脐疗对原发性痛经患者综合症状的作用.pdf

  提 要 目的：通过对原发性痛经患者分别进行隔药灸脐法与隔淀粉灸脐法的治疗，观察 两种方法对原发性痛经患者症状的影响，比较两组的疗效差异，验证药物对脐疗疗效 的影响，并阐释脐疗的作用机理。 方法：将 63 例原发性痛经患者随机分成两组，其中隔药灸脐组 31 例，对照组 32例，观察治疗前后症状评分的变化，比较两组之间的差异。 结果：隔药灸脐组和隔淀粉灸脐组的痛经症状评分与治疗前相比，均出现显著性 差异（P＜0.05）。两组间的比较，在第一周期腿痛、腹泻和易激惹症状上出现显著性 差异（P＜0.05），其他周期无显著性差异（P＞0.05）。 结论：脐疗可以明显改善原发性痛经患者的痛经症状，且远期效果好，复发率低。 相比之下，隔药灸脐与隔淀粉灸脐疗效基本相当，在第一周期改善腿痛、易激惹症状 上隔药灸脐优于隔淀粉灸脐，在改善腹泻症状上隔淀粉灸脐优于隔药灸脐。 关键词 隔药灸脐；隔淀粉灸脐；原发性痛经；COX痛经症状评分量表   The influence of moxibustion umbilical on primary dysmenorrheal syndrome Speciality: Acupuncture ,Moxibustion and Massage Author: Liu Xiaolan Tutor: Gao Shuzhong Abstract Objective ： The present research aimed to test the influences of two methods—the umbilical moxibustion with herbal medicine or with amylum, on primary dysmenorrheal patients. The differential impacts were compared and described,and the function of medicine on the primary dysmenorrheal syndrome were evaluated. Also the mechanism of action of moxibustion umbilical was illuminated. Method: 63 primary dysmenorrheal patients were randomly assigned to two test groups, with 31 in the umbilical moxibustion with herbal medicine group and 32 in the control group. The observable symptom score before and after the treatment was recorded and compared. Results: Patients indicated positive effects after treatments in both group (P＜0.05). In addition, the two groups were significantly different （P ＜0.05 ） in the curative effect of leg ache, diarrhea, and irritability in the first period of treatment, but did not indicated significant difference in the other periods （P ＞0.05 ）.