热敏灸联合中药穴位贴敷治疗寒凝血瘀型原发性痛经临床研究
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R711.51;R271.11+3

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Clinical Study on Heat-Sensitive Moxibustion Combined with Chinese Medicine Point Application for Primary Dyspenorrhea of Cold Congealing and Blood Stasis Type
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    摘要:

    目的:观察热敏灸联合中药穴位贴敷治疗寒凝血瘀型原发性痛经的临床疗效。方法:选取93 例寒凝血瘀型原发性痛经患者作为研究对象,按随机数字表法分为研究组47 例、对照组46 例。2 组均行中药穴位贴敷治疗,研究组在此基础上行热敏灸疗法,经前1 周至经后3 d 为1 个疗程,2 组均连续治疗3 个疗程。比较2 组临床疗效,观察2 组治疗前后血清[前列腺素E2(PGE2)、前列腺素F2α(PGF2α)、β-内啡肽(β-EP)]水平及中医症状积分,比较2 组治疗期间不良反应发生情况。结果:治疗后,2 组中医症状积分均较治疗前下降,研究组低于对照组,差异均有统计学意义(P<0.05)。治疗后,研究组临床疗效总有效率为97.87%,对照组为84.78%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组血清PGE2、β-EP 水平均较治疗前上升(P<0.05),血清PGF2α水平较治疗前下降(P<0.05);研究组血清PGE2、β-EP 水平高于对照组(P<0.05),血清PGF2α水平低于对照组(P<0.05)。治疗期间,2 组患者均未出现大面积的皮肤红肿、瘙痒、水泡等不良反应,安全性良好。结论:热敏灸联合中药穴位贴敷治疗寒凝血瘀型原发性痛经可有效缓解痛经症状,改善子宫内分泌激素含量,安全性较高。

    Abstract:

    Abstract:Objective:To observe the clinical effect of the therapy of heat-sensitive moxibustion combined with Chinese medicine point application on primary dyspenorrhea of cold congealing and blood stasis type. Methods:A total of 93 patients with primary dyspenorrhea of cold congealing and blood stasis type were selected as the research objects and divided into the study group and the control group by random number table method. Both groups were treated with Chinese medicine point application,and the study group additionally received heat-sensitive moxibustion on this basis. One course of treatment was from one week before menstruation to three days after menstruation, and patients in both groups were treated for three courses continuously. The clinical effect in the two groups was compared, the levels of prostaglandin E2(PGE2), prostaglandin F2α(PGF2α) and β- endorphin(β- EP) in serum in the two groups before and after treatment were observed, and the incidence of adverse reactions during treatment was compared. Results: After treatment, the Chinese medicine syndrome scores of the symptoms in the two groups were decreased when compared with those before treatment(P<0.05), and the scores in the observation group were lower than those in the control group(P<0.05).After treatment, the total effective rate of clinical effect was 97.87% in the study group and 84.78% in the control group, the difference being significant(P<0.05). After treatment,the levels of PGE2 and β-EP in serum in both groups were increased when compared with those before treatment(P<0.05),and the level of PGF2 was decreased(P<0.05). After treatment,the levels of PGE2 and β- EP in serum in the study group were higher than those in the control group(P<0.05),and the level of PGF2α in the study group was lower than that in the control group(P<0.05). During the treatment,no large area of skin redness,itching, blisters and other adverse reactions occurred in both groups,and the safety was good. Conclusion:The therapy of heatsensitive moxibustion combined with Chinese medicine point application in the treatment of primary dyspenorrhea of cold congealing and blood stasis type can effectively relieve dyspenorrhea symptoms and improve the content of uterine endocrine hormone,with high safety.

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关琦,张化莲,张珊珊.热敏灸联合中药穴位贴敷治疗寒凝血瘀型原发性痛经临床研究[J].新中医,2021,53(19):208-211

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  • 在线发布日期: 2021-10-09
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