溫通針法治療寒凝血瘀型原發性痛經隨機對照研究

孫潤潔 田亮 朱博雯 秦曉光

摘要：目的 觀察溫通針法治療寒凝血瘀型原發性痛經的臨床療效。方法 將120例寒凝血瘀型原發性痛經患者隨機分為溫通針法組和對照組各60例。溫通針法組取關元、三陰交、十七椎、地機施以溫通針法，次髎、合谷、太沖運用平補平瀉法；對照組選穴同溫通針法組，運用平補平瀉法。2組均于月經來潮前5～7 d開始治療，每日1次，連續7次，療程均為3個月經周期。采用視覺模擬評分法（VAS）和COX痛經癥狀量表（CMSS）評價治療第1、2、3個月經周期末的疼痛程度，治療結束后3個月隨訪評價臨床療效。結果 2組患者治療后VAS和CMSS評分較治療前明顯下降（P<0.01），溫通針法組VAS和CMSS評分明顯低于同周期對照組（P<0.05）。溫通針法組總有效率為96.67%（58/60），對照組為73.33%（44/60），差異有統計學意義（P<0.05）。結論 溫通針法治療寒凝血瘀型原發性痛經患者，能明顯緩解痛經癥狀、縮短疼痛時間，具有肯定的臨床療效。

關鍵詞：原發性痛經；寒凝血瘀；溫通針法；視覺模擬評分法；COX痛經癥狀量表；隨機對照試驗

DOI：10.3969/j.issn.1005-5304.2016.01.005

中圖分類號：R271.915 文獻標識碼：A 文章編號：1005-5304（2016）01-0023-04

Randomized Controlled Study on Warm-promotion Needling for Treatment of Cold Coagulation and Blood Stasis of Primary Dysmenorrhea SUN Run-jie， TIAN Liang， ZHU Bo-wen， QIN Xiao-guang （Gansu University of Chinese Medicine， Lanzhou 730000， China）

Abstract： Objective To observe clinical efficacy of warm-promotion needling for the treatment of cold coagulation and blood stasis of primary dysmenorrhea. Methods Totally 120 patients with cold coagulation and blood stasis of primary dysmenorrhea were randomly divided into warm-promotion needling group （60 cases） and control group （60 cases）. Warm-promotion needling group was treated with warm-promotion needling at Guanyuan （RN4）， Sanyinjiao （SP6）， Shiqizhui （EX-B8）， and Diji （SP8）， and cooperated with Ciliao （BL32）， Hegu （LI4）， and Taichong （LR3）. Control group took same acupoints and applied uniform reforcing-reducing method. The two groups began treatment 5-7 d before menstruation， 1 times a day， for 7 times. The treatment was given 3 menstrual cycles. The visual analogue scale （VAS） and COX menstrual symptom scale （CMSS） were used to observe the pain degree at the end of 1， 2， 3 menstrual cycles. The clinical efficacy was evaluated 3 months after treatment. Results The scores of VAS and CMSS was obviously reduced in the two groups after the treatment compared with those before treatment （P<0.01）. The synperiodic scores of VAS and CMSS in warm-promotion needling group was obviously lower than those in the control group （P<0.05）. The total effective rate of warm-promotion needling group was 96.67% （58/60）， and the control group was 73.33% （44/60）， the difference was significant （P<0.05）. Conclusion Warm- promotion needling can obviously relieve dysmenorrhea symptoms and shorten the time of pain of patients with cold coagulation and blood stasis of primary dysmenorrhea， which has affirmative clinical efficacy.

Key words： primary dysmenorrhea； cold coagulation and blood stasis； warm-promotion needling； visual analogue scale； COX menstrual symptom scale； clinical efficacy； randomized controlled trial