太乙神针不同灸式对原发性痛经即时止痛效应的临床研究

目的观察艾灸治疗原发性痛经的疗效规律。方法将43例患者按就诊先后顺序采用查随机数字表法分为治疗组21例和对照组22例。两组均采用太乙神针灸十七椎,治疗组采用灼痛刺激方法,对照组采用温热刺激方法。观察两组治疗前及治疗10 min、20 min、30 min后的VAS评分,并比较两组的疗效差异。结果两组治疗10 min、20 min、30 min后VAS比较,差异均无统计学意义(P0.05)。两组不同时间段(治疗0~10 min,治疗11~20 min,治疗21~30 min)VAS差值比较,差异均无统计学意义(P0.05)。结论太乙神针两种不同灸式对原发性痛经均有良好的即时止痛效应。一般而言,对于原发性痛经患者,若以30 min为一次治疗时间,0~10 min宜采用温热刺激,使患者逐渐适应温热刺激;11~30 min宜采用灼痛刺激,以加大施灸刺激量来取得更佳疗效。

Clinical Study of the Immediate Analgesic Effects of Different Modes of Taiyi Moxa Stick Moxibustion on Primary Dysmenorrhea

Objective To investigate regularities in the therapeutic effects of moxibustion on primary dysmenorrhea. Methods Forty-three patients were randomly allocated, using a random number table in order of visits, to a treatment group of 21 cases and a control group of 22 cases. Taiyi moxa stick moxibustion on the seventeenth vertebra was used in both groups. The treatment group was treated by a causalgic stimulation method and the control group, by a thermal stimulation method. Results There was no statistically significant difference in the VAS score after 10, 20 and 30 minutes of treatment （P〉0.05） and in the VAS difference value during different periods of time （0-10, 11-20 and 21-30 minutes of treatment） （P〉 0.05） between the two groups. Conclusions Both modes of Taiyi moxa stick moxibustion have a good immediate analgesic effect on primary dysmenorrhea. Generally speaking, if 30 minutes are one session of treatment for PD patients, thermal stimulation is provided during 0-10 minutes to make the patients adapt gradually to it and causalgic stimulation during 11-30 minutes to increase stimulation intensity, producing a better therapeutic effect.