n法治疗寒凝血瘀型原发性痛经临床研究.docVIP

n法治疗寒凝血瘀型原发性痛经临床研究 　　[摘要]目的 观察?n法对寒凝血瘀型原发性痛经（PD）的临床疗效，应用疼痛持续时间及疼痛程度作为疗效评价标准，旨在证实?n法对本病治疗的有效性及优势，便于更好的指导临床推广应用。 方法 将符合诊断标准的寒湿凝滞型原发性痛经患者80例随机分为两组，?n法组40例，针刺组40例。?n法组选取中极、关元、气海、子宫、十七椎、次?s、三阴交应用灯火灸，针刺组选取同样穴位应用针刺治疗，两组均在月经来潮前3天开始，隔日1次，月经来潮后第2天即停止治疗，为一个疗程，共进行两个疗程。对两组患者临床疗效进行评价，同时对患者治疗前后的痛经症状量表和视觉模拟量表进行比较分析。 结果 ?n法组总有效率为97.5%，针刺组总有效率为72.5%，?n法组优于针刺组（P0.05）；两组治疗后VAS及COX量表评分均优于治疗前（P0.01），说明两种方法治疗本病均有效；治疗后?n法组VAS及COX量表评分均优于针刺组（P0.05或P0.01），说明?n法组疗效优于针刺组。 结论 ?n法组和针刺组均能改善原发性痛经患者的疼痛症状，且?n法组疗效优于针刺组。?n法组可以明显降低原发性痛经患者VAS及COX量表评分，且优于针刺组。 　　[关键词]?n法；原发性痛经；寒凝血瘀型 　　[中图分类号] R271.11 [文献标识码] B [文章编号] 2095-0616（2015）13-46-03 　　[Abstract] Objective To prove that quenching method is effective and has advantage in the treatment of this disease by observing the clinical effect of quenching method in the treatment of primary dysmenorrhea （PD） of blood stasis due to cold stagnation with the standards of duration of pain and pain degree， so as to better guiding clinical promotion and application. Methods 80 patients who were corresponding to diagnosis standards of PD of blood stasis due to cold stagnation were randomly divided to quenching method group and acupuncture group with 40 patients in each. In quenching method group， Zhongji（CV3）， Guanyuan （CV4）， Qihai（CV6）， Uterus， Shiqizhui（EX-B8）， Ciliao（Bl32） and Sanyinjiao（SP6） were treated with burning rush moxibustion. The same acupuncture points of acupuncture group were treated with acupuncture. One course of treatment began from three days before menstruation to two days after menstruation， every other day， and altogether two courses. The clinical effect of two groups was evaluated. Meanwhile the cox menstrual symptom scale and visual analogue scale of patients before and after treatment were compared and analyzed. Results The total effective rate of quenching method group was 97.5%， and that of acupuncture group was 72.5%， which showed that quenching method group was better than acupuncture group （P 　　[Key words] Quenching method； PD； Blo