铜砭刮痧治疗寒凝血瘀型原发性痛经临床效果

Clinical effect of copper-bian scraping therapy in the treatment of primary dysmenorrhea with syndrome of cold congelation and blood stasis

目的探究铜砭刮痧治疗寒凝血瘀型原发性痛经的临床效果。方法选取2019年8月至2020年8月黑龙江中医药大学附属第二医院妇科收治的80例符合纳入排除标准的寒凝血瘀型原发性痛经患者作为本研究对象,按随机数字表法将其分为治疗组(40例)和对照组(40例)。对照组自月经第1日起口服布洛芬片治疗,直至疼痛缓解停服;治疗组在对照组的基础上于月经第1日行铜砭刮痧法治疗,痧退后进行下一次治疗,两组患者均连续治疗3个月经周期。观察两组患者治疗前后疼痛视觉模拟评分法(VAS)评分、痛经程度评分、中医症状(小腹冷痛、经血量少、经色紫黯夹血块、畏寒肢冷、面色青白)评分,并评价两组患者临床疗效。结果VAS评分:两组组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05)。组内比较:治疗第1、2、3个月经周期后,两组VAS评分均低于治疗前,差异均有统计学意义(P<0.05)。组间比较:治疗第1个月经周期后,两组VAS评分比较,差异无统计学意义(P>0.05)。治疗第2、3个月经周期后,治疗组VAS评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组痛经程度评分及各项中医症状评分均低于治疗前,差异均有统计学意义(P<0.05);且治疗组痛经程度评分及各项中医症状评分均显著低于对照组,差异均有统计学意义(P<0.05)。治疗组临床总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论铜砭刮痧可显著缓解寒凝血瘀型原发性痛经患者的疼痛程度及中医全身症状,提高患者的生活质量,值得临床推广与应用。

Objective To explore the clinical effect of copper-bian scraping therapy in the treatment of primary dysmenorrhea with syndrome of cold congelation and blood stasis.Methods A total of 80 primary dysmenorrhea patients with syndrome of cold congelation and blood stasis who met the inclusion and exclusion criteria and were admitted to Department of Gynecology in the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from August 2019 to August 2020 were selected as the study subjects.According to the random number table method,they were divided into the treatment group(40 cases)and the control group(40 cases).The control group was treated with Ibuprofen Tablets from the first day of menstruation until the pain was relieved;the treatment group was treated with copper-bian scraping therapy on the first day of menstruation on the basis of the control group,and the next treatment was carried out after the scraping.Both groups were treated for three menstrual cycles.The score of pain visual analogue scale(VAS),dysmenorrhea degree score and traditional Chinese medicine symptoms(hypogastrium psychroalgia,less menstrual volume,atropurpureus menstruation with blood stasis,fear of cold and cold limbs,greenish and pale complexion)score of the two groups were observed before and after treatment,and the clinical efficacy of the two groups was evaluated.Results VAS scores:there were all statistically significant differences between the two groups in comparison,time point comparison and interaction(P<0.05).Intra-group comparison:after the first,second and third menstrual cycles of treatment,the VAS scores were all lower than those before treatment,and the differences were all statistically significant(P<0.05).Comparison between groups:after the first menstrual cycle of treatment,the difference of VAS scores between the two groups was not statistically significant(P>0.05).After the second and third menstrual cycles of treatment,the VAS scores in the treatment group were lower than those in the control group,the differences were all statistically significant(P<0.05).After treatment,dysmenorrhea degree score and traditional Chinese medicine symptom score of the two groups were lower than those before treatment,the differences were all statistically significant(P<0.05);and dysmenorrhea degree score and traditional Chinese medicine symptom score of the treatment group were significantly lower than those of the control group,the differences were all statistically significant(P<0.05).The total effective rate in the treatment group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Copper-bian scraping method can significantly relieve the pain degree and traditional Chinese medicine symptoms of primary dysmenorrhea patients with syndrome of cold congelation and blood stasis,and improve the quality of life of patients,which is worthy of clinical promotion and application.