腹针联合温经汤治疗寒凝血瘀型痛经的临床疗效

目的 探讨腹针联合温经汤治疗寒凝血瘀型痛经的临床疗效。方法 选取2018 年1 月至2020 年7 月我院针灸科、妇科收集的60 例寒凝血瘀型痛经患者,随机分为观察组与对照组,每组各30 例,观察组采用腹针联合温经汤口服治疗;对照组采用艾附暖宫丸口服治疗。两组均以10 d 为1 个疗程,每次月经前7 d 开始治疗至经期第3 天,共治疗3 个疗程,3 个疗程后观察两组临床疗效,进行疼痛症状积分比较及安全性评价;治疗结束后随访时观察其远期疗效。结果 观察组临床总有效率为93.33%,对照组为83.33%,两组比较,差异有统计学意义（P＜0.05）;两组治疗后痛经症状积分情况与治疗前比较,差异有统计学意义（P＜0.01）;观察组治疗后痛经症状积分低于对照组,差异有统计学意义（P＜0.01）;治疗结束后随访观察患者远期疗效,两组均较治疗前降低（P＜0.01）,观察组痛经症状积分为（5.91±1.43）分,低于对照组的（7.01±1.12）分,差异有统计学意义（P＜0.01）。3 个疗程结束后两组患者肝肾功能、血常规、血脂血糖检测无异常。观察组有2 例患者出现所针刺部位疼痛感、少许淤青现象,4 d后自行消失,对照组患者无不适。结论 腹针联合温经汤治疗寒凝血瘀型痛经临床疗效显著,副作用少,安全性高,不易复发,值得临床推广与借鉴。

Clinical efficacy of abdominal acupuncture combined with Wenjing Decoction in dysmenorrhea of cold coagulation and blood stasis type

Objective To explore the clinical efficacy of abdominal acupuncture combined with Wenjing Decoction in dysmenorrhea of cold coagulation and blood stasis type.Methods A total of 60 patients with dysmenorrhea of cold coagulation and blood stasis in the department of acupuncture and the department of gynecology of our hospital from January 2018 to July 2020 were selected.They were randomLy divided into the observation group and the control group,with 30 cases in each group.The observation group was treated with abdominal acupuncture combined with Wenjing Decoction.The control group was treated with Aifunuangong pill orally.The two groups were treated for 10 days as one course of treatment,starting from 7 days before each menstruation to the third day of menstruation,with a total of three courses.After three courses of treatment,the clinical efficacy of the two groups was observed,and the pain symptom score was compared and the safety was evaluated.The long-term efficacy was observed during the follow-up after treatment.Results The total clinical effective rate was 93.33% in the observation group and 83.33% in the control group,with statistically significant difference (P<0.05).The scores of dysmenorrhea symptoms in the two groups after treatment were significantly higher than those before treatment in the observation group in the treatment group(P<0.01).After treatment,the improvement of dysmenorrhea symptom score was lower in the observation group than that in the control group,with statistically significant difference(P<0.01).After treatment,the long-term efficacy of two groups were lower than that before treatment (P<0.01),and the long-term efficacy was significantly higher in the observation group(5.91±1.43) points than that in the control group (7.01±1.12) points,with statistically significant difference(P<0.01).After three courses of treatment,there was no abnormality in liver and kidney function,blood routine,blood lipid and blood glucose in the two groups.In the observation group,2 patients had pain and a little bruise at the needle site,which disappeared after 4 days,while the patients in the control group had no discomfort.Conclusion Abdominal acupuncture combined with Wenjing Decoction is effective in treating dysmenorrhea of cold coagulation and blood stasis type,with few side effects,high safety and low rate of recurrence,which is worthy of clinical promotion and reference.