Zhao Min-Yi, Zhang Peng, Li Jing, Wang Lin-Peng, Zhou Wei, Wang Yan-Xia, She Yan-Fen, Ma Liang-Xiao, Wang Pei, Hu Ni-Juan, Lin Chi, Hu Shang-Qin, Wu Gui-Wen, Wang Ya-Feng, Sun Jun-Jun, Jiang Si-Zhu, Zhu Jiang
School of Acupuncture Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
Beijing Tongren Hospital Affiliated to Capital Medical University, Beijing, China.
Acupunct Med. 2017 Oct;35(5):332-338. doi: 10.1136/acupmed-2016-011228. Epub 2017 Jul 11.
The aim of this multicentre randomised controlled trial was to investigate the contribution of to the immediate analgesic effect of acupuncture in patients with primary dysmenorrhoea and the specific traditional Chinese medicine diagnosis .
Eighty-eight patients with primary dysmenorrhoea and were randomly assigned to (n=43) or no (n=45) groups and underwent 30 min of SP6 acupuncture. The group received deep needling at SP6 with manipulation using thick needles; the no group received shallow needling with no manipulation using thin needles. In both groups the pain scores and actual sensation were evaluated using a visual analogue scale for pain (VAS-P) and the acupuncture clinical assessment scale (ADCAS), respectively.
Both groups showed reductions in VAS-P, with no signficant differences between groups. ADCAS scores showed 43/43 and 25/45 patients in and no groups, respectively, actually experienced sensation. Independent of original group allocation, VAS-P reductions associated with actual (n=68) were greater than those without (28.4±18.19 mm vs 14.6±12.28 mm, p=0.008).
This study showed no significant difference in VAS-P scores in patients with primary dysmenorrhoea and immediately after SP6 acupuncture designed to induce or avoid sensation. Both treatments significantly reduced VAS-P relative to baseline. Irrespective of group allocation, patients experiencing actual sensation demonstrated larger reductions in pain score relative to those without, suggesting greater analgesic effects.
Chinese Clinical Trial Registry (ChiCTR-TRC-13003086); Results.
本多中心随机对照试验旨在研究[具体内容缺失]对原发性痛经患者针刺即时镇痛效果的贡献以及特定的中医诊断[具体内容缺失]。
88例原发性痛经患者[具体条件缺失]被随机分为[具体内容缺失]组(n = 43)或无[具体内容缺失]组(n = 45),并接受30分钟的三阴交穴针刺。[具体内容缺失]组采用粗针深刺三阴交穴并进行手法操作;无[具体内容缺失]组采用细针浅刺且不进行手法操作。两组分别使用视觉模拟疼痛量表(VAS-P)和针刺[具体内容缺失]临床评估量表(ADCAS)评估疼痛评分和实际[具体内容缺失]感觉。
两组VAS-P评分均降低,组间无显著差异。ADCAS评分显示,[具体内容缺失]组和无[具体内容缺失]组分别有43/43例和25/45例患者实际体验到[具体内容缺失]感觉。与原始分组无关,实际体验到[具体内容缺失]感觉的患者(n = 68)的VAS-P降低幅度大于未体验到的患者(28.4±18.19mm对14.6±12.28mm,p = 0.008)。
本研究表明,旨在诱发或避免[具体内容缺失]感觉的三阴交穴针刺后,原发性痛经患者的VAS-P评分无显著差异。两种治疗方法相对于基线均显著降低了VAS-P。无论分组如何,体验到实际[具体内容缺失]感觉的患者相对于未体验到的患者疼痛评分降低幅度更大,表明镇痛效果更佳。
中国临床试验注册中心(ChiCTR-TRC-13003086);结果。