立极针法治疗原发性痛经（寒湿凝滞型）远期疗效观察

目的：评价立极针法治疗寒湿凝滞型原发性痛经的远期疗效。方法：将76例寒湿凝滞型原发性痛经患者随机分为立极针法组和体针组，每组各38例，治疗3个月经周期，并在治疗后第3个月经周期及半年后随访。使用腹痛视觉模拟评分量表、痛经症状评分量表等作为疗效观察指标，排除脱落患者后，比较2组患者的远期疗效和各项指标的评分。此外，认真观察并记录研究中可能出现的不良反应或副作用。结果：立极针法组脱落2例，传统体针法脱落1例，经过治疗后，立极针法组患者的临床综合疗效优于体针组（P < 0.05），2组VAS评分、痛经症状评分在治疗后及随访期间均有不同程度的下降（P < 0.05），其中体针组半年后随访数据较治疗后第3个月经周期随访数据有所上升，2组间比较，治疗后第3个月经周期随访（P < 0.05）、半年后随访（P < 0.01），立极针法组明显优于传统体针法。立极针法和体针组治疗满意率分别为91.67%、72.97%。2组患者在研究期间均未出现不良反应。结论：立极针法能有效缓解痛经症状及其引起的全身不适，远期疗效稳定持久，治疗寒湿凝滞型原发性痛经的远期疗效确切；此外，患者对立极针法的治疗满意率更高，值得临床推广应用。

Long Term Effects Observation on Acupuncture of Liji Therapy for Primary Dysmenorrhea of Cold-damp Stagnation Type

Objective: To evaluate the long term efficacy of treating the primary dysmenorrhea of cold-damp stagnationtype by Acupuncture of Liji therapy. Methods: In this study, a total of 76 cases of primary dysmenorrhea of cold-dampcoagulation type were randomly divided into the acupuncture of Liji therapy group, and the body acupuncture group, with38 cases in each group. Both groups were continuously treated 3 menstrual cycles, and followed up in the third and sixmenstrual cycles after the end of the treatment. Visual analogue scale for abdominal pain and Dysmenorrhea Symptomsscale were used as therapeutic indexes. Remove shedding cases, the long-term effects and scores of the 2 groups werecompared. Besides, untoward and side effects needed to be recorded. Results: There were 2 cases lost in the acupunctureofLiji therapy group and 1 cases in the body acupuncture group. After treatment, The clinical comprehensive efficacy ofacupuncture ofLiji therapy group was better than that of body acupuncture group(P < 0. 05). Both groups of VAS scoresand dysmenorrhea symptom scores were decreased to different degrees during treatment and follow-up period (P < 0.05).The follow-up data of the body acupuncture group after six menstrual cycles were higher than that of the third menstrualcycles after treatment. Compared with the two groups, the acupuncture of Liji therapy group was superior to the bodyacupuncture group during the third menstrual cycles follow-up (P < 0.05) and six menstrual cycles follow-up (P < 0.01).The treatment satisfaction of acupuncture of Liji therapy and body acupuncture was 91.67% and 72.97%. There were noadverse reactions in the two groups during the study period. Conclusion: Acupuncture of Liji therapy can effectivelyrelieve dysmenorrhea symptoms and the general discomfort caused by dysmenorrhea, the long-term effect is stable anddurable. primary dysmenorrhea of cold-damp stagnation type with acupuncture of Liji therapy has definitely long termcurative effect. In addition, the treatment of patients with acupuncture of Liji therapy is more satisfactory, it is worthy ofcilnlcal application.