单穴次髎与关元针刺治疗原发性痛经疗效比较

Comparative Study on the Therapeutic Efficacy of Acupuncture at Ciliao(BL32) Versus Guanyuan(CV4) for Primary 1213 Dysmenorrhea

目的比较次髎穴与关元穴治疗原发性痛经的镇痛特异性。方法将60例原发性痛经患者随机分为关元组、次髎组,采用视觉模拟评分(VAS)法分别记录针刺前即时、针刺留针期间、起针后多时点的即时疼痛指数,并进行比较。结果两组均在针刺后迅速产生止痛作用并持续加强,次髎组优于关元组,且次髎穴临床止痛效能在起针后30 min达到最大峰值。结论次髎穴即时针刺镇痛效果优于关元穴。

Objective To compare the analgesic specificity between Ciliao（BL32） and Guanyuan（CV4） in treating primary dysmenorrhea. Method Sixty patients with primary dysmenorrhea were randomized into Guanyuan group and Ciliao group. Visual Analogue Scale（VAS） was adopted to evaluate and compare the pain score right before needling, during the retaining of needles, and at several time points after the removal of needles. Result The two groups both can swiftly produce increasing analgesic effects after needling, and the effect in Ciliao group was more significant than that in Guanyuan group. The analgesic effect of Ciliao approached the peak value at 30 min after the removal of needles. Conclusion Ciliao can produce a more significant needling analgesic effect compared to Guanyuan.