本文關鍵詞： 電針 原發(fā)性痛經(jīng) 寒凝血瘀型　出處：《黑龍江中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的：本研究通過臨床隨機對照試驗,觀察并探討電針治療原發(fā)性痛經(jīng)(寒凝血瘀型)的臨床療效,尋找治療原發(fā)性痛經(jīng)的更多的優(yōu)化方案,以緩解月經(jīng)期痛經(jīng)患者的疼痛狀態(tài),減少對其日常生活和工作的影響,提高生活質(zhì)量。方法：采集符合本課題診斷標準、納入標準的60例原發(fā)性痛經(jīng)(寒凝血瘀型)患者隨機分為治療組和對照組。治療組30例患者給予電針加艾灸治療,對照組給予針刺加艾灸治療。痛經(jīng)發(fā)作的第1天開始治療,每天1次,1個月經(jīng)周期連續(xù)治療3天,共治療3個月經(jīng)周期,治療結(jié)束3個月后進行隨訪。兩組的觀察指標均為中醫(yī)痛經(jīng)癥狀積分、視覺模擬量表(VAS)、簡化McGill疼痛量表(SF-MPQ)在治療前后記錄其結(jié)果,進行統(tǒng)計學分析,評定療效。結(jié)果：1、兩組患者臨床總體療效比較治療組(30例)：治愈8例,顯效14例,有效6例,無效2例,總有效率93.33%；對照組(30例)：治愈3例,顯效7例,有效13例,無效7例,總有效率76.67%。兩組臨床總體療效比較(P0.01),差異有統(tǒng)計學意義,治療組療效優(yōu)于對照組。2、兩組患者即時療效比較根據(jù)第1個月經(jīng)周期痛經(jīng)發(fā)作時兩種治療方法作用于機體時疼痛的緩解程度和伴隨癥狀的消失程度,結(jié)果顯示：治療組30例患者：顯效4例,有效9例,無效17例,有效率43.33%；對照組30例患者：顯效1例,有效5例,無效24例,有效率2 0.00%。兩組即時療效比較(P0.05),有顯著差異,治療組療效優(yōu)于對照組。3、兩組患者治療前后痛經(jīng)癥狀積分、VAS評分以及簡化McGill疼痛積分比較兩組各自治療前后痛經(jīng)癥狀積分、VAS評分以及簡化McGill疼痛積分比較有顯著性差異(P0.01),治療后兩組之間的痛經(jīng)癥狀積分、VA S評分以及簡化McGill疼痛積分比較顯示(P0.05),差異有統(tǒng)計學意義,說明在降低痛經(jīng)癥狀積分、VAS評分以及簡化McGill疼痛積分方面,兩組均有效,但治療組治療效果明顯優(yōu)于對照組。結(jié)論：在針刺和艾灸的基礎上,增加電針療法,能更好的改善痛經(jīng)患者的臨床癥狀,達到更高的臨床療效。
[Abstract]:Objective: to observe and explore the clinical effect of electroacupuncture on primary dysmenorrhea (cold coagulation and blood stasis type) by randomized controlled trial, and to find out more optimal schemes for the treatment of primary dysmenorrhea. In order to alleviate the pain state of menstrual dysmenorrhea patients, reduce the influence on their daily life and work, improve the quality of life. Sixty patients with primary dysmenorrhea (cold coagulation and blood stasis type) were randomly divided into treatment group and control group. 30 patients in treatment group were treated with electroacupuncture plus moxibustion, while those in control group were treated with acupuncture plus moxibustion. Once a day, 1 menstrual cycle was treated continuously for 3 days, a total of 3 menstrual cycles were treated, followed up 3 months after the end of treatment. The observation indexes of both groups were Chinese medicine dysmenorrhea symptom score. Visual analogue scale (VAS), simplified McGill pain scale (SF-MPQ), recorded the results before and after treatment, statistically analyzed and evaluated the curative effect. Results the total clinical efficacy of the two groups was compared: 8 cases were cured, 14 cases were effective, and 6 cases were effective. In the control group, 3 cases were cured, 7 cases were effective, 13 cases were effective, 7 cases were ineffective, 7 cases were ineffective, and the total effective rate was 76.677.The total effective rate of the two groups was significantly higher than that of the control group (P 0.01). The curative effect of the treatment group was better than that of the control group. The immediate curative effect of the two groups was compared according to the degree of pain relief and the degree of disappearance of the accompanying symptoms during the first menstrual cycle dysmenorrhea attack. The results showed that 30 patients in the treatment group were significantly effective in 4 cases, effective in 9 cases, ineffective in 17 cases, and effective rate in 43.33 cases, while in the control group, there were 1 case of remarkable effect, 5 cases of effective effect, 24 cases of ineffective, and 2 0.005% of effective rate. There was a significant difference between the two groups in immediate curative effect (P 0.05). The curative effect of the treatment group was better than that of the control group .VAS score of dysmenorrhea symptom and simplified McGill pain score before and after treatment in the two groups were better than those in the control group. The scores of dysmenorrhea symptom and McGill before and after treatment in the two groups were significantly higher than those in the control group. After treatment, the scores of dysmenorrhea symptoms and VA S scores and simplified McGill scores showed that there was significant difference between the two groups. It shows that both groups are effective in reducing the score of dysmenorrhea and simplifying the score of McGill pain, but the therapeutic effect of the treatment group is obviously better than that of the control group. Conclusion: on the basis of acupuncture and moxibustion, the electroacupuncture therapy is increased. Can better improve the clinical symptoms of dysmenorrhea patients, to achieve a higher clinical efficacy.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.3

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