腹针结合耳穴贴压治疗原发性痛经的随机对照研究

A randomized controlled study of abdominal acupuncture combined with auricular point sticking in the treatment of primary dysmenorrhea

目的观察腹针结合耳穴贴压治疗原发性痛经的临床疗效。方法选择2018年1—12月在北京中医药大学东直门医院治疗的原发性痛经患者65例,随机分为试验组和对照组。试验组32例采用腹针结合耳穴贴压治疗,对照组33例采用布洛芬缓释胶囊口服,2组均治疗3个月经周期。观察2组患者治疗前后痛经症状量表(CMSS)和疼痛视觉模拟量表(VAS)评分,评估2组临床疗效和不良反应发生情况。结果2组治疗后CMSS和VAS评分均较治疗前显著下降(P均<0.05);试验组治疗2个月经周期后CMSS和VAS评分均明显低于对照组(P均<0.05),治疗3个月经周期后2组CMSS和VAS评分比较差异均无统计学意义(P均>0.05);随访3个月后,试验组CMSS和VAS评分均明显低于对照组(P均<0.05)。治疗2个月经周期、3个月经周期后试验组总有效率分别为60.0%(18/30)和80.0%(24/30),对照组分别为73.3%(22/30)和76.7%(23/30),2组比较差异均无统计学意义(P均>0.05)。2组均无明显不良反应发生。结论腹针结合耳穴贴压治疗原发性痛经可以显著改善患者的痛经症状,减轻疼痛程度,远期治疗效果更好,且安全性高。

Objective It is to observe the clinical efficacy of abdominal acupuncture combined with auricular point sticking in the treatment of primary dysmenorrhea.Methods Sixty-five patients with primary dysmenorrhea treated in Dongzhimen Hospital of Beijing University of Traditional Chinese Medicine from January to December in 2018 were randomly divided into experimental group and control group.32 cases in the experimental group were treated with abdominal acupuncture combined with auricular point sticking,while 33 cases in the control group were treated with ibuprofen sustained release capsules by oral use.Both groups were treated for 3 menstrual cycles.The scores of dysmenorrhea symptom scale(CMSS)and pain visual analog scale(VAS)were observed before and after treatment in the two groups,and the clinical efficacy and the occurrence of adverse reactions in the two groups were evaluated.Results The CMSS and VAS scores of the two groups after treatment were significantly lower than those before treatment(P<0.05),the scores of CMSS and VAS in the experimental group were higher than those in the control group after 2 menstrual cycles of treatment(all P<0.05),there was no difference in these scores after 3 menstrual cycles of treatment between the two groups(P>0.05).After 3 months of follow-up,the CMSS and VAS scores in the experimental group were significantly lower than those in the control group(all P<0.05).After 2 menstrual cycles and 3 menstrual cycles of treatment,the total effective rate was 60.0%(18/30)and 80.0%(24/30)in the experimental group and 73.3%(22/30)and 76.7%(23/30)in the control group,respectively,there was no significant difference between the two groups(all P>0.05).No obvious adverse reactions was found in both groups.Conclusion Abdominal acupuncture combined with auricular plaster therapy can significantly improve the symptoms of dysmenorrhea,reduce the degree of dysmenorrhea pain in the treatment of primary dysmenorrhea,its long-term therapeutic effect is better with high safety.