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灌耳疗法联合穴位贴敷对原发性痛经患者前列腺素水平的影响

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目的 探讨灌耳疗法联合穴位贴敷对原发性痛经患者前列腺素水平的影响.方法 选择2019年12月—2020年12月收治的124例原发性痛经患者利用双色球法随机均分为对照组和联合组.对照组实施酒精灌耳治疗,联合组实施灌耳疗法联合穴位贴敷治疗.比较两组临床疗效,治疗前后的疼痛程度、中医证候积分及前列腺素水平.结果 比较对照组的77.42%,联合组的总有效率为96.77%,差异具有统计学意义(P<0.05).两组治疗7、14、21 d后VAS评分均显著下降,比较对照组,联合组VAS评分较低,差异具有统计学意义(P<0.05).两组治疗后小腹冷痛、畏寒肢冷、舌质黯等中医证候积分均显著下降,比较对照组,联合组中医证候积分降低,差异具有统计学意义(P<0.05).两组治疗后前列腺素E2(PGE2)、环氧化酶-2(COX-2)水平均显著上升,比较对照组,联合组PGE2、COX-2水平更高;治疗后前列腺素F2α(PGF2α)、环磷酸腺苷(cAMP)均显著下降,比较对照组,联合组PGF2α、cAMP水平较低,差异具有统计学意义(P<0.05).结论 应用灌耳疗法联合穴位贴敷治疗原发性痛经患者效果显著,明显降低疼痛程度和中医证候积分,改善前列腺素水平,值得推广.
Effect of ear Irrigation Therapy combined with Acupoint Application on Prostaglandin Level in Patients with Primary Dysmenorrhea
Objective To investigate the effect of ear irrigation therapy combined with Acupoint Application on prostaglandin levels in patients with primary dysmenorrhea.Method 124 patients with primary dysmenorrhea from December 2019 to December 2020 were randomly divided into control group and combined group.The control group was given ear irrigation with alcohol,and the combined group was given ear irrigation combined with acupoint application.The clinical efficacy,pain degree,TCM symp-tom score and prostaglandin level before and after treatment were compared between the two groups.Results Compared with 77.42%of the control group,the total effective rate of the combined group was 96.77%,which was significantly higher(P<0.05).After 7,14 and 21 days of treatment,the VAS scores of the two groups were significantly lower than those of the control group(P<0.05).After treatment,the TCM syndrome scores of lower abdomen cold pain,chilly limbs,dark tongue of the two groups were significantly decreased,compared with the control group,the combined group was significantly lower(P<0.05).After treatment,the levels of prostaglandin E2(PGE2)and cyclooxygenase-2(COX-2)in the two groups were significantly in-creased,compared with the control group,the combined group was significantly higher;after treatment,the levels of prostaglan-din F2α(PGF2α)and cyclic adenosine monophosphate(cAMP)were significantly decreased,compared with the control group,the combined group was significantly lower(P<0.05).Conclusion The application of ear irrigation therapy combined with Acu-point Application in the treatment of primary dysmenorrhea has significant effect,which can significantly reduce the degree of pain and TCM syndrome score,and improve the level of prostaglandin,which is worthy of promotion.

Ear irrigation therapyAcupoint applicationPrimary dysmenorrheaProstaglandin

乔林静、赵娜、张飒

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保定市第一中医院,河北保定 071000

灌耳疗法 穴位贴敷 原发性痛经 前列腺素

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(8)