|
|
|
| Influence of different electro-acupuncture timing on the analgesic effect of primary dysmenorrhea with a cold and damp stagnation pattern |
| LI Chunhua1 HU Nijuan1 XU Dazhao2 MA Liangxiao3 WU Xiaohong1 LIU Ping1 ZHU Jiang3 DUO Haoying4 |
1.Department of Acupuncture and Physiotherapy, Medical University Electric Power Teaching Hospital, Beijing 100073, China;
2.Department of Oncology, Zhongguancun Hospital of Beijing, Beijing 100073, China;
3.School of Acupuncture- Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing 100029, China;
4.Department of Internal Medicine, Medical University Electric Power Teaching Hospital, Beijing 100073, China |
|
|
|
Abstract Objective To explore the influence of different electro-acupuncture timing on the analgesic effect of primary dysmenorrhea (PD) with a cold and dampness stagnation pattern. Methods A total of 72 PD patients with cold and dampness syndrome enrolled in the outpatients of Electric Power Teaching Hospital of Capital Medical University from December 2018 to December 2020 were selected as the research objects. They were divided into premenstrual group and menstrual group by random number table method, with 36 cases in each group. Both groups were treated with electroacupuncture for 30 minutes at the sānyīnjiāo, dìjī, and xuánzhōng for three consecutive menstrual cycles and followed up for two menstrual cycles. The visual analogue scale (VAS) and the retrospective symptom scale-COX2 (RSS-COX2) were used to evaluate clinical symptoms. Results The overall analysis showed that there was no significant difference in the VAS scores of inter-group comparison and interaction (P＞0.05). Time point comparison of VAS scores, the difference was statistically significant (P＜0.05). The VAS score in the first to fifth cycle was decreased compared with that before treatment, the VAS score in the second to fifth cycle was decreased compared with that in the first cycle, the VAS score in the third to fifth cycle was decreased compared with that in the second cycle, the VAS score in the fourth to fifth cycle was decreased compared with that in the third cycle, and the VAS score in the fifth cycle was decreased compared with that in the fourth cycle, the difference was statistically significant (P＜0.05). Overall analysis: there were statistically significant differences between groups, time point comparison and RSS-COX2 scores of interaction (P＜0.05). Intra-group comparison: The RSS-COX2 score in the first to fifth cycle was lower than before treatment, the RSS-COX2 score in the second to fifth cycle was lower than that in the first cycle, the RSS-COX2 score in the third to fifth cycle was lower than that in the second cycle, the RSS-COX2 score in the fourth cycle was lower than that in the third cycle, and the RSS-COX2 score in the fifth cycle was lower than that in the fourth cycle, the differences were statistically significant (P＜0.05). Comparison between groups: from the second to fifth cycle, the RSS-COX2 score of the menstruating group was higher than that of the menstruating group(P＜0.05). Conclusion Both premenstrual and menstrual electroacupuncture can significantly relieve pain and accompanying symptoms for PD with a cold and dampness stagnation pattern, and pre-menstrual treatment is better than menstrual treatment in improving the accompanying symptoms.
|
|
|
|
|
|
[1] Armour M，Parry K，Manohar N，et al. The Prevalence and Academic Impact of Dysmenorrhea in 21，573 Young Women：A Systematic Review and Meta-Analysis [J]. J Womens Health（Larchmt），2019，28（8）：1161-1171.
[2] 王歌，王瑞琼，魏兴民，等.甘肃中医药大学女大学生原发性痛经人群中医证型分布情况及自我护理研究[J].中医药导报，2021，27（1）：175-177，181.
[3] Karout S，Soubra L，Rahme D，et al. Prevalence，risk factors，and management practices of primary dysmenorrhea among young females [J]. BMC Womens Health，2021，21（1）：392.
[4] 赵秀贞，韩桂梅.粤西高校女生原发性痛经的主要中医证型及原因分析[J].中国中医药现代远程教育，2022，20（13）：42-43.
[5] Guimar?觔es I，Póvoa AM. Primary dysmenorrhea：assessment and treatment [J]. Rev Bras Ginecol Obstet，2020，42（8）：501- 507.
