揿针治疗原发性痛经的疗效观察

Effect of thumb-tack needle for subcutaneous embedding on primary dysmenorrhea

目的评价揿针治疗原发性痛经(primary dysmenorrhea,PD)的临床疗效及安全性。方法将2016年6月至2018年3月四川省第四人民医院针灸科门诊符合纳入标准的75例PD患者按照随机数字表法分为揿针组、揿针+药物组、假针+药物组,各25例。揿针针刺穴位选用地机穴,口服药物选用布洛芬缓释胶囊,3组均治疗3个月经周期,观察3组患者治疗期间和治疗3个月后的临床疗效。随访3个月后的复发情况。结果治疗3个月经周期后,3组患者临床症状均得到明显改善(P<0.05),总有效率分别为92%、92%、76%,3组间比较,揿针组与揿针+药物组疗效比较,差异无统计学意义(P>0.05),但均优于假针+药物组(P<0.05);3组的复发率分别为34.8%、30.4%、68.4%,揿针+药物组的复发情况低于假针+药物组(P<0.05),揿针+药物组与揿针组的复发情况比较,差异无统计学意义(P>0.05)。结论揿针组和揿针联合布洛芬组疗效相近,均能较好地改善患者临床症状,并可延长发作间歇期,降低复发率,临床上可以作为止痛的替代疗法。

Objective To evaluate the clinical efficacy and safety of pressing needle in the treatment of primary dysmenorrhea（ PD）. Methods 75 patients who were diagnosed as PD in the Fourth People＇s Hospital of Sichuan from June 2016 to March 2018,according to the random number table method were divided into the press needle group,the press needle ＋ drug group and the false needle plus drug group with 25 cases in each group. The press needle was ground machine,the drug was oral finp ibuprofen sustained-release capsules,the three groups were treated with 3 menstrual cycles,and the clinical effect of the three groups of patients during the treatment and after 3 months of treatment were observed. Followed-up recurrence after three months. Results After 3 menstrual cycles,the clinical symptoms of the three groups were obviously improved（ P〈0. 05）. The total effective rate was 92 %,92 % and76 % respectively. The curative effect of the press needle group and the press needle ＋ drug group was similar（ P〈0. 05）,and all were superior to the false needle ＋ drugs（ P〈0. 05）. The recurrence rates of three groups were 34. 8 %,30. 4 % and 68. 4 %respectively,the recurrence rate of pressing needle ＋ drug was better than that of the false needle plus drug group（ P〈0. 05）,and the recurrence rate of pressing needle ＋ drug was similar to that of the press needle（ P〈0. 05）. Conclusion Pressing needle and pressing needle combined with ibuprofen are both effective in improving the clinical symptoms of patients,prolonging interictal interval and reducing relapse rate,which can be used as a replacement therapy for pain relief.