發(fā)布時間：2018-05-27 12:11

  本文選題：肌筋膜疼痛觸發(fā)點(MTrPs) + 原發(fā)性痛經(jīng)(PD)��； 參考：《新疆醫(yī)科大學》2017年碩士論文

【摘要】：目的:擬驗證以肌筋膜疼痛觸發(fā)點(MTrPs)為原理,應用濕針療法加以家庭腹壁拉伸運動治療原發(fā)性痛經(jīng)(PD)的安全性及有效性,探討這一治療方法可能的鎮(zhèn)痛機制。方法:30例PD患者經(jīng)知情同意后應用濕針療法加以家庭腹壁拉伸運動進行治療,通過視覺模擬評分法(VAS)對治療前后經(jīng)期腹痛改善狀況進行評價;分別對比治療前、治療后月經(jīng)來潮48小時內(nèi)血清前列腺素PGF2α、PGE2水平變化。另為試驗組患者按一般信息相似為前提匹配1位正常對照者,以試驗組治療后月經(jīng)來潮48小時內(nèi)血清PGF2α、PGE2水平與正常對照組同月月經(jīng)來潮48小時內(nèi)血清PGF2α、PGE2進行對比,以進一步評價治療效果。運用SPSS16.0統(tǒng)計軟件進行統(tǒng)計分析,檢驗水平P0.05為差異有統(tǒng)計學意義。結果:通過濕針療法加以家庭腹壁拉伸運動治療1療程,試驗組次月月經(jīng)來潮48小時內(nèi)VAS最高評分較治療前顯著降低,P值0.01;試驗組治療后次月月經(jīng)來潮48小時內(nèi)血清PGF2α水平較治療前顯著降低,P值0.01;試驗組治療后月經(jīng)來潮48小時內(nèi)血清PGE2水平較治療前升高,P0.01;試驗組治療后月經(jīng)來潮48小時內(nèi)血清PGE2水平接近正常對照組同月月經(jīng)來潮48小時內(nèi)血清PGE2水平,P0.05;試驗組治療后月經(jīng)來潮48小時內(nèi)血清PGF2α水平低于正常對照組同月月經(jīng)來潮48小時內(nèi)血清PGF2α,P0.05。結論:通過濕針療法加以家庭腹壁拉伸運動治療PD的效果確切,可顯著降低試驗組治療后月經(jīng)來潮48小時內(nèi)血清PGF2α水平,升高治療后月經(jīng)來潮48小時內(nèi)血清PGE2水平,從而改善試驗組經(jīng)期腹痛等相關不適癥狀。該治療方法成本低,在院治療過程簡單且安全性高,不良反應少且癥狀輕,具備良好的安全性及有效性,值得在臨床中進行推廣。
[Abstract]:Objective: to verify the safety and efficacy of wet acupuncture therapy in the treatment of primary dysmenorrhea (PDD) by using wet acupuncture therapy based on the trigger point of myofascial pain (MTrPs), and to explore the possible analgesic mechanism of this treatment. Methods 30 cases of PD patients were treated with wet acupuncture therapy after informed consent. The improvement of menstrual abdominal pain before and after treatment was evaluated by visual analogue score method (VASs), respectively before and after treatment. The changes of serum prostaglandin PGF2 偽 and PGE 2 levels were observed within 48 hours after menstruation. In addition, according to the premise of general information similarity, the patients in the trial group were matched with a normal control group. The serum PGF2 偽 PGE2 levels in the experimental group were compared with those in the normal control group within 48 hours of menstrual onset in the same month, and compared with those in the control group within 48 hours after menstrual onset. To further evaluate the therapeutic effect. Using SPSS16.0 statistical software for statistical analysis, the test level of P0.05 for the difference was statistically significant. Results: by wet acupuncture therapy, the abdominal wall of the family was treated with stretching exercise for a course of treatment. The highest score of VAS in 48 hours after menstruation in the trial group was significantly lower than that before treatment (P = 0.01), the serum PGF2 偽 level in the test group was significantly lower than that in the control group within 48 hours after menorrhagia, and that in the test group was lower than that in the control group. The level of serum PGE2 in 48 hours after treatment was higher than that before treatment in the experimental group, the level of serum PGE2 in 48 hours after menstruation in the experimental group was close to that in the normal control group within 48 hours of menstrual onset in the control group, and in the experimental group the level of serum PGE2 in the same month within 48 hours of menorrhagia was close to that in the control group. The serum PGF2 偽 level in the control group was lower than that in the normal control group within 48 hours after menstruation. Conclusion: it is effective to treat PD by wet acupuncture therapy with stretching movement of abdominal wall, which can significantly reduce the level of serum PGF2 偽 within 48 hours of menstrual onset and increase the level of serum PGE2 within 48 hours of menstrual onset in the experimental group. In order to improve the trial group menstrual abdominal pain and other related symptoms. This method has low cost, simple and high safety in hospital, less adverse reactions and mild symptoms, and has good safety and effectiveness, so it is worth popularizing in clinic.
【學位授予單位】：新疆醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R711.51

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本文編號：1942003