摘要
目的观察重灸仪不同灸量对原发性痛经寒凝血瘀证患者的临床疗效。方法选取原发性痛经寒凝血瘀证患者90例,依据使用艾柱数量不同将患者分为小艾柱组(6柱)、中艾柱组(9柱)、高艾柱组(12柱),各30例。三组均采用重灸仪施灸治疗。比较三组中医证候积分、视觉模拟评分法(VAS)评分、Cox痛经症状量表(CMSS)评分、治疗效果及安全性。结果治疗后,三组中医证候积分、VAS评分及CMSS评分均低于本组治疗前,且高艾柱组中医证候积分、VAS评分及CMSS评分均低于中艾柱组、小艾柱组,中艾柱组低于小艾柱组(P<0.05)。高艾柱组总有效率96.7%高于中艾柱组的80.0%、小艾柱组的53.3%,中艾柱组高于小艾柱组(P<0.05)。小艾柱组、中艾柱、高艾柱组不良反应发生率分别为10.0%、16.7%、30.0%,组间比较差异无统计学意义(P>0.05)。均为局部反应,72 h内完全恢复,所有患者治疗依从性良好,无严重不良反应发生。结论重灸仪治疗原发性痛经寒凝血瘀证疗效确切,12柱艾柱灸量优势明显,可在临床推广应用。
Objective To observe the clinical efficacy of different moxibustion volumes with a heavy moxibustion device on patients with primary dysmenorrhea due to cold coagulation and blood stasis.Methods A total of 90 patients with primary dysmenorrhea due to cold coagulation and blood stasis were selected and divided into the small moxa cone group(6 cones),the medium moxa cone group(9 cones),and the high moxa cone group(12 cones)based on the number of moxa cones used,with 30 cases in each group.All three groups were treated with a heavy moxibustion device.The traditional Chinese medicine syndrome scores,Visual Analogue Scale(VAS)scores,COX menstrual symptom scale(CMSS)scores,therapeutic effects and safety of the three groups were compared.Results After treatment,the traditional Chinese medicine syndrome score,VAS score and CMSS score of the three groups were all lower than those before treatment in the same group.Moreover,the traditional Chinese medicine syndrome score,VAS score and CMSS score of the high moxa cone group were all lower than those of the medium moxa cone group and the small moxa cone group,and the medium moxa cone group was lower than the small aizhu group(P<0.05).The total effective rate of the high moxa cone group was 96.7%,which was higher than that of the medium-moxa column group(80.0%)and the small moxa cone group(53.3%),and the medium moxa cone group was higher than the small moxa cone group(P<0.05).The incidence rates of adverse reactions in the small,medium and high moxa cone groups were 10.0%,16.7%and 30.0%,and the differences were not statistically significant(P>0.05).All were local reactions and fully recovered within 72 h.All patients had good treatment compliance and no serious adverse reactions occurred.Conclusion The heavy moxibustion device has a definite therapeutic effect on primary dysmenorrhea due to cold coagulation and blood stasis.The 12-cone moxibustion has a significant advantage,and is suitable for clinical implementation.
作者
倪慧
胡海燕
赵健
NI Hui;HU Hai-yan;ZHAO Jian(Department of Acupuncture and Massage,College of Traditional Chinese Medicine and Health Care,Guangdong Food and Drug Vocational College,Guangzhou 510520,China)
出处
《中国实用医药》
2026年第1期100-103,共4页
China Practical Medicine
关键词
重灸仪
灸量
寒凝血瘀证
原发性痛经
临床疗效
Heavy moxibustion device
Moxibustion volume
Cold coagulation and blood stasis
Primary dysmenorrhea
Clinical efficacy
