不同介入时机针刺组穴对原发性痛经患者中医证候评分的影响

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1、要目的：在针刺处方(十七椎、次髎、地机、三阴交)、针刺手法相同的前提下，选用不同的介入时机(经前5天左右针刺或疼痛发作时针刺)对原发性痛经患者进行治疗，以观察不同的介入时机对针刺治疗原发性痛经的疗效差异影响。为针刺治疗原发性痛经介入时机的选择提供客观的临床依据，为进一步确立针刺治疗原发性痛经的最佳介入时机奠定基础。方法：将符合纳入标准的568例原发性痛经患者随机分为5组，选取其中3组共300例，其中经前针刺组(经前5天左右针刺组)100例，脱落5例；即刻针刺组(经前发作或疼痛发作时针刺组)100例，脱落8例；空白对照组(不予治疗)100例，脱落1例。观察针刺前与针刺介入后三个月经周期中医证

2、候评分的变化，并比较三组之间的差异。结果：治疗前，各组间比较差异无显著性意义(P>0.05)。各治疗周期结束后，经前针刺组和即刻针刺组的痛经中医证候评分与各自筛选期相比差异均有显著性意义(P<0.05)；与空白对照组相比差异均有显著性意义(P<0.05)；空白对照组等待前后未发生显著变化(P>0.05);经前针刺组与即刻针刺组相比差异有显著性意义(P<0.05)。结论：经前针刺多穴(十七椎、次髎、地机、三阴交)组和即刻针刺多穴组均能显著减轻痛经患者的临床症状，均能显著降低痛经患者的中医证候评分，但经前5天左右针刺组穴较疼痛即刻针刺治疗原发性痛经疗效优势明显，经前5天左右针刺介入治疗原发性痛

3、经是较佳的治疗时机。在辨证分型分析方面，寒凝血瘀证痛经患者采取经前针刺治疗效果较好，气滞血瘀证痛经患者采取即刻针刺治疗效果较好。关键词针刺；原发性痛经；介入时机；中医证候评分TheInfluenceofSymptomaticMarkingofTraditionalChineseMedicineonPrickingMulti-pointsinDifferentIntervensionTimeSpeciality：AcupunctureandMoxbustionAuthor:CaiPeiyunTutor:MaYuxiaAbstractObjective:Toobserveacupuncture

4、effectindifferentneedlingtimeintreatingprimarydysmenorrhea.Methods:568casesofprimarydysmenorrheawererandomlydividedinto5groups,3groupswith300caseswerechosen.Needlingbeforeperiodgroup,needlingimmediatelywithprimarydysmenorrheagroup,andcontrolgroup.100casesineachgroupand14caseswereexcluded.Toobserve

5、changesinTCMsymptomscale,andtocomparedifferencesamongthreegroups.Results:Comparingwithbeforetreatment,therewasnodifferenceinthreegroups(P>0.05).Therewasnodifferenceincontrolgroupbeforeandafterthreeperiods(P〉0.05).Andtherewasdifferencebetweentwoneedlinggroupsaftertreatment(P<0.05).Therewasdifferenc

6、ebetweenbeforeandaftertreatmentineachneedlinggroupseperately(P<0.05).Comparewithcontrolgroup,therewasdifferenceineachneedlinggroupseperately(P<0.05).Conclusion:NeedlingbeforeperiodgroupandneedlingimmediatelywithprimarydysmenorrheagroupcangreatlyreliveclinicalsymptomsandcanreduceTCMsymptomscaleofpr

7、imarydysmenorrheapatients.Needling5daysbeforeperiodgrouphasabettertherapeuticeffectthanneedlingimmediatelywithprimarydysmenorrhea.Soweconcludethatneedling5daysbeforeperiodisthebestinterventiontimeforprimarydysmen