针刺联合隔物温和灸适宜技术治疗痛经300例疗效观察(1)
[摘要] 目的 观察针刺联合隔物温和灸适宜技术治疗痛经的临床疗效。 方法 将2015～2017年我院门诊300例原发性痛经患者采用针刺联合隔物温和灸治疗3个疗程，观察治疗后临床疗效。 结果 腹痛临床疗效300例患者治愈187例，显效83例，有效25例，无效5例，临床总有效率98.3%。治疗前积分为(12.5±4.6)分，治疗后为(3.3±2.1)分，较治疗前降低明显，差异有统计学意义(P<0.05)。治疗前中医证候积分为(6.3±1.6)分，治疗后为(1.8±0.5)分，较治疗前降低明显，差异有统计学意义(P<0.05)，300例患者痊愈167例，显效85例，有效48例，无效0例。结论 针刺联合隔物温和灸适宜技术治疗原发性痛经，安全有效、方便价廉、患者容易接受，科室医生均能应用该技术，临床疗效明确，无明显不良反应发生，在基层医院适宜推广。
[关键词] 隔物温和灸;针刺;原发性痛经;适宜技术
[中图分类号] R246.3 [文献标识码] B [文章编号] 1673-9701(2019)07-0063-04
[Abstract] Objective To observe the clinical efficacy of acupuncture combined with cake-separated mild-warm moxibustion in the treatment of dysmenorrhea. Methods 300 patients with primary dysmenorrhea in our hospital from 2015 to 2017 were treated with acupuncture combined with cake-separated mild-warm moxibustion for 3 courses. The clinical effect after treatment was observed. Results Clinical effect of abdominal pain in 300 patients， 187 cases were cured; 83 cases were markedly effective; 25 cases were effective; 5 cases were ineffective. And the total clinical effective rate was 98.3%. The score before treatment was (12.5±4.6). And the score after treatment was(3.3±2.1)， which was significantly lower than that before treatment. The difference was statistically significant (P<0.05). The TCM syndrome score before treatment was(6.3±1.6)， and the TCM syndrome score after treatment was(1.8±0.5)， which was significantly lower than that before treatment. The difference was statistically significant(P<0.05). In 300 patients， 167 cases were recovered， 85 cases were markedly effective， 48 cases were effective， and 0 case was ineffective. Conclusion Acupuncture combined with cake-separated mild-warm moxibustion for the treatment of primary dysmenorrhea is safe， effective， convenient and inexpensive， and is easy for patients to accept. The doctors of the department can apply this technology， and the clinical effect is clear. No obvious reaction occurs. And it is suitable for promotion in primary hospitals.
[Key words] Mild-warm moxibustion; Acupuncture; Primary dysmenorrhea; Suitable technique
痛經属于祖国医学“经行腹痛”的范畴，最早见于《金贵要略》，可分为原发性痛经和继发性痛经，是妇科多发病及常见病。是指妇女在月经前及行经期间，出现下腹及腰部疼痛，以痉挛性为主，严重者可出现头痛、恶心、呕吐、冷汗、肢冷、恶寒、面色苍白甚至休克，多见于未婚青年妇女。我国的痛经发生率高达33%，其中原发性痛经高达36%[1]，复旦大学附属妇产科医院与复旦大学卫生学院曾联合对上海4校高二年级1116位女学生开展月经情况的流行病学粗浅的调查，其中痛经高达58.3%，但仅12.1%就医，从远期而言，其是子宫内膜异位症高危因素，由此可见原发性痛经对女性青少年身体健康的影响。目前西医治疗以避孕药和非甾体抗炎药为主，但有一定不良反应，且易反复。基于上述疾病带来影响及治疗的现状，推广一种止痛起效快、安全有效、方便价廉、患者容易接受的疗法具有十分重要的临床意义。而我院开展针刺结合隔物温和灸中医非药物技术多年，临床运用疗效明确。痛经在基层各大医院较常见，自2015年起我院作为中医药适宜技术示范基地，负责在本地区将该项技术在基层医院进行适宜技术的推广。现对2015～2017年我院门诊300例原发性痛经患者采用该方法治疗，现报道如下。, http://www.100md.com(王华 马瑞芬)
[关键词] 隔物温和灸;针刺;原发性痛经;适宜技术
[中图分类号] R246.3 [文献标识码] B [文章编号] 1673-9701(2019)07-0063-04
[Abstract] Objective To observe the clinical efficacy of acupuncture combined with cake-separated mild-warm moxibustion in the treatment of dysmenorrhea. Methods 300 patients with primary dysmenorrhea in our hospital from 2015 to 2017 were treated with acupuncture combined with cake-separated mild-warm moxibustion for 3 courses. The clinical effect after treatment was observed. Results Clinical effect of abdominal pain in 300 patients， 187 cases were cured; 83 cases were markedly effective; 25 cases were effective; 5 cases were ineffective. And the total clinical effective rate was 98.3%. The score before treatment was (12.5±4.6). And the score after treatment was(3.3±2.1)， which was significantly lower than that before treatment. The difference was statistically significant (P<0.05). The TCM syndrome score before treatment was(6.3±1.6)， and the TCM syndrome score after treatment was(1.8±0.5)， which was significantly lower than that before treatment. The difference was statistically significant(P<0.05). In 300 patients， 167 cases were recovered， 85 cases were markedly effective， 48 cases were effective， and 0 case was ineffective. Conclusion Acupuncture combined with cake-separated mild-warm moxibustion for the treatment of primary dysmenorrhea is safe， effective， convenient and inexpensive， and is easy for patients to accept. The doctors of the department can apply this technology， and the clinical effect is clear. No obvious reaction occurs. And it is suitable for promotion in primary hospitals.
[Key words] Mild-warm moxibustion; Acupuncture; Primary dysmenorrhea; Suitable technique
痛經属于祖国医学“经行腹痛”的范畴，最早见于《金贵要略》，可分为原发性痛经和继发性痛经，是妇科多发病及常见病。是指妇女在月经前及行经期间，出现下腹及腰部疼痛，以痉挛性为主，严重者可出现头痛、恶心、呕吐、冷汗、肢冷、恶寒、面色苍白甚至休克，多见于未婚青年妇女。我国的痛经发生率高达33%，其中原发性痛经高达36%[1]，复旦大学附属妇产科医院与复旦大学卫生学院曾联合对上海4校高二年级1116位女学生开展月经情况的流行病学粗浅的调查，其中痛经高达58.3%，但仅12.1%就医，从远期而言，其是子宫内膜异位症高危因素，由此可见原发性痛经对女性青少年身体健康的影响。目前西医治疗以避孕药和非甾体抗炎药为主，但有一定不良反应，且易反复。基于上述疾病带来影响及治疗的现状，推广一种止痛起效快、安全有效、方便价廉、患者容易接受的疗法具有十分重要的临床意义。而我院开展针刺结合隔物温和灸中医非药物技术多年，临床运用疗效明确。痛经在基层各大医院较常见，自2015年起我院作为中医药适宜技术示范基地，负责在本地区将该项技术在基层医院进行适宜技术的推广。现对2015～2017年我院门诊300例原发性痛经患者采用该方法治疗，现报道如下。, http://www.100md.com(王华 马瑞芬)