[6] Woo HL，Ji HR，Pak YK，et al. The efficacy and safety of acupuncture in women with primary dysmenorrhea： A systematic review and meta-analysis [J]. Medicine（Baltimore），2018，97（23）：e11007.
[7] 陈少宗.针刺时机作用规律的研究及其临床意义[J].针灸临床杂志，2010，26（11）：6-9.
[8] 侯学思，刘慧林，付渊博，等.“因时制宜”对针灸临床诊疗思维的指导意义[J].中国针灸，2021，41（3）：331-334.
[9] Lefebvre G，Pinsonneault O，Antao V，et al. Primary dysmenorrhea consensus guideline[J]. J Obstet Gynaecol Can， 2005，27（12）：1117-1146.
[10] 中华人民共和国卫生部.中药新药临床研究指导原则（第1辑）[M].北京：中国医药科技出版社，1993.
[11] 国家质量监督检验检疫总局国家标准化管理委员会.GB/T12346-2006腧穴名称与定位[M].北京：中国标准出版社，2006.
[12] Bourdel N，Alves J，Pickering G，et al. Systematic review of endometriosis pain assessment： how to choose a scale? [J]. Hum Reprod Update，2015，21（1）：136-152.
[13] Cox DJ，Meyer RG. Behavioral treatment parameters with primary dysmenorrhea [J]. J Behav Med，1978，1（3）：297- 310.
[14] 罗元恺.中医妇科学[M].上海：上海科学技术出版社，1986：53-54.
[15] 曹若菡，乔海法，寇文琴.原发性痛经穴位敏化的规律及理论探讨[J].世界中医药，2022，17（11）：5.
[16] 徐澜，彭玉琳.三阴交在原发性痛经中的研究概况[J].浙江中医杂志，2021，56（11）：855-856.
[17] Zhao MY，Zhang P，Li J，et al. Influence of de qi on the immediate analgesic effect of SP6 acupuncture in patients with primary dysmenorrhoea and cold and dampness stagnation： a multicentre randomised controlled trial [J]. Acupunct Med，2017，35（5）：332-338.
[18] Yu YP，Ma LX，Ma YX，et al. Immediate effect of acupuncture at Sanyinjiao （SP6） and Xuanzhong （GB39） on uterine arterial blood flow in primary dysmenorrhea [J]. J Altern Complement Med，2010，16（10）：1073-1078.
[19] 鲁红燕，赵耀东，程佳莉，等.针刺治疗寒湿凝滞型痛经的用经选穴规律研究[J].中医临床研究，2021，13（24）： 37-39.
[20] 辛思源，杨志新，郭建恩，等.从三阴交-悬钟的经穴效应探讨相对穴与经穴效应的关系[J].中国针灸，2017， 37（10）：1073-1076.
[21] 郑建宇.三阴交透刺悬钟穴治疗痛经56例[J].新中医，1997，29（5）：25-26.
[22] 李晓泓，宋晓琳，徐莉莉，等.不同介入时机针刺三阴交穴对痛经大鼠下丘脑，垂体β-EP含量和HSP70表达的影响研究[J].中华中医药杂志，2010，25（9）：1456-1458.
[23] 嵇波，李春华，赵雅芳，等.电针不同介入时机对痛经模型大鼠子宫微循环影响的实验观察[J].针灸临床杂志，2010，26（11）：46-51.
[24] 李春华，徐大钊，胡妮娟，等.原发性痛经针灸介入时机的探讨[J].上海针灸杂志，2017，36（6）：639-642.
[25] 董国娟，田沂禾，韩辰，等.原发性痛经针灸治疗研究进展[J].中国医药科学，2020，10（8）：33-35.
[26] 叶小娜，袁小芬，马玉侠，等.不同时机针刺多穴对治疗原发性痛经的影响[J].中医外治杂志，2020，29（5）： 62- 63.
[27] 宋昌梅，杲春阳，付燕来，等.中药穴位敷贴治疗原发性痛经效果的meta分析[J].中国医药导报，2020，17（26）：129-133.
[28] 万颖，孟凡颖.马氏温灸法治疗寒凝血瘀型原发性痛经的临床效果[J].中国当代医药，2021，28（25）：198-200.
|
|
|
|
