隔药铺灸治疗卵巢型子宫内膜异位症痛经:随机对照研究

Herb-separated moxibustion on dysmenorrhea in ovarian endometriosis: a randomized controlled trial

目的:观察隔药铺灸治疗卵巢型子宫内膜异位症痛经的临床疗效。方法:将54例子宫内膜异位症痛经患者随机分为隔药铺灸组和等待治疗组,各27例(隔药铺灸组脱落3例,等待治疗组脱落4例)。隔药铺灸组行隔药铺灸疗法,下腹部及腰骶区各灸30 min,每周1次,共治疗3个月,必要时口服布洛芬缓释胶囊止痛;等待治疗组除必要时口服布洛芬缓释胶囊止痛外不做任何干预。分别于治疗前后及治疗后3个月随访时比较两组患者视觉模拟量表(VAS)评分、痛经天数、口服止痛药总剂量。结果:与治疗前比较,隔药铺灸组患者治疗后及随访VAS评分均降低(P<0.05),且低于同期等待治疗组(P<0.05);治疗后及随访痛经天数、口服止痛药总剂量均减少(P<0.05),且少于同期等待治疗组(P<0.05)。结论:隔药铺灸疗法可有效改善卵巢型子宫内膜异位症患者的痛经症状、缩短痛经时间。

Objective To observe the clinical therapeutic effect of herb-separated moxibustion on dysmenorrhea in ovarian endometriosis.Methods A total of 54 patients with ovarian endometriosis dysmenorrhea were randomized into a herb-separated moxibustion group and a waiting-list group,27 cases in each one(3 cases dropped off in the herb-separated moxibustion group,4 cases dropped off in the waiting-list group).Herb-separated moxibustion was applied at hypogastrium and lumbosacral area for 30 min in the herb-separated moxibustion group,once a week for 3 months,and oral ibuprofen sustained-release capsule was given to relieve pain when necessary.Excepting giving ibuprofen sustained-release capsule when necessary,no more intervention was adopted in the waiting-list group.Before and after treatment and in 3 months follow-up,visual analogue scale(VAS)score,days of dysmenorrhea,total dose of oral painkiller were observed.Results Compared before treatment,the VAS scores after tratment and in follow-up were decreased in the herb-separated moxibustion group(P<0.05),and were less than those in the waiting-list group(P<0.05);the days of dysmenorrhea and the total doses of oral painkiller after tratment and in follow-up were decreased in the herb-separated moxibustion group(P<0.05),and were less than those in the waiting-list group(P<0.05).Conclusion Herb-separated moxibustion can effectively improve dysmenorrhea symptom and shorten dysmenorrhea days in patients with ovarian endometriosis.