摘要
目的观察董氏奇穴联合艾灸对原发性痛经患者β-内啡肽和机械性痛阈水平的影响。方法将90例原发性痛经患者按照随机数字表法分为2组,对照组45例予常规西医治疗,治疗组45例在对照组治疗基础上予董氏奇穴联合艾灸治疗。比较2组治疗前后疼痛视觉模拟评分(VAS)、COX痛经症状量表(CMSS)评分、疼痛持续时间、盆腔双侧子宫动脉血流情况[阻力指数(RI)、搏动指数(PI)]、机械性痛阈及β-内啡肽水平,并比较2组临床疗效。结果治疗组总有效率93.33%(42/45),对照组总有效率68.89%(31/45),治疗组临床疗效优于对照组(P<0.05)。2组治疗后疼痛VAS、CMSS、疼痛持续时间均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后双侧子宫动脉PI、RI均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后机械性痛阈、β-内啡肽均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05)。结论董氏奇穴联合艾灸治疗原发性痛经疗效显著,能减轻患者经期疼痛感和疼痛持续时间,改善双侧盆腔血流动力学,提升患者疼痛耐受程度。
Objective To observe the effect of Dong's Qi point combined with moxibustion onβ-endorphin and mechanical threshold in patients with primary dysmenorrhea(PD).Methods A total of 90 PD patients were randomly assigned into the treatment group(n=45)and the control group(n=45).All patients were managed by conventional Western medicine,and those in the treatment group were additionally treated with Dong's Qi point combined with moxibustion.The aim was to compare visual analogue scale(VAS)for pain,Cox menstrual symptom scale(CMSS)scores,pain duration,bilateral pelvic hemodynamics(resistant index[RI],pulsatility index[PI]),mechanical threshold,β-endorphin.The curative effect was assessed.Results The overall effective rate was 93.33%(42/45)in the treatment group,higher than that of 68.89%(31/45)in the control group(P<0.05).After treatment,VAS,CMSS,pain duration in groups were decreased(P<0.05),which were decreased in the treatment group relevant to the control group(P<0.05).PI and RI in groups were decreased(P<0.05),the reduction in the treatment group was more common(P<0.05).The mechanical threshold andβ-endorphin in groups were increased(P<0.05),which were increased in the treatment group as compared with the control group(P<0.05).Conclusion For PD patients,Dong's Qi point combined with moxibustion has significant curative effect,which can significantly reduce menstrual pain and pain duration,reduce bilateral pelvic hemodynamics changes,and improve pain tolerance.
作者
刘敏
温权
唐远军
王悦
LIU Min;WEN Quan;TANG Yuanjun;WANG Yue(Department of Traditional Chinese Medicine,Chengdu Chenghua District Health Care Hospital,Chengdu,Sichuan 610000;Department of Traditional Chinese Medicine,Chengdu Eighth People's Hospital,Chengdu,Sichuan 610000)
出处
《河北中医》
2023年第2期283-286,共4页
Hebei Journal of Traditional Chinese Medicine
关键词
痛经
针刺疗法
艾灸
Dysmenorrhea
Acupuncture therapy
Moxibustion
