腕踝针治疗大学生原发性痛经的疗效观察

[Efficacy observation on wrist-ankle needle for primary dysmenorrhea in undergraduates].

作者信息

Wang Hong-Bin, Zhao Shu, Sun Na, Li Xue-Qing, Ma Shu-Xiang, Li Qi, Cui Jian-Mei

机构信息

College of TCM, Hebei United University, Tangshan 063000, China.

出版信息

Zhongguo Zhen Jiu. 2013 Nov;33(11):996-9.

PMID:24494287

Abstract

OBJECTIVE

To compare efficacy difference among wrist-ankle needle, body-acupuncture and ibuprofen in the treatment of primary dysmenorrhea.

METHODS

Ninety-five cases were randomly divided into a wrist-ankle needle group (32 cases), a body-acupuncture group (31 cases) and an ibuprofen group (32 cases). Acupunc- , ture at Lower 1 and Lower 2 area was applied in the wrist-ankle needle group. Acupuncture at Guanyuan (CV 4) and Sanyinjiao (SP 6) were applied in the body-acupuncture group. Ibuprofen sustained-release capsules were given for oral administration in the ibuprofen group. The treatment began 3 days before menses, once a day, until pain was relieved. One menstrual cycle was taken as a treatment course, continuously for 3 courses and efficacy were observed in three groups. The symptom score of dysmenorrhea and visual analogue scale (VAS) were used to assess pain severity before and after treatment.

RESULTS

1The efficacy differences in three groups were statistically significant (P<0.01), in which the total effective rate was 90. 0% (27/30) in the wrist-ankle needle group, 73.4% (22/30) in the body-acupuncture group and 46. 7% (14/30) in the ibuprofen group. 2 After the treatment, symptom score of dysmenorrhea and VAS were all obviously lower than that before the treatment in three groups (all P<0.01). Compared with ibuprofen group (7.12+/-2.70), after the treatment symptom score of dysmenorrhea in the wrist-ankle needle group (4.00+/-3.40) and body-acupuncture group (5. 53+/-2. 80) was obviously decreased (P<0.01, P<0.05), and VAS in the wrist-ankle needle group was significantly reduced (P<0.05). Compared with body-acupuncture group (5. 53+/-2.80), symptom score of dysmenorrhea in the wrist-ankle needle group (4.00+/- 3. 40) was obviously decreased (P<0. 05).

CONCLUSION

The wrist-ankle needle has better effect than body acupuncture and ibuprofen on the treatment of primary dysmenorrhea, which could significantly improve dysmenorrhea symptoms.

摘要

目的

比较腕踝针、体针及布洛芬治疗原发性痛经的疗效差异。

方法

95例患者随机分为腕踝针组（32例）、体针组（31例）和布洛芬组（32例）。腕踝针组针刺下1、下2区；体针组针刺关元（CV 4）、三阴交（SP 6）；布洛芬组口服布洛芬缓释胶囊。于月经来潮前3天开始治疗，每日1次，至疼痛缓解。以1个月经周期为1个疗程，连续治疗3个疗程，观察3组疗效。采用痛经症状评分及视觉模拟评分法（VAS）评估治疗前后疼痛程度。

结果

3组疗效差异有统计学意义（P<0.01），其中腕踝针组总有效率为90.0%（27/30），体针组为73.4%（22/30），布洛芬组为46.7%（14/30）。2. 治疗后，3组痛经症状评分及VAS均明显低于治疗前（均P<0.01）。与布洛芬组（7.12±2.70）比较，治疗后腕踝针组（4.00±3.40）和体针组（5.53±2.80）痛经症状评分明显降低（P<0.01，P<0.05），腕踝针组VAS明显降低（P<0.05）。与体针组（5.53±2.80）比较，腕踝针组痛经症状评分（4.00±3.40）明显降低（P<0.05）。