[1]陈春夏 王 晨 丁 聪 许 伟 祝美珍.艾灸治疗寒凝证类原发性痛经的临床研究[J].大众科技,2018,20(08):68-71.
　Clinical Study on the Treatment of Primary Dysmenorrhea with Cold Coagulation Syndrome by Moxibustion[J].Popular Science & Technology,2018,20(08):68-71.
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艾灸治疗寒凝证类原发性痛经的临床研究()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年08期
页码:
68-71
栏目:
医药与卫生
出版日期:
2018-08-20

文章信息/Info

Title:
Clinical Study on the Treatment of Primary Dysmenorrhea with Cold Coagulation Syndrome by Moxibustion
作者:
陈春夏1 王 晨1 丁 聪1 许 伟2 祝美珍2
（1.广西中医药大学赛恩斯新医药学院，广西 南宁 530000； 2.广西中医药大学研究生院，广西 南宁 530000）
关键词:
原发性痛经; 寒凝证类; 艾灸; 临床研究
Keywords:
primary dysmenorrhea;  cold coagulation syndrome;  moxibustion;  clinical study
文献标志码:
A
摘要:
目的：观察艾灸对寒凝证类原发性痛经患者的临床疗效，并进一步探讨其作用机制。方法：纳入2017 年4 月～2017 年11 月广西中医药大学赛恩斯新医药学院在校生诊断为原发性痛经证属寒凝血滞的女生90 例，将所有患者随机分为三组，每组30 例；A 组为对照组，口服布洛芬颗粒治疗；B、C 两组为实验组，予灸三阴交、关元穴，其中B 组每次施灸20 分钟，C组每次施灸40 分钟。分别于治疗前、每个疗程治疗后及治疗后三个月经周期对所有研究对象使用VAS 评分及CMSS 评分表进行评分，并依据终末随访评分结果对所有研究对象进行疗效评价。结果：三组间比较年龄、病程均差异无统计学意义（P＞0.05），三组间比较VAS 评分，治疗前三组间差异无统计学意义（P＞0.05），各疗程治疗后及终末随访时三组间存在明显差异（P＜0.05）；三组间比较痛经症状评分，治疗前及第2 疗程治疗后三组间差异无统计学意义（P＞0.05），第1、3、4 疗程治疗后及终末随访时三组间存在明显差异（P＜0.05）。三组间终末随访疗效比较差异有统计学意义（P＜0.05），实验组显著优于对照组；实验组不同施灸时长之间疗效比较无显著差异（P＞0.05）结论：艾灸可显著改善寒凝证类原发性痛经患者的临床症状，临床上值得推广。
Abstract:
Aims: To assess the efficacy of moxibustion on primary dysmenorrhea with cold coagulation syndrome and further explore its mechanism. Methods: Ninety female students in Faculty of Chinese Medicine Science Guangxi University of Chinese Medicine were included as the studied subjects, who were diagnosed as primary dysmenorrhea with cold coagulation syndrome from April 2017 to November 2017. All patients were randomly divided into three groups with 30 cases in each group. Group A: control group, treated with ibuprofen granules; group B and C were treated with moxibustion at Sanyinjiao and Guanyuan points, group B was given moxibustion for 20 minutes, and group C for 40 minutes. VAS scores and CMSS scores were used for all subjects respectively at different stages including before the treatment, after the treatment and during the three menstrual cycles that were after treatment. All the subjects were evaluated according to the final follow-up score. Results: There was no significant difference in the age and disease course among the three groups (P＞0.05). There was no significant difference on VAS score among the three groups before treatment (P＞0.05), but there were significant differences after treatment and in the terminal follow-up (P＜0.05). There was no significant difference on CMSS scores among the three groups before treatment and after the second course of treatment (P＞0.05), but there were significant differences among the three groups after the first, third, fourth and terminal follow-up (P＜0.05). There was significant difference in the effect of terminal follow-up among the three groups (P＜0.05), and the efficacy in the experimental groups was significantly better than that in the control group. However, there was no significant difference in the effect of the two experimental groups (P＞0.05). Conclusion: Moxibustion can significantly improve the clinical symptoms of patients with primary dysmenorrhea of cold coagulation syndrome, which is worth popularizing.

参考文献/References:

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备注/Memo

备注/Memo:
【收稿日期】2018-06-07 【基金项目】国家级大学生创新创业训练计划项目（201513643005）。 【作者简介】陈春夏（1992－），女，广西北海人，广西中医药大学赛恩斯新医药学院学生，研究方向为中医学。 【通信作者】祝美珍（1947－），女，广西梧州人，广西中医药大学副教授，博士，硕士研究生导师，从事脑血管疾病防治的研究工作。
更新日期/Last Update: 2018-09-06