隔药灸联合腹针治疗原发性痛经随机平行对照研究

Clinical Randomized Parallel Contrast Study on Primary Dysmenorrheal Treated with Medicine Moxibustion combined with Abdomen Acupuncture

[目的]观察隔药灸联合腹针治疗原发性痛经疗效。[方法]使用随机平行对照方法,将96例门诊患者按就诊先后次序随机分三组。对照1组32例常规针刺,月经前2周开始,1次/d,1周治疗5次,月经第1天停止。对照2组32例美洛昔康,月经前1天始服,1片/d,1次/d,共服3d。治疗组32例隔药灸联合腹针,经期前2周开始,1次/d,5次/周。治疗1个月经周期为1疗程。观测临床症状、症状积分、不良反应。连续治疗3疗程,随访3个月,判定疗效。[结果]治疗组痊愈14例,显效15例,有效3例,无效0例,愈显率90.60%;对照1组痊愈11例,显效13例,有效5例,无效3例,愈显率75.00%;对照2组痊愈10例,显效12例,有效6例,无效4例,愈显率68.00%;治疗组疗效优于对照组(P<0.05)。症状积分3组均有改善(P<0.05),治疗组改善优于对照1组与对照2组(P<0.05)。[结论]隔药灸联合腹针治疗原发性痛经,疗效满意,无严重不良反应,值得推广。

[Objiective] To observe the Clinical efficacy on primary dysmenorrheal treated with medicine moxibustion combined with abdomen acupuncture. [Methods] 96 primary dysmenorrheal were randomly divided into treatment group, control group 1（traditional acupuncture） and control group 2（medicine）（n=32）. The control group 1 was treated by traditional acupuncture： the therapy was implemented at two weeks before the menstruation（one time per day; five times per week;） and was stopped when menstruation occurred. The control group 2 was treated with meloxicam： the therapy was implemented at one day before the menstruation（one slice per day; one time per day; total dose： three slices）. The treatment group was treated by moxibustion combined with abdomen acupuncture： the therapy was implemented attwo weeks before the menstruation（one time per day; five times per week）. The one treatment course was regarded as one therapy of menstrual cycles. The clinical comprehensive efficacy, dysmenorrhea symptom score and the side effects werecompared at the end of the period of treatment. Thejudgment of curative effect could be compare after threecontinuoustreatment course. [Results] 14 cases with cure, 15 cases with obvious effect, 3 cases with partial effect, 0 case with invalidity were involved in the treatment group and cured and the markedly effective rate was 90.60%; 11 cases with cure, 13 cases with obvious effect, 5 cases with partial effect, 3 cases with invalidity were involved in the control group 1 and cured and the markedly effective rate was 75.00%; 10 cases with cure, 12 cases with obvious effect, 6 cases with partial effect, 4 cases with invalidity were involved in the control group 2 and cured and the markedly effective rate was 68.00%. The clinical comprehensive efficacyof the treatment group was significantly better than that of two control groups（P〈0.05）. The dysmenorrhea symptom score of the treatment group was significantly improved than that of both the control group 1 and the control group 2（P〈0.05）. [Conclusion] The medicine moxibustion combined with abdomen acupuncture applied to the therapy of primary dysmenorrhealobtains satisfactory therapeutic efficacy and there was no severe bad reaction, which it worth to be popularized and applied.