摘要
针灸治疗原发性痛经(primary dysmenorrhea,PD)的常用方法包括针刺疗法、艾灸疗法及综合疗法等,通过对机体免疫功能、子宫微循环、内分泌系统、中枢神经系统、自由基等的影响,有效改善痛经症状,取得良好疗效。目前,存在以下问题:(1)在实验研究方面,缺少对镇痛机理的研究;(2)一般临床研究,纳入样本量较少,缺乏统一的客观量化诊断标准及疗效评价体系,且未进行远期随访,常以视觉模拟疼痛评分和COX痛经症状量表评分作为疗效评定量表、极少进行生活质量改善程度的调查等问题。今后,应将临床研究与实验研究有效结合,制定统一的诊疗标准和疗效判定标准;在光遗传技术的支撑下,深入研究针灸镇痛的作用机制。此外,还需加强研究设计的科学性、严密性,进行大样本的研究,增加研究结果的真实可靠性,充分设置随访,同时注重对患者的宣教,健康生活方式的培养,以期提高PD患者的生活质量。
The common methods of acupuncture and moxibustion for the treatment of primary dysmenorrhea(PD)include acupuncture,moxibustion,catgut embedment in acupoint,acupoint application,acupoint injection,auricular acupuncture and comprehensive therapy,etc.,which can effectively improve the symptoms of dysmenorrhea and have satisfactory effects by affecting the body's immune function,uterine microcirculation,endocrine system,central nervous system and free radicals,etc.At present,there are still the following problems:(1)In the experimental research,there is a lack of research on the mechanism of analgesia;(2)In general clinical research,the sample size is small,there is a lack of unified objective quantitative diagnostic criteria and efficacy evaluation system,and no long-term follow-up has been conducted.The visual analogue scale(VAS)and the Cox menstrual symptom scale(CMSS)are often used as efficacy evaluation scales,and the improvement degree of quality of life is rarely investigated.In the future,clinical and experimental research should be effectively combined,and uniform criteria for diagnosis and treatment should be formulated,as well as efficacy criteria.The mechanism of acupressure analgesia should be thoroughly investigated with the support of photogenetic techniques.In addition,there is a need to strengthen scientific and rigorous research design,conduct large-sample studies,increase the authenticity and reliability of research results,establish adequate follow-ups,and focus on education to foster healthy lifestyles,thus improving the quality of life for PD patients.
作者
杨欣
张朴
赵娴
YANG Xin;ZHANG Pu;ZHAO Xian(Shaanxi University of Chinese Medicine,Xianyang,Shaanxi,China,712046)
出处
《河南中医》
2023年第9期1410-1416,共7页
Henan Traditional Chinese Medicine
关键词
原发性痛经
针灸
针刺疗法
艾灸疗法
中医特色疗法
primary dysmenorhea
acupuncture and moxibustion
acupuncture therapy
moxibustion therapy
TCM characteristic therapy
