摘要
目的比较温针灸与非甾体类抗炎药(NSAID)布洛芬缓释胶囊治疗子宫腺肌病痛经患者的临床疗效差异。方法将65例子宫腺肌病痛经患者随机分为治疗组33例和对照组32例。对照组口服布洛芬缓释胶囊治疗;治疗组采用温针灸治疗,连续治疗3个月经周期并随访3个月。比较两组VAS评分、痛经症状评分及临床疗效。结果两组治疗后及随访期1、2个月VAS评分与治疗前比较差异具有统计学意义(P<0.01);治疗组随访3个月VAS评分与治疗前比较差异具有统计学意义(P<0.01)。两组治疗后及随访期VAS评分比较差异均具有统计学意义(P<0.01),治疗组优于对照组。两组治疗后及随访期1、2个月痛经症状积分均显著下降(P<0.01);治疗组随访3个月痛经症状积分下降,与治疗前比较差异有统计学意义(P<0.01)。两组随访2、3个月症状积分比较差异具有统计学意义(P<0.01)。治疗组总有效率为93.9%,优于对照组的62.5%(P<0.01)。结论温针灸对子宫腺肌病痛经有良好的止痛和改善症状的作用,并且在停止治疗后一定时间内仍可发挥针灸效应,其近期和远期疗效优于非甾体类抗炎药。
Objective To compare the clinical efficacies between warm needling and Ibuprofen sustained release capsules （a nonsteroidal anti-inflammatory drug, NSAID） in treating patients with dysmenorrhea in adenomyosis. MethodSixty-five patients with dysmenorrhea induced by adenomyosis were randomized into a treatment group of 33 cases and a control group of 32 cases. The control group was intervened by oral administration of Ibuprofen sustained release capsules, while the treatment group was intervened by warm needling.The intervention lasted 3 menstrual cycles and a 3-month follow-up was studied. The Visual Analogue Scale （VAS）, dysmenorrhea symptoms scores and clinical efficacy were compared between the two groups.ResultThe VAS scores after the intervention and inthe first and second months of the follow-up study were significantly different from the pre-treatment score in the two groups （P〈0.01）; the VAS score of the 3-month follow-up was significantly different from the score before the intervention in the treatment group （P〈0.01）. There were significant differences in comparing the VAS score after the intervention and in the follow-up study between the two groups （P〈0.01）, and the treatment group was superior to the control group. The dysmenorrhea symptoms scoresdeclined significantly after the intervention and in the first and second months of the follow-up study in both groups （P〈0.01）; the dysmenorrhea symptoms score of the 3-month follow-up study decreased in the treatment group and was significantly different from the pre-treatment score （P〈0.01）. There were significant differences in comparing the dysmenorrhea symptoms scores in the second and third months of the follow-up study between the two groups （P〈0.01）. The total effective rate was 93.9% in the treatment group, significantly better than 62.5% in the control group （P〈0.01）.ConclusionWarm needling is effective in easing pain and improving the symptoms of dysmenorrhea in adenomyosis, and can produce a consistent efficacy after the termination of thetreatment; it＇s superior to NSAIDs in comparing both short-term and long-term treatment efficacies.
作者
吴秋燕
陈锦虹
谢俊杰
金海鹏
庄璇
WU Qiu-yan CHEN Jin-hong XIE Jun-jie JIN Hai-peng ZHUANG Xuan(Xiamen Hospital of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine,Xiamen 361009,China)
出处
《上海针灸杂志》
2017年第4期414-418,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺
温针疗法
子宫腺肌病
痛经
随机对照试验
Acupuncture
Needle warming therapy
Adenomyosis
Dysmenorrhea
Randomized controlled trial
