摘要
目的 观察原发性痛经寒凝血瘀证患者与健康者经期内分泌、皮质下、肝、肾、艇角、交感、内生殖器、神门8个耳穴的压痛反应,分析耳穴与原发性痛经寒凝血瘀证之间的关联.方法 于在校女大学生中征集原发性痛经寒凝血瘀证患者30例(脱落2例,最终完成观察28例)作为痛经组,健康者30例作为健康组.选取内分泌、皮质下、肝、肾、艇角、交感、内生殖器、神门8个耳穴,通过视觉模拟评分法(VAS)评估8个耳穴的压痛反应,采用手持式疼痛阈值测试仪器探查以上8个耳穴的机械痛阈值,探究原发性痛经寒凝血瘀证患者上述8个耳穴的疼痛反应规律.结果 痛经组患者经期内分泌、皮质下、肝、肾、艇角、交感、内生殖器、神门8个耳穴的压痛VAS评分均高于健康组,其中艇角穴压痛VAS评分2组比较差异有统计学意义(P＜0.05);痛经组患者经期艇角、内生殖器穴的压痛VAS评分与非经期比较,差异有统计学意义(P＜0.05).结论 原发性痛经寒凝血瘀证患者经期艇角穴痛敏程度高于健康者,且患者经期艇角穴的痛敏程度高于非经期,可为原发性痛经的诊疗提供重要参考.
Abstract
Objective To observe the tenderness pain reaction of 8 auricular points[endocrine(CO18),sub-cortex(AT4),liver(CO12),kidney(CO10),Tingjiao(CO8),Jiaogan(AH6a),internal genitals(TF2)and Shen-men(TF4)]in primary dysmenorrhea patients with syndrome of cold coagulation and blood stasis and healthy peo-ple during menstruation,and to analyze the relationship between auricular points and primary dysmenorrhea with syndrome of cold coagulation and blood stasis.Methods 30 female college students with primary dysmenorrhea(2 cases dropped off and 28 cases completed the observation)were enrolled as the dysmenorrhea group,and 30 healthy subjects were enrolled as the healthy group.8 auricular points(endocrine,subcortex,liver,kidney,Tingjiao,Jiaogan,internal genitals and Shenmen)were selected to evaluate the tenderness pain reaction of the 8 auricular points by visual analog scale(VAS).The mechanical pain threshold values of the aforementioned 8 auricular points were investigated using a handheld pain threshold test instrument.Additionally,the pain response patterns of these auricular points in primary dysmenorrhea patients with syndrome of cold coagulation and blood circulation were also examined.Results The tenderness pain VAS scores of 8 auricular points(endocrine,subcortex,liver,kidney,Tingjiao,Jiaogan,internal genitals and Shenmen)in dysmenorrhea group were higher than those in healthy group during menstruation,and the difference in tenderness pain VAS scores of Tingjiao acupoint was statistically signifi-cant(P＜0.05).There were statistically significant differences in tenderness pain VAS scores of Tingjiao and internal genital acupoints between menstrual period and non-menstrual period in dysmenorrhea group(P＜0.05).Conclusion The pain sensitivity degree of Tingjiao acupoint in primary dysmenorrhea patients with syndrome of cold coagula-tion and blood stasis is higher than that of healthy people in menstrual period;the pain sensitivity degree of Tingjiao acupoint of the patients in menstrual period is higher than that in non-menstrual period,which can provide an im-portant reference for the diagnosis and treatment of primary dysmenorrhea.
基金项目
福建省自然科学基金项目(2020J01741)
福建省自然科学基金项目(2018J01866)
福建省大学生创新创业训练计划项目(202010393039)
国家科技期刊平台
NSTL
万方数据