上海针灸杂志2024，Vol.43Issue(4)：439-444,6.DOI:10.13460/j.issn.1005-0957.2024.04.0439
不同灸法治疗原发性痛经的随机对照试验
A randomized controlled trial of different moxibustion for primary dysmenorrhea
摘要
Abstract
Objective To observe the clinical efficacy of intelligent moxibustion treatment bed for primary dysmenorrhea of cold induced blood stasis pattern.Method Sixty patients with primary dysmenorrhea of cold induced blood stasis pattern were randomized to a moxibustion treatment bed group and a topical moxibustion group,with 30 cases in each group.Serum cyclooxygenase-2(COX-2)levels were measured and the pain visual analog scale(VAS)score,the TCM syndrome score,the self anxious scale(SAS)score and the self depression scale(SDS)score were recorded in the two groups before and after treatment.The clinical therapeutic effects were compared between the two groups.Result The total efficacy rate was 96.7%in the moxibustion treatment bed group and 86.7%in the topical moxibustion group with a statistically significant between-group difference(P＜0.05).At the end of treatment and three follow-ups,the VAS scores decreased in the two groups compared with those before treatment(P＜0.05).At the second and third follow-ups,the VAS scores were lower in the moxibustion treatment bed group than those in the topical moxibustion group(P＜0.05).At the third follow-up,the VAS score increased in the topical moxibustion group compared with that at the end of treatment(P＜0.05).At the end of treatment and three follow-ups,the TCM syndrome scores decreased in the two groups compared with those before treatment(P＜0.05).After treatment,serum COX-2 levels decreased in the two groups compared with those before(P＜0.05).At the end of treatment and three follow-ups,the SAS and SDS scores decreased in the two groups compared with those before treatment(P＜0.05).At the end of treatment and the second follow-up,the SAS scores were lower in the moxibustion treatment bed group than those in the topical moxibustion group(P＜0.05).At the second and third follow-ups,the SDS scores were lower in the moxibustion treatment bed group than those in the topical moxibustion group(P＜0.05).Conclusion Intelligent moxibustion treatment bed is clinically more effective than topical moxibustion in treating primary dysmenorrhea of cold induced blood stasis pattern.It can relieve pain and clinical symptoms.关键词
灸法/针灸器械/电灸/温灸器灸/痛经/寒凝血瘀型Key words
Moxibustion/Acupuncture-moxibustion apparatus/Electric moxibustion/Thermal box moxibustion/Dysmenorrhea/Cold induced blood stasis pattern分类
医药卫生引用本文复制引用
岳铭坤,周良荣,薛晓,李娟,汪少华,黄慧源,袁菡钰,李凯..不同灸法治疗原发性痛经的随机对照试验[J].上海针灸杂志,2024,43(4):439-444,6.基金项目
湖南省自然科学基金青年项目(2023JJ40598) （2023JJ40598）
湖南中医药大学研究生创新课题(2022CX21) （2022CX21）
湖南省卫生经济与信息学会项目(2022B10) （2022B10）
南华大学临床医学研究"4310"重点项目(20214310ONHYCG04) （20214310ONHYCG04）
