灸神阙、针三阴交治疗原发性痛经的临床研究

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1、提要目的：本研究采用灸神阙、针三阴交和灸大横、针悬钟法治疗原发性痛经，观察两种治疗方法对原发性痛经患者临床症状和腹痛严重程度的改善，探讨处于相同神经节段的特异性经穴配伍对胞宫的调控效应的差异。方法：将36例原发性痛经患者随机分成两组，其中灸神阙、针三阴交组18例，灸大横、针悬钟组18例。观察治疗前与介入治疗四个月经周期后的痛经临床症状和腹痛严重程度的改善情况，并比较两组之间的差异。结果：灸神阙、针三阴交和灸大横、针悬钟均能明显减轻痛经患者的临床症状及腹痛严重程度，与治疗前相比，差异均具有极显著性意义(P<0.01)，但灸神阙、针三阴交的近期及远期疗效均优于灸大横、针悬钟。在对

2、恶心、呕吐、失眠、乏力、腹泻、易激惹、背（腰骶部）痛持续总时间的改善上灸神阙、针三阴交组明显优于灸大横、针悬钟组，在对眩晕、面色变化和神经质续总时间的改善上灸大横、针悬钟组优于灸神阙、针三阴交组；在对恶心、呕吐、失眠、腹泻、眩晕、乏力、全身疼痛严重程度改善上灸神阙、针三阴交组明显优于灸大横、针悬钟组，在对神经质严重程度改善上灸大横、针悬钟组优于灸神阙、针三阴交组。结论：灸神阙、针三阴交和灸大横、针悬钟对改善原发性痛经患者临床症状及腹痛程度的疗效显著；灸神阙、针三阴交要优于灸大横、针悬钟；处于相同神经节段的神阙与大横、三阴交与悬钟对胞宫的调控作用有明显的差异，其差异性以经穴–脏

3、腑相关理论为基础。关键词神阙；三阴交；大横；悬钟；原发性痛经；临床研究ClinicalStudyonTreatmentofPrimaryDysmenorrheabyMoxibustionShenque(RN8)andNeedlingSanyinjiao(SP6)Speciality:AcupunctureandMoxibustionAuthor:WangJingTutor:MaYuxiaAbstractObjective:Thisstudyhastwogroupsinvolvedinthetreatmentofprimarydysmenorrhea,oneismoxibust

4、ionshenque(RN8)andneedlingsanyinjiao(SP6)group,anotherismoxibustiondaheng(SP15)andneedlingxuanzhong(GB39)group.Thenobseredtheimprovementofclinicalsymptomsandabdominalpainseverityoftheprimarydysmenorrheapatientsbythetwokindsoftreatmentmethods,toexploringthespecificityofacupointscompatibility

5、inthesamenervesegmentontheregulationeffectofuterus.Methods:36casesofprimarydysmenorrheapatientsweredividedintotwogroupsrandomly.18caseswastreatedwithmoxibustionshenque(RN8)andneedlingsanyinjiao(SP6)and18caseswastreatedwithmoxibustiondaheng(SP15)andneedlingxuanzhong(GB39).Thenweobservedtheim

6、provementofclinicalsymptomsandabdominalpainseveritybeforeandafterfourmenstrualcyclesinterventiontreatment,tocomparingthedifferencesbetweenthetwogroups.Result:Boththegroupsofmoxibustionshenque(RN8)andneedlingsanyinjiao(SP6)groupandmoxibustiondaheng(SP15)andneedlingxuanzhong(GB39)groupareable

7、toreducethepatients'clinicalsymptomsandabdominalpainseverity,andthedifferencesbetweenprior-treatmentandpost-treatmentaresignificant(P<0.01).Butmoxibustionshenque(RN8)andneedlingsanyinjiao(SP6)isbetterthanmoxibustiondaheng(SP15)andneedlingxuanzhong(GB39)o