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针刺三阴交穴对寒湿凝滞型原发性痛经患者的镇痛作用

[Analgesic Effect of Induced by Needling at Sanyinjiao (SP 6) Acupoint on Primary Dysmenorrheal Patients with Cold Damp Stagnation Syndrome].

作者信息

Wang Pei, Zhang Peng, Wu Gui-Wen, Hu Shang-Qing, Li Jing, Sun Jun-Jun, Wang Ya-Feng, Zhao Min-Yi, Hu Ni-Juan, Zhu Jiang

机构信息

School of Acu-moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China; Department of Acupuncture and Physical Therapy, Beijing Luhe Hospital Affiliated to Capital Medical University, Beijing 101149.

Acupuncture-moxibustion Department of Beijing Tongren Hospital, Beijing 100730.

出版信息

Zhen Ci Yan Jiu. 2018 Jan 25;43(1):49-55. doi: 10.13702/j.1000-0607.170310.

Abstract

OBJECTIVE

To observe the analgesic effect of induced by needling at Sanyinjiao (SP 6) on primary dysmenorrheal (PD) patients with cold damp stagnation syndrome (CDSS).

METHODS

A total of 64 PD patients with CDSS experiencing abdominal pain (≥40 mm in visual analogue scale ,VAS) were randomly assigned into -expectation(DE) group(=15) and no--expectation(NDE) group(=49). On the first day of abdominal pain attack, bilateral SP 6 were punctured respectively with thicker needles with deeper insertion for -expectation patients and thin filiform needles with shallow insertion for no--expectation patients. The needles were removed after 30 minutes, a scale was used to evaluate the condition. According to the results, patients in the DE group were further divided into DE group and no- DE group, patients in the NDE group were also divided into NDE group and no- NDE group. The VAS was used to evaluate the patients' abdominal pain severity before treatment and 0, 10, 20, 30 min after acupuncture needle withdrawal.

RESULTS

The rate of in the DE group was higher than that in the NDE group(<0.05). The VAS scores of abdominal pain in the four groups were decreased at all time-points after needle withdrawal compared with those before treatment (<0.01), while the VAS score in the DE group were lower than in the no- NDE group 30 min after needle withdrawal (<0.05).

CONCLUSION

The intervention method of thick needle, deep insertion and some manipulation is easier in inducing than that of thin needle, shallow insertion and no manipulation. The analgesic effect of is better than that of no- for PD patients with CDSS.

摘要

目的

观察针刺三阴交(SP 6)诱导的效应对寒湿凝滞证原发性痛经(PD)患者的镇痛效果。

方法

将64例寒湿凝滞证原发性痛经且腹痛(视觉模拟评分法≥40 mm,VAS)的患者随机分为期待组(n =15)和非期待组(n =49)。在腹痛发作的第一天,对期待组患者用较粗的针分别针刺双侧三阴交且进针较深,对非期待组患者用细毫针浅刺。30分钟后起针,用VAS量表评估疼痛情况。根据结果,将期待组患者进一步分为有效期待组和无效期待组,非期待组患者也分为有效非期待组和无效非期待组。采用VAS量表评估治疗前及起针后0、10、20、30分钟患者的腹痛严重程度。

结果

期待组的有效率高于非期待组(P<0.05)。与治疗前相比,四组患者起针后各时间点的腹痛VAS评分均降低(P<0.01),而起针后30分钟有效期待组的VAS评分低于无效非期待组(P<0.05)。

结论

粗针深刺并配合一定手法的干预方法比细针浅刺且无手法更容易诱导得气。对于寒湿凝滞证原发性痛经患者,得气的镇痛效果优于未得气。

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