文章摘要
中药隔姜八髎灸治疗中重度原发性痛经的临床研究
Clinical observation on TCM Ginger Moxibustion at Baliao acupoints for Treating moderate and severe primary dysmenorrhea
投稿时间:2019-06-16  录用日期:2019-08-15
DOI:
中文关键词: 中药隔姜八髎灸  中重度原发性痛经  临床研究
英文关键词: TCM Ginger Moxibustion at Baliao acupoints Moderate and severe primary dysmenorrhea Clinical observation
基金项目:湖北省自然科学基金课题(鄂科技通[2017]72号)
作者单位邮编
范强芳 黄冈市中医医院 438000
王凤英* 黄冈市中医医院 438000
李灿华 黄冈市中医医院 438000
唐晓玲 黄冈市中医医院 438000
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中文摘要:
      目的:从改进操作方法的角度,观察、分析及研究中药隔姜八髎灸治疗中重度原发性痛经的临床疗效。方法:选取符合标准的患者80例,均来源于黄冈市中医医院妇科门诊,随机分成两组,中药隔姜八髎灸40例为A组,针刺八髎穴40例为B组。A组采用皮肤消毒、涂抹姜汁、铺中药微粉温经暖宫散、铺桑皮纸、铺姜绒成饼状、置入艾炷并点燃、连续施灸9壮约2小时;B组采用定穴位、皮肤消毒、针刺并得气、行针1min、留针30min。观察两组患者治疗前、治疗后第一第二第三月经周期及治疗结束后3个月,运用VAS及CMSS测评,按评分标准对比研究,比较两种方法的有效性和安全性。结果:A组治疗后的三个月随访期,痛经症状总发作时间、平均严重程度及疼痛自评,总评分明显低于B组;两组相比差异显著,有统计学意义。结论:中药隔姜八髎灸与针刺八髎穴均能改善痛经症状,A组在改善痛经VAS评分及COX症状量表评分方面,在整体疗效及起效时间上,明显优于B组,明确了中药隔姜八髎灸治疗中重度原发性痛经疗效的确切性和安全性。
英文摘要:
      Objective: From the perspective of improving the operation method, we observed, analyzed and researched the clinical effect of TCM GingerMoxibustion at Baliao acupoints for treating moderate and severe primary dysmenorrhea. Methods: We selected 80 patients that met our requirement.They were patients from the gynecology department of TCM Hospital, Huanggang and divided into two groups randomly. Group A took Ginger Moxibustion at Baliao acupoints method, Group B took needling Baliao acupoints method. Group A took skin disinfection, smearing ginger juice, covering TCM warming-menstruation-and-womb powder, covering mulberry paper, covering ginger slice into pancake, putting 9 moxas cones and igniting for about 9 hours. Group B took skin disinfection, needling Baliao acupoints method, hand-manipulating of needle for 1min, retaining the needle for 30min.We observed the two groups of patients before treatment, during the first, second and third period after treatment,using VAS and CMSS criteria evaluation. Results: During the 3-month follow-up period after the treatment, Group A’s total attack time, average severity, pain self-assessment and the total scores of dysmenorrhea symptoms were lower than group B’s.The effect of the two kinds of the treatment differed from each other, and the difference was statistically significant. Conclusion: Both Ginger Moxibustion at Baliao acupoints method and needling Baliao acupoints method could relieve the symptoms of dysmenorrhea. Group A’s score was better than that of group B according to theVAS remarks and COX symptoms remarks. Moreover, in term of overall efficacy and time of onset, Ginger Moxibustion at Baliao acupoints method was obviously better than needling Baliao acupoints method, And also we could conclude that TCM Ginger Moxibustion at Baliao acupoints method was effective and safe for treating moderate and severe primary dysmenorrhea.
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