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杨氏八髎灸治疗寒凝血瘀型原发性痛经患者的临床观察

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目的 观察杨氏八髎灸治疗寒凝血瘀型原发性痛经(Primary dysmenorrhea,PDM)患者的临床疗效.方法 选取2022年3月-2023年3月期间广州市中西医结合医院收治的寒凝血瘀型PDM患者66例,采用随机数字表法分为对照组和治疗组,每组各33例.对照组口服布洛芬治疗;治疗组予杨氏八髎灸治疗,两组患者均连续治疗3个月经周期.观察比较两组患者临床疗效、不良反应情况,治疗前后疼痛视觉模拟(Visual analogue scale,VAS)评分、痛经症状(Cox menstrual symptom scale,CMSS)评分.结果 治疗后两组患者VAS、CMSS评分均较治疗前降低,差异有统计学意义(P<0.05);且治疗组VAS、CMSS评分均较对照组明显降低,差异有统计学意义(P<0.05).治疗后治疗组临床总有效率90.91%(30/33)明显高于对照组72.73%(24/33),差异有统计学意义(P<0.05).治疗期间,两组患者不良反应发生率比较,差异无统计学意义(P>0.05).结论 杨氏八髎灸治疗可显著改善寒凝血瘀型PDM患者的疼痛程度和其他症状,安全有效,值得临床推广应用.
Clinical Observation on Yang's Baliao Moxibustion for Primary Dysmenorrhea of Cold Coagulation and Blood Stasis Syndrome
Objective To investigate the clinical efficacy of Yang's Baliao moxibustion in treating primary dys-menorrhea(PDM)of cold coagulation and blood stasis syndrome.Methods A total of 66 patients with cold coagulation and blood stasis type PDM treated at Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine from March 2022 to March 2023 were selected and randomly divided into two groups:a control group and a treatment group ac-cording to a random number table,with 33 patients in each group.The control group received oral ibuprofen treatment,while the treatment group received Yang's Baliao moxibustion therapy.Both groups received continuous treatment for 3 menstrual cycles.The clinical efficacy,adverse reactions,and changes in pain levels(measured by the Visual Analogue Scale,VAS)and dysmenorrhea symptoms(measured by the Cox Menstrual Symptom Scale,CMSS)of the two groups before and after treatment were observed and compared.Results After treatment,both the VAS and CMSS scores of patients in both groups were significantly reduced compared to those before treatment(P<0.05).Additionally,the VAS and CMSS scores in the treatment group were significantly lower than those in the control group(P<0.05).The total clinical effective rate in the treatment group was 90.91%(30/33),which was significantly higher than the 72.73%(24/33)in the control group(P<0.05).During the treatment period,there was no significant difference in the incidence of adverse reactions be-tween the two groups(P>0.05).Conclusion Yang's Baliao moxibustion significantly alleviates pain and other symptoms in patients with cold coagulation and blood stasis type PDM,with a low recurrence rate and a favorable safety profile.It is an effective and safe treatment,warranting further clinical promotion and application.

Yang's Baliao AcupointCold Coagulation and Blood StasisPrimary Dysmenorrhea

白吉林、刘彩霞、郑谅

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广州中医药大学,广东 广州 510405

广州市中西医结合医院推拿科,广东 广州 510800

广州中医药大学第一附属医院针灸科,广东 广州 510405

杨氏八髎穴 寒凝血瘀 原发性痛经

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(11)