摘要
目的探讨温和灸不同时间因素(持续时间、间隔时间和介入时间)的量效关系和对寒湿凝滞型原发性痛经止痛效应的最佳治疗方案。方法以58例寒湿凝滞型原发性患者为观察对象,应用正交试验设计法进行3因素2水平搭配组合随机分为4组分别进行温和灸关元、三阴交治疗,以VAS-P量表、RSS量表评分为指标评定其止痛效应。结果温和灸治疗寒湿凝滞型原发性痛经的时间因素中的重要因素是持续时间和间隔时间,每穴灸治10 min优于每穴灸治5 min、2 d 1次优于1 d 1次、经前5天开始治疗优于经前7天开始治疗。结论持续时间和间隔时间是影响温和灸对寒湿凝滞型原发性痛经止痛效应的重要因素,温和灸灸治10 min/穴,2 d 1次,经前5天开始治疗为最佳治疗方案。
Objective To investigate the regulation of the dose-effect relation of different time factors of mild moxibustion（persistent time,interval time and intervention time）,and the optimum treatment program of analgesic effects of primary dysmenorrhea due to cold-dampness retention.Methods The patients with primary dysmenorrhea due to cold-dampness retention were randomly allocated to 4 groups,using an orthogonal experiment design,the three-factor（persistent time,interval time and intervention time） and two-level combination method,mild moxibustion was applied to Guanyuan（CV 4） and Sanyinjiao（SP 6）,the analgesic effect was evaluated by VAS-A scale and RSS scale scores.Results The important time factors of mild moxibustion were the persistent time and the interval time,the effect of 10 min moxibustion on each acupoint was better than that of 5 min moxibustion,once every two days was better than once a day,the treatment performed 5 days before menstruation was better than that 7 days before.Conclusion The interval time and the persistent time of mild moxibustion are the important factors of the analgesic efficacy on primary dysmenorrhea due to cold-dampness retention,the optimum treatment program of mild moxibustion is 10 min on each point,once every two days and the treatment is performed 5 days before menstruation.
出处
《吉林中医药》
2017年第10期1056-1059,共4页
Jilin Journal of Chinese Medicine
基金
国家级大学生创新基金(201510760022)
关键词
原发性痛经
温和灸
灸量
正交试验
primary dysmenorrhea
mild moxibustion
moxibustion time
orthogonal test
