针刺腹肌肌筋膜触发点治疗原发性痛经的疗效

Efficacy of acupuncture at abdominal myofascial trigger points for the treatment of patients with primary dysmenorrhea

目的回顾性分析针刺腹肌肌筋膜触发点（MTrPs）治疗原发性痛经的效果。方法选择中、重度原发性痛经患者65例，在腹肌肌筋膜定位MTrPs，并在月经中期对MTrPs进行针刺并注射1％利多卡因治疗，针刺时需引出腹肌局部跳动，反复针刺直至跳动消失。每次针刺结束后指导患者行腹肌牵张锻炼，保持0．5-1．0mini次，3-5次，d。于每次治疗后的下一次月经期及最后一次治疗的1年后，评估VAS及疗效。当VAS〈3时，结束针刺治疗。结果第1、2次治疗后及1年后随访有效率分别为63％（41／65例），100％（65／65例）和100％（65／65例）。结论针刺腹肌MTrPs结合腹肌牵张锻炼可有效缓解原发性痛经。

Objective To retrospectively observe the efficacy of acupuncture at myofacial trigger points （MTrPs） in abdominal muscles for the treatment of patients with primary dysmenorrhea. Methods Sixty- five patients with moderate or severe primary dysmenorrhea were treated with acupuncture therapy. The MTrPs in abdominal region were localized and repeatedly acupunctured and injected with 1% lidocaine, combined with auto-stretching exercise of abdominal muscles, 0.5-1.0 min/time, 3-5 times/d. VAS and effects were evaluated at the menstrual period after every acupuncture, and one year after last acupuncture. Results The effective rate was 63% （41/65 cases）, 100% （65/65 cases）and 100% （65/65 cases）after the acupuncture 1,2 times and 1 year after the treatment respectively. Conclusion Acupuncture at MTrPs in abdominal region combined with stretching exercise is effective for the treatment of primary dysmenorrhea.