本文選題：針刺 + 三陰交　； 參考：《湖北中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察針刺三陰交、地機(jī)、合谷及健康教育指導(dǎo)對原發(fā)性痛經(jīng)(PD)患者痛經(jīng)疼痛程度、各癥狀的持續(xù)總時(shí)間以及嚴(yán)重程度的影響,為針刺三陰交、地機(jī)、合谷對PD的即刻鎮(zhèn)痛效應(yīng)提供客觀依據(jù),并推廣其臨床應(yīng)用。方法:經(jīng)過一個(gè)月經(jīng)周期的基線篩選,用隨機(jī)數(shù)字表法將64例PD患者分為針刺組和空白組,每組各32例�？瞻捉M患者僅給予痛經(jīng)相關(guān)的健康教育指導(dǎo),不予其他治療;針刺組予以相同的健康教育指導(dǎo),并于月經(jīng)期給予針刺治療。取穴為雙側(cè)三陰交、地機(jī)、合谷,采用平補(bǔ)平瀉行針手法,留針30分鐘,并每隔10分鐘行針一次,每次行針30秒,共行針?biāo)拇�。每日治�?次,每個(gè)月經(jīng)周期連續(xù)治療3天。持續(xù)3個(gè)月經(jīng)周期,共治療9次。所有患者在相對應(yīng)時(shí)間節(jié)點(diǎn)記錄下痛經(jīng)疼痛程度VAS評分、COX痛經(jīng)癥狀評分(CMSS)。記錄的數(shù)據(jù)通過SPSS19.0統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)處理、分析。比較兩組患者基線期、治療期VAS評分和COX痛經(jīng)癥狀評分的差異。結(jié)果:1.針刺組VAS評分的組內(nèi)比較:針刺組每個(gè)月經(jīng)周期在針刺5min時(shí)VAS讀數(shù)與針刺前即時(shí)VAS讀數(shù)比較即具有顯著差異(P0.01),其余相對應(yīng)時(shí)間節(jié)點(diǎn)VAS讀數(shù)與針刺前即時(shí)VAS讀數(shù)比較均有顯著差異(P0.01);針刺組治療期回顧性的VAS讀數(shù)與基線期回顧性的VAS讀數(shù)比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。2.組間的VAS評分比較:第一個(gè)月經(jīng)周期針刺組在針刺前即時(shí)VAS讀數(shù)與空白組針刺前即時(shí)VAS讀數(shù)比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);第二個(gè)月經(jīng)周期針刺組在針刺前即時(shí)VAS讀數(shù)與空白組針刺前即時(shí)VAS讀數(shù)比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01);第三個(gè)月經(jīng)周期針刺組在針刺前即時(shí)VAS讀數(shù)與空白組針刺前即時(shí)VAS讀數(shù)比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01);針刺組在針刺5min、針刺10min、針刺20min、針刺30min、起針后30min、起針后60min、起針后90min等相對應(yīng)時(shí)間節(jié)點(diǎn)VAS讀數(shù)與空白組相對應(yīng)時(shí)間節(jié)點(diǎn)VAS讀數(shù)比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)。兩組治療期相對應(yīng)時(shí)間節(jié)點(diǎn)回顧性的VAS讀數(shù)比較,差異均具有統(tǒng)計(jì)學(xué)意義(P0.01)。3.針刺組CMSS評分的組內(nèi)比較:針刺組治療期CMSS評分與基線期CMSS評分相比,差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05)。4.組間的CMSS評分比較:針刺組治療期CMSS評分與空白組治療期CMSS評分相比,差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05)。5.空白組VAS評分的組內(nèi)比較:空白組每個(gè)月經(jīng)周期在針刺5min、針刺10min、針刺20min、針刺30min等相對應(yīng)時(shí)間節(jié)點(diǎn)VAS讀數(shù)與針刺前即時(shí)VAS讀數(shù)比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05);在起針后30min、起針后60min、起針后90min等相對應(yīng)時(shí)間節(jié)點(diǎn)VAS讀數(shù)與針刺前即時(shí)VAS讀數(shù)比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。6.空白組CMSS評分的組內(nèi)比較:空白組治療期、基線期CMSS評分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.針刺三陰交、地機(jī)、合谷治療PD能起到即刻緩解患者主觀疼痛的作用,并起到縮短痛經(jīng)臨床部分癥狀持續(xù)總時(shí)間以及減輕痛經(jīng)臨床部分癥狀嚴(yán)重程度的作用。2.單獨(dú)的健康教育指導(dǎo)在緩解PD患者主觀疼痛、縮短痛經(jīng)臨床各癥狀持續(xù)總時(shí)間以及減輕痛經(jīng)臨床各癥狀嚴(yán)重程度等方面均無明顯作用。
[Abstract]:Objective: To observe the effect of acupuncture on the degree of pain of dysmenorrhea, the duration of the symptoms and the severity of the pain of the patients with primary dysmenorrhea (PD), and to provide an objective basis for the immediate analgesic effect of the acupuncture of the three yin, ground and Hegu on the immediate analgesic effect of the patients with primary dysmenorrhea (PD), and to promote its clinical application. 64 cases of PD patients were divided into acupuncture group and blank group with 32 cases in each group. The patients in the blank group were given only the health education guidance related to dysmenorrhea and no other treatment. The acupuncture group was given the same health education guidance, and the acupuncture treatment was given in the menstrual period. For 30 minutes, the needle was kept for 30 minutes, and every 10 minutes, each needle was needles once, each needle was 30 seconds and a total of four times. 