本文關(guān)鍵詞：任脈鋪灸治療原發(fā)性痛經(jīng)的臨床研究　出處：《河南中醫(yī)藥大學(xué)》2016年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 任脈鋪灸 原發(fā)性痛經(jīng) 督脈鋪灸 臨床研究

【摘要】：目的本課題應(yīng)用任脈鋪灸法治療原發(fā)性痛經(jīng)為治療組,以督脈鋪灸治療原發(fā)性痛經(jīng)為對(duì)照組,經(jīng)過(guò)有效的臨床觀察和數(shù)據(jù)分析,對(duì)比其治療效果,為治療原發(fā)性痛經(jīng)拓展一條有效、安全、實(shí)用治療方法。方法采用隨機(jī)信封法將入選的60例原發(fā)性痛經(jīng)患者隨機(jī)分成治療組(任脈鋪灸組)和對(duì)照組(督脈鋪灸組),每組各30例。治療組采用任脈鋪灸治療,對(duì)照組采用督脈鋪灸進(jìn)行治療。均每次月經(jīng)來(lái)潮前7天開(kāi)始治療,任脈鋪灸每2天一次(每個(gè)月經(jīng)周期約2~3次),直至月經(jīng)來(lái)潮。1個(gè)月經(jīng)周期為1療程,分別在治療前、治療后3個(gè)療程后記錄癥狀表現(xiàn),然后按照原發(fā)性痛經(jīng)療效判定標(biāo)準(zhǔn)進(jìn)行量化評(píng)分,并在療程結(jié)束后進(jìn)行療效評(píng)價(jià)。結(jié)果1.原發(fā)性痛經(jīng)臨床癥狀、體征積分比較,兩組自身治療前后比較均有改善,治療后兩組的痛經(jīng)臨床主癥評(píng)分與總分均較治療前有明顯提高。2.兩組臨床總療效比較:治療組臨床治愈6例占20.00%,顯效16例占53.33%,有效5例占36.67%,無(wú)效3例占16.67%,總有效率為90.00%;對(duì)照組臨床治愈1例占3.33%,顯效6例占20.00%,有效7例占23.33%,無(wú)效16例占53.33%,總有效率為46.67%。經(jīng)秩和檢驗(yàn),Z=-4.100,P=0.0000.05。提示兩組差異有統(tǒng)計(jì)學(xué)意義。3.兩組治療后總積分差值比較:治療組為6.93±3.03,對(duì)照組為8.73±3.35,兩組經(jīng)獨(dú)立樣本t檢驗(yàn),t=-2.183,P=0.0330.05差異有統(tǒng)計(jì)學(xué)意義,提示治療組明顯優(yōu)于對(duì)照組。結(jié)論1.任脈鋪灸治療與督脈鋪灸治療原發(fā)性痛經(jīng),均有較好療效。2.任脈鋪灸組在治療總顯效率方面與督脈鋪灸治療有顯著性差異,并在改善小腹疼痛、腰骶酸痛、形寒肢冷等癥狀方面明顯優(yōu)于督脈鋪灸組。3任脈鋪灸治療原發(fā)性痛經(jīng),安全、有效、易被患者所接受。
[Abstract]:Objective to treat primary dysmenorrhea with Ren Mai Pu moxibustion as treatment group and du pulse moxibustion as control group. After effective clinical observation and data analysis, the therapeutic effect was compared. To develop an effective and safe treatment for primary dysmenorrhea. Methods 60 patients with primary dysmenorrhea were randomly divided into two groups: treatment group (moxibustion group) and control group (moxibustion group). 30 cases in each group. The treatment group was treated with moxibustion on any pulse and the control group was treated with moxibustion of du pulse spread. All patients were treated 7 days before menorrhagia. Any pulse spread moxibustion every 2 days (about 2 times of menstrual cycle, until menstruation. 1 menstrual cycle is a course of treatment, respectively before treatment, after 3 courses of treatment to record symptoms. Then according to the primary dysmenorrhea curative effect judgment standard to carry on the quantification score, and carries on the curative effect appraisal after the course of treatment. 1. The primary dysmenorrhea clinical symptom, the sign integral comparison. 2. The two groups were improved before and after self-treatment. After treatment, the scores and total scores of dysmenorrhea in the two groups were significantly improved as compared with those before treatment. Comparison of the total clinical efficacy between the two groups: in the treatment group, 6 cases were cured and 16 cases were significantly effective (53.33% cases). The effective rate was 36.67 in 5 cases, 16.67 in 3 cases, and the total effective rate was 90.00. In the control group, 1 case was cured, 6 cases were markedly effective, 7 cases were effective, and 16 cases were ineffective (53.33% cases). The total effective rate was 46.67. The difference of total integral between the two groups after treatment was 6.93 鹵3.03 and 8.73 鹵3.35 in the treatment group and the control group respectively. The difference between the two groups was statistically significant after t-test of independent samples. Conclusion 1.Renmai spread moxibustion treatment and du pulse moxibustion treatment of primary dysmenorrhea. 2. Renmai spread moxibustion group in the treatment of the total effective rate was significantly different from the du pulse moxibustion treatment, and in the improvement of abdominal pain, lumbosacral pain. The symptoms of cold limbs were obviously superior to those of du pulse spreading moxibustion group in treating primary dysmenorrhea. It was safe, effective and easy to be accepted by patients.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類(lèi)號(hào)】：R246.3

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