脐下营针刀松解术治疗原发性痛经的临床研究

Clinical study of subumbilical needle knife adhesiolysis in the treatment of primary dysmenorrhea

目的观察脐下营针刀松解术治疗寒凝血瘀型原发性痛经的效果。方法选取本院收治的60例寒凝血瘀型原发性痛经患者,根据随机数字表法分为治疗组与对照组,每组30例。治疗组采用脐下营针刀松解术治疗,对照组采用布洛芬缓释胶囊治疗。比较两组患者的痛经症状评分、痛经程度评分及治疗前后的腹部温度、任脉温度、红外辐射轨迹,并评定两组疗效。结果治疗前,两组痛经症状及疼痛视觉模拟评分(VAS)比较,差异无统计学意义(P>0.05);治疗中,两组痛经症状及VAS评分均低于治疗前,且治疗组各项评分均低于对照组,差异有统计学意义(P<0.05);治疗后,两组痛经症状及VAS评分均低于治疗前及治疗中,且治疗组各项评分均低于对照组,差异有统计学意义(P<0.05)。治疗前,治疗组腹部及任脉区域平均温度均较低,分布呈片块状,不完整,任脉红外辐射轨迹不连续;治疗后,治疗组腹部及任脉平均温度均升高,温度分布融合、完整,任脉红外辐射轨迹连续整齐。治疗组临床疗效为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。两组均未发生不良反应。结论采用脐下营针刀松解术治疗寒凝血瘀型原发性痛经的疗效显著,值得临床推广使用。

Objective To observe the effect of subumbilical needle knife adhesiolysis in the treatment of primary dysmenorrhea with cold coagulation and blood stasis. Methods 60 patients with primary dysmenorrhea with cold coagulation and blood stasis were selected from our hospital and were divided into a treatment group and a control group according to random number table method, with 30 cases in each group. The treatment group was treated with subumbilical needle knife adhesiolysis, while the control group was treated with ibuprofen sustained release capsule. The dysmenorrhea symptom score, dysmenorrhea degree,abdominal temperature, Ren channel temperature and infrared radiation locus before and after treatment were compared between the two groups, and the efficacy of the two groups was evaluated. Results Before treatment, there were no significant differences in dysmenorrhea symptoms and pain visual analog scale(VAS) scores between the two groups(P>0.05);during treatment, the dysmenorrhea symptoms and VAS scores in both groups were lower than before treatment, and the scores in the treatment group were lower than those in the control group, the differences were statistically significant(P<0.05);after treatment, the dysmenorrhea symptoms and VAS scores in both groups were lower than before and during treatment, and the scores in the treatment group were lower than those in the control group, the differences were statistically significant(P<0.05). Before treatment, the average temperature of abdomen and Ren channel area in the treatment group was low, the distribution was lumpy and incomplete, and the infrared radiation track of Ren channel was discontinuous;after treatment, the average temperature of abdomen and Ren channel in the treatment group increased,the temperature distribution was integrated and complete, and the infrared radiation track of Ren channel was continuous and neat.The clinical effect of the treatment group was 93.33%, which was higher than 73.33% of the control group, and the difference was statistically significant(P<0.05). No adverse reactions occurred in the two groups. Conclusion The treatment of cold coagulation and blood stasis primary dysmenorrhea with subumbilical needle knife adhesiolysis is effective and worthy of clinical application.