平衡火罐干预对气滞血瘀型原发性痛经患者的效果

Effect of balanced cupping intervention in treatment of patients with primary dysmenorrhea differentiated as type of qi stagnation and blood stasis

目的探讨平衡火罐干预气滞血瘀型原发性痛经患者的临床效果。方法选取2020年1月—2021年12月河南中医药大学第一附属医院诊治的原发性痛经气滞血瘀证患者64例为研究对象,根据就诊顺序以及患者意愿将其分为观察组和对照组,每组32例。对照组患者给予常规痛经的健康指导,观察组在对照组基础上给予平衡火罐干预。比较2组患者治疗前后视觉模拟评分法(VAS)评分、痛经症状评分、血清前列腺素E_(2)(PGE_(2))、雌二醇(E_(2))、月经来潮时间、月经周期、月经量以及疗效。结果2组患者第1、2、3次月经来潮时VAS评分与干预前比较,差异有统计学意义(P<0.05);观察组第1、2、3次月经来潮时VAS评分低于对照组,差异有统计学意义(P<0.05)。2组患者第1、2、3次月经来潮时痛经症状评分与干预前比较,差异有统计学意义(P<0.05);观察组第1、2、3次月经来潮时痛经症状评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。2组患者第1、2、3次月经来潮时PGE_(2)、E_(2)水平与干预前比较,差异有统计学意义(P<0.05);2组第1、2、3次月经来潮时PGE_(2)、E_(2)水平比较,差异有统计学意义(P<0.05)。2组患者月经周期、月经持续时间、月经量比较,差异无统计学意义(P>0.05)。结论平衡火罐干预气滞血瘀型原发性痛经的效果较好,安全性较高.

Objective To explore the clinical effect of balanced cupping intervention in treatment of patients with primary dysmenorrhea differentiated as type of qi stagnation and blood stasis.Methods A total of 64 patients with primary dysmenorrhea differentiated as type of qi stagnation and blood stasis in the First Affiliated Hospital of Henan University of Chinese Medicine from January 2020 to December 2021 were selected as the research objects,and they were divided into observation group and control group according to the order of consultation and patients'wishes,with 32 cases in each group.The control group received routine health guidance for dysmenorrhea,while the observation group received balanced cupping intervention on the basis of the control group.The Visual Analogue Scale(VAS)score,dysmenorrhea symptom score,serum prostaglandin E_(2)(PGE_(2)),estradiol(E,),menstrual onset time,menstrual cycle,menstrual volume,and efficacy were compared between the two groups before and after treatment.Results There were significant differences in VAS scores during the lst,2nd and 3rd menstruation compared with those before intervention between the two groups(P<0.05);the VAS scores of the observation group during the Ist,2nd and 3rd menstruation were significantly lower than those of the control group(P<0.05).There were significant differences in dysmenorrhea symptom scores during the lst,2nd and 3rd menstruation with those before intervention between the two groups(P<0.05);the dysmenorrhea symptom score of the observation group during the 1st,2nd and 3rd menstruation was significantly lower than those of the control group(P<0.05).The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).There were significant differences in PGE_(2)and E_(2)levels during the 1st,2nd and 3rd menstruation with those before intervention between the two groups(P<0.05).There were significant differences in PGE,and E,levels between the two groups during the 1st,2nd and 3rd menstruation(P<0.05).There were no significant differences in menstrual cycle,menstrual duration and menstrual volume between the two groups(P>0.05).Conclusion Balanced cupping intervention has a good effect and high safety in the treatment of patients with primary dysmenorrhea differentiated as type of qi stagnation and blood stasis.