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[CO2激光艾灸治疗寒凝血瘀型子宫内膜异位症相关盆腔疼痛的随机对照试验]

[CO laser moxibustion for endometriosis related pelvic pain of cold coagulation and blood stasis: a randomized controlled trial].

作者信息

Li Tian, Wang Si-Yao, Huang Zou-Qin, Cai Qin-Hua, Zhang Shen, Wang Shu, Tian Tian

机构信息

Department of Acupuncture and Moxibustion, Shanghai Pudong Hospital of TCM, Shanghai 201299, China.

Department of Gynecology, Shanghai Pudong Hospital of TCM, Shanghai 201299, China.

出版信息

Zhongguo Zhen Jiu. 2022 Apr 12;42(4):397-401. doi: 10.13703/j.0255-2930.20210421-0001.

Abstract

OBJECTIVE

To observe the clinical therapeutic effect of CO laser moxibustion on endometriosis related pelvic pain of cold coagulation and blood stasis.

METHODS

A total of 76 patients with endometriosis related pelvic pain of cold coagulation and blood stasis were randomized into a laser moxibustion group and a sham laser moxibustion group, 38 cases in each group. In the laser moxibustion group, moxibustion was applied at bilateral Zigong (EX-CA 1) using CO laser moxibustion instrument. In the sham laser moxibustion group, the manipulation of moxibustion was same as the laser moxibustion group, without laser output. The treatment was given once every other day, 30 min each time, 3 times a week for 4 weeks in both groups. Before and after treatment and follow-up of 3 months after treatment, the scores of Gracely box scale (GBS) and visual analogue scale (VAS) were observed, the usage of non-steroidal anti-inflammatory drug for the duration of the treatment and the average days of taking drugs were recorded in both groups.

RESULTS

Compared before treatment, the GBS and VAS scores were decreased after treatment and during follow-up in the laser moxibustion group (<0.05), while those in the sham moxibustion group had no significant differences (>0.05). Compared with the sham moxibustion group, the GBS and VAS scores were decreased after treatment and during follow-up (<0.05), the cases and average days of taking drugs were less in the laser moxibustion group (<0.05).

CONCLUSION

CO laser moxibustion can improve the pain symptom in patients with endometriosis related pelvic pain of cold coagulation and blood stasis, and reduce the use of analgesic drugs.

摘要

目的

观察CO2激光灸对子宫内膜异位症寒凝血瘀型盆腔疼痛的临床治疗效果。

方法

将76例子宫内膜异位症寒凝血瘀型盆腔疼痛患者随机分为激光灸组和假激光灸组,每组38例。激光灸组采用CO2激光灸仪对双侧子宫(EX-CA 1)进行艾灸。假激光灸组艾灸操作同激光灸组,但无激光输出。两组均隔日治疗1次,每次30分钟,每周3次,共治疗4周。观察治疗前后及治疗后3个月随访时的Gracely盒式量表(GBS)评分和视觉模拟量表(VAS)评分,记录两组治疗期间非甾体类抗炎药的使用情况及平均用药天数。

结果

与治疗前比较,激光灸组治疗后及随访期间GBS和VAS评分降低(P<0.05),而假艾灸组无明显差异(P>0.05)。与假艾灸组比较,激光灸组治疗后及随访期间GBS和VAS评分降低(P<0.05),用药例数及平均用药天数减少(P<0.05)。

结论

CO2激光灸可改善子宫内膜异位症寒凝血瘀型盆腔疼痛患者的疼痛症状,减少镇痛药的使用。

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