摘要
Objective:To observe the clinical efficacy of intervention with auricular point sticking at different time points in treating primary dysmenorrhea(PD)and to discover the optimal intervention timing in the treatment of PD with auricular point sticking.Methods:Sixty PD patients were divided into a trial group and a control group using a random drawing method,with 30 cases in each group.The intervention started 7 d before the menstrual cycle began among participants in the trial group,and began on the first day of menses in the control group.The same auricular points were chosen for the two groups to administer auricular point sticking with the single-use auricular plasters,including Shenmen(TF_(4)),Sympathetic(AH_(6a)),Internal Genitals(TF_(2)),Endocrine(CO_(18)),Pelvis(TF_(5)),Subcortex(AT_(4)),and Kidney(CO_(10)).The intervention was performed once every other day,3 times every menstrual cycle,3 menstrual cycles in a row.Before and after treatment,the visual analog scale(VAS)and COX menstrual symptom scale(CMSS)scores were recorded.The total effective rate was compared between the two groups.Results:After treatment,the VAS score and the CMSS scores of time(CMSS-T)and severity(CMSS-S)dropped significantly in both groups(P<0.05).The trial group showed a lower VAS score than the control group after receiving the treatment for 1,2,and 3 menstrual cycles,respectively(P<0.05).After 3 menstrual cycles of treatment,the CMSS-T and CMSS-S scores were lower in the trial group than in the control group(P<0.05).When the intervention finished,the total effective rate was 56.7%in the trial group,versus 20.0%in the control group;the between-group difference was statistically significant(P<0.05).Conclusion:Regarding the relief of PD pain,auricular point sticking performs better when introduced before menses starts compared to during menses,without causing adverse reactions.
目的:观察不同时间介入耳穴贴压治疗原发性痛经的临床疗效,探索耳穴贴压治疗原发性痛经的最佳介入时机。方法:共纳入60名原发性痛经患者,采用随机抽样的方式分为试验组与对照组,每组30例。试验组患者在月经来潮前7 d开始治疗,对照组患者在月经来潮第一天开始治疗。两组均选取神门、交感、内生殖器、内分泌、盆腔、皮质下和肾,采用一次性耳穴贴进行耳穴贴压。隔日治疗1次,每个月经周期治疗3次,连续治疗3个月经周期。治疗前后记录每组患者的疼痛视觉模拟量表(VAS)和COX痛经症状量表(CMSS)评分;治疗后比较两组总有效率。结果:治疗后,两组VAS、CMSS持续时间(CMSS-T)及CMSS严重程度(CMSS-S)评分均显著降低(P<0.05)。治疗1、2、3个月经周期后试验组的VAS评分均低于同时间点对照组(P<0.05)。治疗3个月经周期后,试验组CMSS-T与CMSS-S评分均低于对照组(P<0.05)。治疗结束后,试验组总有效率56.7%,对照组为20.0%,组间总有效率差异有统计学意义(P<0.05)。结论:在缓解原发性痛经疼痛方面,月经来潮前耳穴贴压治疗的效果优于月经来潮时介入,且无不良反应。
基金
国家自然科学基金项目,No.82474395,No.81973755
河北省中医药管理局项目,No.2022091
2023年大学生创新创业训练计划项目,No.S202314432052。
