隔药灸脐法对不同严重程度原发性痛经患者症状的作用.pdfVIP

  提 要 目的：采用隔药灸脐法治疗原发性痛经，并以隔淀粉灸脐组为对照组，观察两种 方法对不同严重程度原发性痛经患者症状的影响，客观评价两组的疗效差异，观察药 物对脐疗效果的影响，并阐释脐疗的作用机理。 方法：将 98 例原发性痛经患者随机分成隔药灸脐组和隔淀粉灸脐组。其中隔药 灸脐组中度24例，重度24例；隔淀粉灸脐组中度25例，重度25例，观察治疗前后 症状评分的变化，比较两组之间的差异。 结果：两组各自与治疗前相比，痛经症状评分均存在显著性差异。两组之间比较， 中度患者在第二周期和随访期下腹部疼痛症状上存在显著性差异；第三周期易激惹症 状上存在显著性差异。重度患者在第一周期乏力症状上存在显著性差异；从第二周期 始至随访期，下腹部疼痛症状均存在显著性差异；第三周期腿痛症状上存在显著性差 异；随访期腹泻症状上存在显著性差异。 结论：隔药灸脐组对中度和重度痛经患者在改善其主要症状下腹部疼痛及总体疗 效上优于隔淀粉灸脐组，且远期效果好。隔淀粉灸脐组对重度患者在改善腿痛、乏力 症状上效果优于隔药灸脐组。 关键词 隔药灸脐；隔淀粉灸脐；原发性痛经；COX 痛经症状评分量表   The influence of moxibustion umbilical with medicine on primary dysmenorrhea of different severity syndrome Speciality: Acupuncture, Moxibustion and Massage Author: Yi Min Tutor: Ma Yuxia Abstract Objective ：The research aimed to observe the two methods on the symptoms of different severity in patients with primary dysmenorrhea by the way of two methods—the umbilical moxibustion with herbal medicine or with amylum.we evaluated differences in efficacy of two groups, and observed the impact of drugs on the therapy results. Also the mechanism of action of moxibustion umbilical was illuminated. Method: 98 primary dysmenorrheal patients were randomly assigned to treatment and control groups.There was 24 moderate cases and 24 serious cases in the treatment group. There were 25 moderate cases and 25 serious cases in the control group. The observable symptom score before and after the treatment was recorded and compared. Result: Patients indicated positive effects after treatments in both group.Two groups were compared.Among moderate cases,significant differences existed in the lower abdominal pain in the second period and follow