隔姜灸结合通脉温阳灸治疗寒湿凝滞型原发性痛经临床观察

Clinical Observation of Ginger Moxibustion Combined with Tongmai Wenyang Moxibustion in the Treatment of Primary Dysmenorrhea of Cold-damp Stagnation Type

目的:观察隔姜灸结合通脉温阳灸治疗寒湿凝滞型原发性痛经临床疗效。方法:选取2014年8月至2016年10月在安徽省针灸医院就诊的寒湿凝滞型原发性痛经患者86例,按照随机数表法分为治疗组(43例)和对照组(43例),对照组给予常规针刺治疗,治疗组在对照组的基础上给予隔姜灸结合通脉温阳灸治疗。观察两组疼痛视觉模拟评分(VAS)评分与临床疗效。结果:两组治疗后VAS评分比较(P<0.05),差异有统计学意义。治疗组患者治疗治疗第1、2、3个疗程后VAS评分均较对照组降低更显著(P<0.05)。治疗组在第1、2、3两个治疗期间的恢复均较对照组快。治疗组临床总有效率95.35%较对照组的76.74%高(P<0.05),且治疗组的临床治愈显率74.41%明显高于对照组53.49%。结论:隔姜灸结合通脉温阳灸在针刺基础上治疗寒湿凝滞型原发性痛疗效显著,优于单纯针刺治疗。

Objective： To observe the effect of ginger moxibustion combined with Wenyang Tongmai moxibustion for treatingcold damp stagnation type primary dysmenorrhea. Methods： From August 2014to January 2016of our hospital, the acupuncturetreatment of 86cases of cold damp stagnation type hospital primary dysmenorrhea patients, randomly divided into treatment group（43cases） and controlled group （43cases）, the controlled group was given conventional acupuncture treatment, given Tongmaiginger moxibustion with Warming Yang moxibustion treatment group based on the controlled group. The visual analogue scale（VAS） score and clinical efficacy of the two groups were observed. Results： The VAS score of the two groups after treatment （P〈0. 05）, the difference was statistically significant. The VAS score of the treatment group was significantly lower than that of thecontrolled group after 1, 2, and 3courses of treatment （P〈O. 05）. The recovery of the treatment group in 1, 2, and 3in thetwo treatment periods were faster than those in the controlled group. The total effective rate of the treatment group was （76. 74% ）higher than that of the controlled group （ P〈0.05 ）, and the clinical cure rate of the treatment group was significantly higher thanthat of the controlled group （53.49%）, which was significantly higher than that in the controlled group （P〈0. 05）, which wassignificantly higher than that in the controlled group （74.41%）. Conclusion： The effect is obvious of using Ginger moxibustioncombined with Wenyang Tongmai moxibustion on the basis of acupuncture in the treatment of cold-damp stagnation type primarydysmenorrhea, it is significantly better than acupuncture only.