温针灸治疗寒凝血瘀型子宫腺肌病继发性痛经的临床效果

Effect of warming needle moxibustion for secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis

目的探讨温针灸治疗寒凝血瘀型子宫腺肌病继发性痛经的临床效果。方法选取黑龙江中医药大学附属第二医院2022年1月至5月收治的52例寒凝血瘀型子宫腺肌病继发性痛经患者,按照随机数字表法将其分为对照组和治疗组,各26例。对照组口服少腹逐瘀胶囊治疗,治疗组在对照组基础上采用温针灸治疗;每个疗程7 d,均治疗3个疗程。比较两组痛经程度积分、中医症候各项积分、视觉模拟评分法(VAS)评分及子宫内膜异位症专用生存质量评价表(EHP-5)评分。结果治疗组临床疗效优于对照组,差异有统计学意义(P<0.05)。两组治疗后各时间点痛经程度积分、中医症候积分比较,差异有统计学意义(P<0.05)。治疗组各时间点痛经程度积分、中医症候积分均低于同期对照组,差异有统计学意义(P<0.05)。治疗3个月后,两组VAS、EHP-5评分均低于治疗前,且治疗组低于对照组,差异有统计学意义(P<0.05)。结论温针灸治疗寒凝血瘀型子宫腺肌病继发性痛经效果确切,能够缓解疼痛,纠正患者寒凉体质,提高患者生活质量,且改善程度优于中成药治疗。

Objective To explore the clinical efficacy of warming needle moxibustion for secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis.Methods A total of 52 patients with secondary dysmenorrhea to adenomyosis in cold coagulation and blood stasis type who were treated in the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from January to May 2022,and they were divided into control group and treatment group according to random number table method,with 26 cases in each group.The control group was treated with Shaofu Zhuyu Capsules,the treatment group was treated with warming needle moxibustion on the basis of the control group.Each course of treatment was seven days,all patients were treated for three courses.The scores of dysmenorrhea degree,traditional Chinese medicine symptoms,visual analog scale(VAS),and endometriosis quality of life assessment(EHP-5)were compared between the two groups.The clinical effect of the treatment group was better than that of the control group,the difference was statistically significant(P<0.05).There were statistically significant differences in dysmenorrhea degree scores and traditional Chinese medicine symptom scores between the two groups at each time point after treatment(P<0.05).The scores of dysmenorrhea degree and traditional Chinese medicine symptoms in the treatment group were lower than those in the control group at each time point,and the differences were statistically significant(P<0.05).After three months of treatment,VAS and EHP-5 scores in two groups were lower than those before treatment,and those of the treatment group were lower than the control group,the differences were statistically significant(P<0.05).Conclusion Warming needle moxibustion is effective in treating secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis.It can relieve pain and correct patients’cold constitution,and the improvement degree is better than traditional Chinese patent medicine treatment.