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隔姜灸治疗寒湿凝滞型原发性痛经的随机对照临床研究

[Randomized controlled clinical study on ginger-partitioned moxibustion for patients with cold-damp stagnation type primary dysmenorrhea].

作者信息

Sun Li-hong, Ge Jian-jun, Yang Ji-jun, She Yan-fen, Li Wen-li, Li Xin-hua, Yuan Jun, Li Zhi-bin, Lu Yong-jian, Bi Xiu-xia, Li Mei, Geng Yong-hong, Wang Tong

机构信息

College of Chinese Medicine, Hebei Medical University, Shijiazhuang 050091, China.

出版信息

Zhen Ci Yan Jiu. 2009 Dec;34(6):398-402.

Abstract

OBJECTIVE

To observe the effect of ginger-partitioned moxibustion in the treatment of patients with primary dysmenorrhea (PD) of cold-damp stagnation type.

METHODS

A total of 209 PD patients were randomized into moxibustion group (n=105) and control group (medication group, n=104). Patients of the former group were treated with ginger-partitioned moxibustion at Shenque (CV 8) and Guanyuan (CV 4), once daily for 3 days in the first menstrual cycle, and 3 days before menstruation and once daily for 6 days in the 2nd and 3rd menstrual cycles, and those of control group were asked to take Yueyueshu Granules (a Chinese herbal patent drug for relieving PD). Clinical symptom scores were assessed before and after the treatment.

RESULTS

After the treatment, of the 105 and 104 cases in the moxibustion and control groups, the cured, markedly effective, effective and failed cases were 58 (55.24%) and 32 (30.77%), 37 (35.24%) and 33 (31.73%), 5 (4.76%) and 24 (23.08%), and 5 (4.76%) and 15 (14.42%), respectively. The total therapeutic effect of moxibustion group wassignificantly better than that of control group (P<0.01). The effects of moxibustion for relieving mild, moderate and severe dysmenorrhea were evidently superior to those of medication (P<0.01). The symptom scores after the treatment and 3 months of post-treatment in moxibustion group were significantly lower than those of control group (P<0.01).

CONCLUSION

Ginger-partitioned moxibustion therapy was effective for PD of cold-damp stagnation type.

摘要

目的

观察隔姜灸治疗寒湿凝滞型原发性痛经(PD)患者的疗效。

方法

将209例PD患者随机分为艾灸组(n = 105)和对照组(药物组,n = 104)。艾灸组患者于神阙(CV 8)、关元(CV 4)穴行隔姜灸治疗,第1个月经周期每天1次,共3天,第2、3个月经周期于月经前3天开始,每天1次,共6天;对照组患者服用月月舒颗粒(一种缓解PD的中药专利药物)。治疗前后评估临床症状评分。

结果

治疗后,艾灸组105例与对照组104例中,治愈、显效、有效及无效病例分别为58例(55.24%)与32例(30.77%)、37例(35.24%)与33例(31.73%)、5例(4.76%)与24例(23.08%)、5例(4.76%)与15例(14.42%)。艾灸组总疗效显著优于对照组(P<0.01)。艾灸缓解轻、中、重度痛经的效果明显优于药物治疗(P<0.01)。艾灸组治疗后及治疗后3个月的症状评分显著低于对照组(P<0.01)。

结论

隔姜灸疗法治疗寒湿凝滞型PD有效。

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