吴氏蒸脐法治疗寒凝血瘀型原发性痛经随机对照研究

A Randomized Controlled Study of WU's Steamed Navel Treatment for Cold Stasis Type Primary Dysmenorrhea

目的:观察吴氏蒸脐法治疗寒凝血瘀型原发性痛经的临床疗效。方法:选取寒凝血瘀型原发性痛经患者180例,随机分为治疗组、对照1组和对照2组,每组60例。治疗组给予吴氏蒸脐法治疗;对照1组给予少腹逐瘀颗粒口服治疗;对照2组给予常规针刺治疗。治疗8周后观察3组患者治疗前后患者痛经症状、疼痛程度、中医症候积分的变化,统计其临床疗效。结果:治疗组、对照1组,对照2组临床疗效总有效率分别为91.67%、76.67%、78.33%,治疗组与对照1组,对照2组分别比较有统计学意义(P<0.05);治疗后治疗组在痛经症状、疼痛程度、中医症候积分方面与对照1组,对照2组比较有统计学意义(P<0.05)。结论:吴氏蒸脐法能够有效地缓解寒凝血瘀型原发性痛经患者的痛经症状、中医症候,明显提高了临床疗效,值得进一步推广及应用。

Objective ： To observe the clinical effect of Wu＇s steamed navel therapy for cold stasis type primary dysmenorrhe- a. Methods： 180 cases of primary dysmenorrhea with cold coagulation and blood stasis were randomly divided into treatment group, controlled group 1 （n = 2 ） and controlled group 2 , each group had 60 cases. The treatment group was given Wu＇s steamed navel therapy; the controlled group 1 treated by Shaofu Zhuyu Granules with orally medicating ; the controlled group 2 was treated with conventional acupuncture treatment. After 8 weeks of treatment, the changes of dysmenorrhea symptom, pain de- gree and TCM symptom score of the patients in the 3 groups were observed. Results ： The clinical curative effect the total effec- tive rate of the treatment group and the controlled group 1, the controlled group 2 were 91. 67% , 76. 67% , 78. 33% respec- tively, the treatment group and the controlled group 1 and the controlled group 2 respectively were statistically significant （ P 〈 0. 05 ） ; the treatment group in the symptoms of dysmenorrhea, pain, symptom scores compared with the controlled group 1 and the controlled 2 was statistically significant （ P 〈 0.. 05 ）. Conclusion ： Wu＇s steamed navel therapy can effectively alleviate the symptoms of clysmenorrhea, TCM syndrome of cold coagulation and blood stasis type primary dysmenorrhea patients, can signifi- cantly improve the clinical efficacy compares with the controlled group, it is worthy of further promotion and application.