通督调神针法配合艾灸神阙改善痛经患者症状及心理状态(1)
[摘要] 目的 評价通督调神针法配合艾灸神阙穴对痛经患者症状与心理状态的改善作用。 方法 选择2016年10月～2018年10月在杭州市中医院针灸科门诊就诊的60例原发性痛经患者作为研究对象，采用随机数字表法分为观察组和对照组。对照组采用艾灸神阙治疗，观察组予通督调神针法配合艾灸神阙，于第一个月经周期进行基线评定，第二个月经周期经前1周予相应治疗，至月经首日结束，每日1次，连续治疗3个月经周期，于第4个月经周期进行疗效评价，之后随访3个月经周期。比较两组患者治疗前后及随访周期痛经症状评分、抑郁自评量表(Self-rating depression scale，SDS)积分变化情况及临床有效率。 结果 ①治疗后，第1、2、3周期随访，两组患者痛经症状评分、SDS评分均较治疗前下降(P<0.01，P<0.05)，观察组较对照组下降更明显(P<0.01，P<0.05)。②观察组痊愈6例(20.0%)，显效11例(36.7%)，有效10例(33.3%)，无效3例(10.0%)。对照组痊愈3例(10.0%)，显效8例(26.7%)，有效10例(33.3%)，无效9例(30.0%)。两组比较差异有统计学意义(P<0.05)。 结论 采用通督调神针法配合艾灸神阙穴治疗原发性痛经，能显著改善患者痛经症状及心理状态，其效果优于单用艾灸神阙治疗。
[关键词] 原发性痛经;通督调神;艾灸;神阙;心理状态
[中图分类号] R249;R256.23 [文献标识码] B [文章编号] 1673-9701(2020)24-0001-04
[Abstract] Objective To evaluate the improvement of dredging governor vessel for regulating mentality combined with moxibustion at Shenque on symptoms and psychological state of dysmenorrhea patients. Methods 60 patients with primary dysmenorrhea who visited the clinics of acupuncture department of Hangzhou Hospital of Traditional Chinese Medicine from October 2016 to October 2018 were selected as the research object and randomly divided into the observation group and the control group. The control group was treated with moxibustion at Shenque， while the observation group was treated with dredging governor vessel for regulating mentality combined with moxibustion at Shenque. Baseline assessment was carried out in the first menstrual cycle. The second menstrual cycle was treated with corresponding treatment one week before， qd， until the end of the first menstrual cycle. Three menstrual cycles were continuously treated， and the therapeutic effect was evaluated in the fourth menstrual cycle， followed up for three menstrual cycles. The dysmenorrhea symptom score， self-rating depression scale(SDS)， changes and clinical effective rate were compared between the two groups at baseline and post-treatment and during the follow-up period. Results ①After treatment， the dysmenorrhea symptom score and SDS score of the two groups decreased compared with those at baseline(P<0.01， P<0.05)， and the observation group decreased more obviously than the control group(P<0.01， P<0.05). ②In the observation group， 6(20.0%) cases were cured， 11(36.7%) cases were markedly effective， 10(33.3%) cases were effective， and 3(10.0%) cases were ineffective. In the control group， 3(10.0%) cases were cured， 8(26.7%) cases were markedly effective， 10(33.3%) cases were effective， and 9(30.0%) cases were ineffective. The difference between the two groups was statistically significant(P<0.05). Conclusion Treating primary dysmenorrhea with dredging governor vessel for regulating mentality combined with moxibustion significantly improves dysmenorrhea symptoms and psychological state of patients， and its effect is superior to that of moxibustion Shenque alone., 百拇医药(史莹莺 蒋丽元 叶恬恬)
[关键词] 原发性痛经;通督调神;艾灸;神阙;心理状态
[中图分类号] R249;R256.23 [文献标识码] B [文章编号] 1673-9701(2020)24-0001-04
[Abstract] Objective To evaluate the improvement of dredging governor vessel for regulating mentality combined with moxibustion at Shenque on symptoms and psychological state of dysmenorrhea patients. Methods 60 patients with primary dysmenorrhea who visited the clinics of acupuncture department of Hangzhou Hospital of Traditional Chinese Medicine from October 2016 to October 2018 were selected as the research object and randomly divided into the observation group and the control group. The control group was treated with moxibustion at Shenque， while the observation group was treated with dredging governor vessel for regulating mentality combined with moxibustion at Shenque. Baseline assessment was carried out in the first menstrual cycle. The second menstrual cycle was treated with corresponding treatment one week before， qd， until the end of the first menstrual cycle. Three menstrual cycles were continuously treated， and the therapeutic effect was evaluated in the fourth menstrual cycle， followed up for three menstrual cycles. The dysmenorrhea symptom score， self-rating depression scale(SDS)， changes and clinical effective rate were compared between the two groups at baseline and post-treatment and during the follow-up period. Results ①After treatment， the dysmenorrhea symptom score and SDS score of the two groups decreased compared with those at baseline(P<0.01， P<0.05)， and the observation group decreased more obviously than the control group(P<0.01， P<0.05). ②In the observation group， 6(20.0%) cases were cured， 11(36.7%) cases were markedly effective， 10(33.3%) cases were effective， and 3(10.0%) cases were ineffective. In the control group， 3(10.0%) cases were cured， 8(26.7%) cases were markedly effective， 10(33.3%) cases were effective， and 9(30.0%) cases were ineffective. The difference between the two groups was statistically significant(P<0.05). Conclusion Treating primary dysmenorrhea with dredging governor vessel for regulating mentality combined with moxibustion significantly improves dysmenorrhea symptoms and psychological state of patients， and its effect is superior to that of moxibustion Shenque alone., 百拇医药(史莹莺 蒋丽元 叶恬恬)