基于月经周期行改良火龙灸治疗寒湿凝滞型痛经的疗效观察

The efficacy observation of modified fire dragon moxibustion in the treatment of cold dampness stagnation type dysmenorrhea in menstrual cycle

目的观察基于月经周期的火龙灸技术对寒湿凝滞型痛经患者的影响,探讨该技术治疗痛经的最佳介入时机。方法采用便利抽样法,选取2020年11月至2022年5月在杭州市中医院门诊就诊的寒湿凝滞型痛经患者作为研究对象。按随机数字表分为温经1号组、温经2号组和中药组,每组各30例。中药组采用中医药常规治疗,温经1号组在中药组基础上于月经来潮前7 d内予温经1号散火龙灸干预,1次/3 d,30~40 min/次,温经2号组在中药组基础上于月经来潮后7 d内予温经2号散火龙灸干预,1次/3 d,30~40 min/次,每个月经周期为1个疗程,连续3个疗程共6次。比较三组干预前、干预后及随访期的VAS评分、痛经症状量表积分以及治疗效果。结果干预后和随访期,温经1号组VAS评分、痛经症状量表积分低于温经2号组、中药组,差异均有统计学意义(P<0.05),温经2号组痛经症状量表积分低于中药组,差异有统计学意义(P<0.05);三组患者在临床疗效上差异有统计学意义(P<0.05),总有效率温经1号组为90.0%(27/30),高于温经2号组的76.7%(23/30)及中药组的63.3%(19/30),其中痊愈率温经1号组为60.0%(18/30),温经2号组的23.3%(7/30)及中药组的20.0%(6/30),差异有统计学意义(P<0.05)。结论基于月经周期的火龙灸技术能有效降低寒湿凝滞型痛经患者VAS评分,改善痛经症状,经前期是最佳治疗时机。

Objective To observe the effect of fire dragon moxibustion technique based on menstrual cycle on patients with dysmenorrhea of cold dampness stagnation type,and to explore the best intervention time of this technique in the treatment of dysmenorrhea.Methods Convenience sampling method was used to select cold and dampness dysmenorrhea patients from November 2020 to May 2022 in the outpatient clinic of Hangzhou Hospital of Traditional Chinese Medicine as research objects.There were 30 cases in the Wenjing group 1,Wenjing group 2 and traditional Chinese medicine(TCM)group respectively according to random number table.The TCM group was treated with traditional Chinese medicine.The Wenjing Group 1 was treated with Wenjing No.1 San fire dragon moxibustion intervention within 7 days before menstruation on the basis of traditional Chinese medicine group,and Wenjing group 2 was treated with Wenjing No.2 San fire dragon moxibustion intervention within 7 days after menstruation on the basis of traditional Chinese medicine group,once every 3 days,25~30 min each time,1 course of treatment in each menstrual cycle,6 times in 3 courses of treatment.Visual analogue scale(VAS)scores,dysmenorrhea symptom scale scores and therapeutic effects of the three groups were compared in the pre-intervention,postintervention and during the follow-up period.Results After intervention and follow-up period,VAS score and dysmenorrhea symptom scale score of the Wenjing 1 group were lower than those of the Wenjing 2 group and the TCM group,the differences were statistically significant(P<0.05),while scores of dysmenorrhea symptom scale score of the Wenjing 2 group were lower than the TCM group,the differences were statistically significant(P<0.05).There was a statistically significant difference in clinical efficacy among the three groups(P<0.05).The total effective rate of the Wenjing 1 group was 90.0%(27/30),which was higher than that of the Wenjing 2 group 76.7%(23/30)and the TCM group 63.3%(19/30).And the recovery rate of the Wenjing 1 group was 60.0%(18/30),compared with 23.3%(7/30)in the Wenjing 2 group and 20.0%(6/30)in the TCM group,the difference was statistically significant(P<0.05).Conclusion The fire dragon moxibustion technique based on menstrual cycle can effectively reduce the VAS score and improve dysmenorrhea symptoms in patients with cold and dampness dysmenorrhea,and premenstrual period is the best time for intervention.