新型腹部艾灸盒灸疗对寒凝血瘀型原发性痛经的影响

目的：观察采用新型腹部艾灸盒灸疗对寒凝血瘀型原发性痛经的临床疗效。方法选取2009年7月至2013年6月深圳市宝安区人民医院、瑞安市妇幼保健院、深圳市中医院158例寒凝血瘀型原发性痛经患者，按随机数字表法将患者随机分为对照组（A组，50例）、新型腹部艾灸盒治疗组（B组，56例）和传统艾灸盒治疗组（C组，52例）。A组采用布洛芬治疗；B采用新型艾灸盒施灸、C组采用本院自制艾灸盒灸疗，在经前1周开始治疗，连续治疗10 d为1个疗程；3组均连续治疗3个月经周期，采用痛经症状量表进行痛经症状评分，并比较各组疗效。结果治疗后，B组临床痊愈20例（35.71%）， C组18例（34.62%），均显著高于A组（9例，18.00%），χ^2分别为4.17、3.62，P＜0.05；B组总有效率为92.85%（52/56），C组为90.38%（47/52），均高于A组的70.00%（35/50），χ^2分别为9.38、6.72，P＜0.01。在治疗安全性方面：B组1级安全54例（96.43%），高于A组（41例，82.00%），χ^2＝5.91，P＜0.05；C组与A组比较，差异无统计学意义（χ^2＝0.40，P＞0.05）。结论新型腹部艾灸盒灸疗对寒凝血瘀型原发性痛经有效，同时安全性优于传统艾箱灸及布洛芬。

Research on the clinical effects of new ventral moxibustion box in treating primary dysmenorrhea of the type of congealing cold blood stasis

Objective To observe the clinical effects of new ventral moxibustion box in treating primary dysmenorrhea of the type of congealing cold blood stasis. Methods 158 patients of primary dysmenorrhea of the type of congealing cold blood stasis were randomized into new ventral moxibustion box treatment group（56 patients）,traditional moxibustion box treatment group（52patients）and control group （50patients）. The control group was treated by conventional treatment, and the other two groups were treated by new ventral moxibustion box and traditional moxibustion box. The therapeutic effects were compared after treatment. Results After treatment,the cure rate of new ventral moxibustion box treatment group was 35.71%, the cure rate of traditional moxibustion box treatment group are 34.61%,both were better than18.00%of the control group with statistical significance（χ^2=4.17, 3.62, P〈0.05）. The total effective rate of new ventral moxibustion box treatment group was 92.86%, the total effective rate of traditional moxibustion box treatment group was 90.38%,both were better than 70.00%of the control group with statistical significance（χ^2=9.38, 6.72, P〈0.01）. The safety rate of new ventral moxibustion box treatment group was better than the control group（χ^2=5.91, P〈0.05）. Conclusion The new ventral moxibustion box can not only improve the curative effect of primary dysmenorrhea of the type of congealing cold blood stasis,but also can improve the safety rate in treating primary dysmenorrhea.