1 times a day and 3 days for each menstrual cycle. The 3 menstrual cycles were treated for 9 times. All patients recorded the degree of dysmenorrhea VAS and COX dysmenorrhea symptom score (CMSS) at the relative time node. The data were processed and analyzed by SPSS19.0 statistical software. The difference between the baseline period of the two groups of patients, the VAS score in the treatment period and the COX dysmenorrhea symptom score were compared. Results: 1. in the group of the acupuncture group, the comparison of the VAS scores in the acupuncture group was significant (P0.01) in each menstrual cycle of the acupuncture group when the VAS reading was compared with the VAS reading before the acupuncture at 5min. The VAS readings of the rest of the relative time nodes were significantly different from that before the acupuncture (P0.01), and the VAS readings in the treatment period of the acupuncture group were compared with the VAS readings of the baseline retrospective VAS. The difference was statistically significant (P0.01) the VAS score of the.2. group: the first menstrual cycle was in the VAS reading and empty before the acupuncture group. There was no significant difference in VAS reading before acupuncture in the white group (P0.05). The difference was statistically significant between the instant VAS reading before needling in the second menstrual cycles and the immediate VAS reading before needling in the blank group (P0.01); the immediate VAS reading before needling in the third menstrual cycle group was compared with the VAS readings before the needling in the blank group. The difference was statistically significant (P0.01); the acupuncture group was in the acupuncture 5min, the acupuncture of 10min, the acupuncture 20min, the acupuncture 30min, the 30min after the needle, 60min after the needle, the VAS reading of the relative time node and the relative time node VAS reading of the blank group after the needle, and the difference was statistically significant (P0.01). Two groups of treatment period relative time node review were reviewed. VAS reading comparison, the difference was statistically significant (P0.01).3. acupuncture group CMSS score in group comparison: the CMSS score in the treatment period of the acupuncture group was significantly different from the baseline CMSS score. The difference was statistically significant (P0.05) in the CMSS score of the.4. group: the CMSS score in the treatment period of the acupuncture group was significantly different from that in the blank group. The comparison of the VAS scores in statistical significance (P0.05).5. blank group: each menstrual cycle in the blank group was compared with the acupuncture 5min, acupuncture 10min, acupuncture 20min, and acupuncture 30min, compared with the instant VAS reading before the acupuncture, the difference was not statistically significant (P0.05); after the needle, the 60min, after the needle was started, and so on. Relative time node VAS reading compared with instant VAS reading before acupuncture, the difference was statistically significant (P0.05).6. blank group CMSS score in group comparison: blank group treatment period, baseline CMSS score comparison, the difference was not statistically significant (P0.05). Conclusion: 1. acupuncture at the three yin, the ground machine, the Hegu treatment PD can immediately relieve the subjective pain of the patient's pain The role of.2. to shorten the total duration of the clinical symptoms of dysmenorrhea and to reduce the severity of the clinical symptoms of dysmenorrhea, the individual health education guidance has no significant effect on alleviating subjective pain in PD patients, reducing the duration of the symptoms of dysmenorrhea, and alleviating the severity of the symptoms of dysmenorrhea.
【學(xué)位授予單位】：湖北中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.3

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