艾灸与耳穴压豆联合常规疗法治疗子宫内膜异位症痛经临床研究

Clinical Study on Moxibustion and Auricular Point Pressing with Beans Combined with Routine Therapy for Dysmenorrhea Due to Endometriosis

目的:观察在常规治疗和护理基础上加用艾灸和耳穴压豆干预子宫内膜异位症(EMs)痛经的临床效果。方法:将70例气滞血瘀型患者随机分为对照组和观察组各35例。2组患者均于月经周期的5~25 d服用地屈孕酮片,并给予认知教育、心理护理和对症护理措施,观察组加用艾灸和耳穴压豆干预。2组均连续治疗3个月经周期。于治疗前与治疗1、2、3个月经周期评价痛经疼痛视觉模拟评分法(VAS)评分和COX痛经症状评分量表(CMSS)评分,治疗前后评价非经期盆腔痛、盆腔压痛和EMs患者生存质量评价量表(EHP-5)评分。比较2组的护理满意度。结果:治疗第1、2、3个月经周期,2组痛经VAS评分、CMSS评分均逐渐下降,与治疗前比较,差异均有统计学意义(P<0.05)。观察组治疗第1、2、3个月经周期的VAS评分、CMSS评分均低于同期对照组(P<0.05)。治疗后,2组非经期盆腔痛、盆腔压痛及EHP-5评分均较治疗前下降(P<0.01),观察组3项评分均低于对照组(P<0.01)。观察组的护理满意度高于对照组(P<0.05)。结论:在常规治疗和护理的基础上加用艾灸和耳穴压豆干预EMs痛经患者,可进一步减轻痛经程度及痛经相关症状,减轻非经期盆腔痛、盆腔压痛,提高患者的生活质量。

Objective:To observe the clinical effect of moxibustion and auricular point pressing with beans for dysmenorrhea due to endometriosis(EMs)on the basis of routine treatment and nursing.Methods:A total of 70 cases of patients of blood stasis due to qi stagnation type were randomly divided into the control group and the observation group,35 cases in each group.From the 5th to the 25th day of the menstrual cycle,both groups were given the administration of dydrogesterone tablets,as well as the measures including cognitive education,psychological nursing and symptomatic nursing.The observation group was additionally treated with moxibustion and auricular point pressing with beans.Both groups were treated for three menstrual cycles.Before treatment and after treatment for one,two and three menstrual cycles respectively,the scores of Visual Analogue Scale(VAS)and COX Menstrual Symptom Scale(CMSS)of dysmenorrhea were evaluated.Before and after treatment,the scores of non-menstrual pelvic pain,pelvic tenderness and Endometriosis Health Profile-5(EHP-5)in EMs patients were evaluated.Nursing satisfaction in the two groups was compared.Results:At the first,second and third menstrual cycles after treatment,the scores of VAS and CMSS of dysmenorrhea in the two groups were gradually decreased;compared with those before treatment,differences being significant(P<0.05).At the first,second and third menstrual cycles after treatment,the scores of VAS and CMSS in the observation group were lower than those in the control group at the same time(P<0.01).After treatment,the scores of non-menstrual pelvic pain,pelvic tenderness and EHP-5 in the two groups were all decreased when compared with those before treatment(P<0.01),and the above three scores in the observation group were all lower than those in the control group(P<0.01).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Based on routine treatment and nursing,the additional application of moxibustion and auricular point pressing with beans for patients with dysmenorrhea due to EMs can further reduce the degree of dysmenorrhea and dysmenorrhea related symptoms,relieve non-menstrual pelvic pain and pelvic tenderness,and improve their quality of life.