摘要
Objective To compare the different therapeutic effect between acupuncture at Shiqizhui （十七椎 EX-B 8） only and multi-acupoints on dysmenorrhea. Methods Thirty-eight cases were randomly divided into asingle acupoint group and a multi-acupoints group, 19 cases in each group. The single acupoint group was treated by acupuncture at Shfqizhui （十七椎EX-B 8） only, and the multi-acupoints group by acupuncture at Shlqizhui （十七椎EX-B 8）, Sanyinjiao （三阴交SP 6）, Diji （地机 SP 8）, Ciliao （次髎 BL 32）. They were all treated from the first day when sudden intense pain occured, one time each day, for 3 days in each menstrual cycle, the treatment of three menstrual cycles. The therapeutic effect and Visual Analogue Scale （VAS） were compared and the scores of general frequency and severity of dysmenorrhea by using Cox Menstrual Symptom Scale （CMSS） were evaluated. Results The cured rate was 68.4% （13/19） and the effective rate was 31.6% （6/19） in the single acupoint group, being similar to 78.9% （15/19） and 21.1% （4/19） in the muhi-acupoints group （P〉0.05）. VAS and the scores of general frequency and severity of dysmenorrhea were all significantly decreased after treatment in both groups （all P〈0.001）, with no significant difference between the two groups （all P〉0.05）. Conclusion Acupuncture at Shiqizhui （十七椎 EX-B 8） only can be as effective as selecting multi-acupoints to cure primary dysmenorrhea.
目的:比较痛经时针刺单穴十七椎和多穴针刺治疗痛经的疗效差别,为取穴提供依据。方法:将38例患者随机分为单穴组和多穴组,每组19例。单穴组取穴十七椎,多穴组取十七椎、三阴交、地机、次髎,两组分别在疼痛发作第1天开始针灸治疗,每天针灸1次,1个月经周期连续治疗3天,共治疗3个月经周期。比较两组患者临床疗效、疼痛视觉模拟评分(Visual Analogue Scale, VAS),并采用Cox痛经症状量表(Cox Menstrual Symptom Scale, CMSS)对患者痛经总频率、痛经严重程度进行评价。结果:单穴组痊愈率为68.4%(13/19),有效率为31.6%(6/19),多穴组分别为78.9%(15/19)、21.1%(4/19), 两组疗效相当(P>0.05);两组治疗后VAS疼痛评分、疼痛总频率评分、痛经严重程度评分均较治疗前明显降低(均P<0.001),但两组间治疗后差异无统计学意义(均P>0.05)。结论:对原发性痛经患者,在疼痛时进行针刺,只取一个穴位十七椎即可达到与选取多穴相同的止痛效果。
基金
Supported by Chinese Medicine Project of "Eleventh Five-Year" National Technology Support Program: 2006 BAI 12 B 06
