穴位埋线联合耳穴压豆治疗原发性痛经的疗效-论文.pdf

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1、·68·实用临床医学2013年第14卷第6期PracticalClinicalMedicine，2013，Vol14，No6穴位埋线联合耳穴压豆治疗原发性痛经的疗效邓金风(南昌市第二医院妇产科，南昌330002)摘要：目的观察穴位埋线联合耳穴压豆治疗原发性痛经的临床疗效。方法将8O例原发性痛经患者按不同的治疗方法分为2组：观察组和对照组，每组40例。观察组于经行前1周开始穴位埋线，穴位：关元、气海、子宫、天枢、次髂、三阴交、肾俞，辩证加减穴位：气滞血瘀加取太冲，寒凝血瘀加取阴陵泉，湿热瘀阻加取肝俞．气血虚弱加取足三里，肾气亏虚加取中都；耳穴压豆：以子宫、内分泌、交感、神门为主穴，辩

2、证配穴为：寒凝血瘀配肾、脾，气滞血瘀配肝、上屏尖，气血虚弱配心、脾，湿热瘀阻配肝、胆，肾气亏虚配肝、肾。对照组痛经第l天采用布洛芬缓释胶囊治疗。观察2组患者治疗3个月经周期后及随访3个月的临床疗效情况。结果观察组治疗3个月经周期后、随访3个月治愈率、总有效率均明显高于对照组(P<0．05或P<0．01)。结论穴位埋线联合耳穴压豆治疗原发性痛经可显著改善患者的痛经症状，无明显的不良反应，且不易反弹，是一种治疗痛经较理想的方法。关键词：原发性痛经；穴位埋线；耳穴压豆；布洛芬缓释胶囊中图分类号：R711．51文献标志码：A文章编号：1009—8194(2013)06—0068—03The

3、rapeuticEfectofAcupointCatgutEmbeddingTherapyCombinedwithEarPressureBeansonPrimaryDysmenorrheaDENGJin-feng(DepartmentofObstetricsandGynecology，theSecondHospitalofNanchang，Nanchang330002，China)ABSTRACT：ObjectiveToobservethetherapeuticeffectofacupointcatgutembeddingtherapycombinedwithearpressure

4、beansonprimarydysmenorrhea．MethodsEightypatientswithprimarydysmenorrheaweredividedintotwogroups，with40patientsineachgroup．PatientsinobservationgroupweretreatedwithcatgutimplantationatGuanyuan，Qihai，Zigong，Tianshu，Ciliao，SanyinjiaoandShenshu1weekbeforemenstruation．Dialecticalacupoint：Taichongwa

5、saddedforQistagnationandbloodstasis，Yinlingquanforcoldstasis，Ganshufordampheatandbloodstasis，ZusanliforQiandblooddeficiency，andZhongduforkidneyQideficiency；Earpressurebeans：uterine，endocrine，sympatheticandShenmenwerethemainpoints；Dialecticaladjunctacupoints：coldstasiswithkidneyandspleen，Qistag

6、nationandbloodstasiswithliverandscreentip，Qiandblooddeficiencywithheartandspleen，dampheatandbloodstasiswithliverandgallbladder，andkidneydeficiencywithliverandkidney．Patientsincontrolgroupweretreatedwithsustainedreleaseibuprofencapsuleformulationsonthefirstdayofdysmenorrhea．Clinicalefficacywaso

7、bservedafter3cyclesofmenstruationandfollow—upfor3months．ResultsComparedwithcontrolgroup，thecurerateandtotaleffectiveratesignific-antlyincreasedinobservationgroupafter3cyclesofmenstruationandfollow-upfor3months(P<0．05orP<0．01)．Conclusion