primary dysmenorrhea effectively. The analgesia effect of compatibility of Guanyuan and Sanyinjiao acupoints was better than that of only Guanyuan acupoint. There may be a collaborative relationship between Guanyuan and Sanyinjiao in treatment of primary dysmenorrhea.