针刺不同单穴对寒凝血瘀型原发性痛经即刻止痛作用规律的观察

目的：探讨基于留针30 min条件下,针刺单穴十七椎、三阴交、地机对寒凝血瘀型原发性痛经止痛作用的时效规律。方法将符合纳入标准的90例患者,随机分为3组,均留针30 min。分别记录针刺前10 min及针刺5、10、20、30 min的视觉模拟评分,然后进行统计分析。结果：针刺3个单穴对寒凝血瘀型原发性痛经均有较好的即刻镇痛效应,针刺5 min时,十七椎组与治疗前比较,有显著性差异（P﹤0.05）,而三阴交组和地机组与治疗前相比变化不明显（P﹥0.05）。针刺10 min3组疼痛值均较治疗前下降（P﹤0.05）,针刺20、30 min分别与治疗前比较,疼痛值均明显下降,有非常显著性差异（P﹤0.01）。针刺30 min时,十七椎组与三阴交组和地机组比较,差异均有统计学意义（P﹤0.05）,而三阴交组和地机组比较无显著差别（P〉0.05）,其他观察时间点三组比较无显著性差异（P〉0.05）。结论：针刺3个单穴对寒凝血瘀型原发性痛经均有较好即刻止痛作用。针刺十七椎穴的即刻镇痛效果优于针刺三阴交穴和针刺地机穴。针刺三阴交穴和针刺地机穴疗效相似,无显著性差异。

Comparison on Immediate Analgesic Effect in Patients with Primary Dysmenorrhea of Congealing Cold with Blood Stasis Type between Acupuncture of Different Single Points

Objective： This paper further compares the immediate analgesic effect in patients with primary dysmenor- rhea of congealing cold with blood stasis type when retaining needling in 30 minutes among acupuncture three different groups of acupoints Shiqizhui, Sanyinjiao, Diji. Methods ： 90 cases met the inclusion criteria of primary dysmenorrhea were randomly divided into acupuncture of single Shiqizhui, single Sanyinjiao, single Diji, retain needling fer 30 minutes. The VAS read values were recorded separately at times points including acupuncture, retaining needling for 5rain, 10 min,20 min,30 min,and then the statistical analysis was carried on. Results： Three different groups all have good immediate an- algesic effect on treating primary dysmenorrhea of congealing cold with blood stasis type. Acupuncture for 5 rain at Shiqizhui group had significant difference after treatment（ P 〈 0.05） ,while the Sanyinjiao group and Diji group had no significant after treatment （ P 〉 0.05）. Acupuncture for 10 min three groups all had obvious improvement after treat- ment （ P 〈 0.05 ）. Acupuncture for 20 min and 30 min,pain values of three groups were all decreased significantly, and respectively compared with before treatment, there was a very significant difference （ P 〈 O. 01 ）. Acupuncture for 30 min,the Shiqizhui group and Sanyinjiao group and Diji group had statistically significant differences （ P 〈 0.05 ）, while the Sanyinjiao group and Diji group had no significant difference （ P 〉 0.05 ）. The other observation points of the three groups showed no significant difference （ P 〉 0.05 ）. Conclusion ： Acupuncturing three different groups of single point can significantly reduce the pain of primary dysmenorrhea of congealing cold with blood stasis type in clinic. Shiqizhui group is proven to have a higher pain resistance than the Sanyinjiao and Diji gronps. The pain resistance result for Sanvinjiao and Diji groups shows no difference.