温针灸治疗寒凝血瘀型子宫腺肌病继发性痛经的临床效果

doi:10.20047/j.issn1673-7210.2023.05.34

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Abstract Objective To explore the clinical efficacy of warming needle moxibustion for secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis. Methods A total of 52 patients with secondary dysmenorrhea to adenomyosis in cold coagulation and blood stasis type who were treated in the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from January to May 2022, and they were divided into control group and treatment group according to random number table method, with 26 cases in each group. The control group was treated with Shaofu Zhuyu Capsules, the treatment group was treated with warming needle moxibustion on the basis of the control group. Each course of treatment was seven days, all patients were treated for three courses. The scores of dysmenorrhea degree, traditional Chinese medicine symptoms, visual analog scale (VAS), and endometriosis quality of life assessment (EHP-5) were compared between the two groups. The clinical effect of the treatment group was better than that of the control group, the difference was statistically significant (P＜0.05). There were statistically significant differences in dysmenorrhea degree scores and traditional Chinese medicine symptom scores between the two groups at each time point after treatment (P＜0.05). The scores of dysmenorrhea degree and traditional Chinese medicine symptoms in the treatment group were lower than those in the control group at each time point, and the differences were statistically significant (P＜0.05). After three months of treatment, VAS and EHP-5 scores in two groups were lower than those before treatment, and those of the treatment group were lower than the control group, the differences were statistically significant (P＜0.05). Conclusion Warming needle moxibustion is effective in treating secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis. It can relieve pain and correct patients’ cold constitution, and the improvement degree is better than traditional Chinese patent medicine treatment.

Key words： Adenomyosis Warming needle moxibustion Cold coagulation and blood stasis type Secondary dysmenorrhea

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	ZHANG Yutong1 WANG Shilin1 SUN Yuanzheng2 YANG Dongxia3 SUN Yan4

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ZHANG Yutong1 WANG Shilin1 SUN Yuanzheng2 YANG Dongxia3 SUN Yan4. Effect of warming needle moxibustion for secondary dysmenorrhea in cold coagulation and blood stasis type adenomyosis[J]. 中国医药导报, 2023, 20(5): 146-149,159.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.05.34 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I5/146

[1] Abbott JA. Adenomyosis and Abnormal Uterine Bleeding （AUB-A）—Pathogenesis，diagnosis，and management [J]. Best Pract Res Clin Obstet Gynaecol，2017，40：68-81.
[2] 汪俊涛，陆安伟，刘雁，等.子宫肌层大部分切除法治疗弥漫性子宫腺肌症临床报道[J].中华保健医学杂志，2019， 21（2）：169-170，175.
[3] 中国医师协会妇产科医师分会，中华医学会妇产科学分会.子宫内膜异位症协作组.子宫内膜异位症诊治指南（第三版）[J].中华妇产科杂志，2021，56（12）：812-824.
[4] 谈勇.中医妇科学[M].4版.北京：人民卫生出版社，2016：277-282.
[5] 中华中医药学会.中医妇科临床诊疗指南[M].北京：中国中医药出版社，2020：11-22.
[6] 沈雪勇.经络腧穴学[M].3版.北京：中国中医药出版社，2016：61，86-87，167，199.
[7] 郑筱萸.中药新药临床研究指导原则[M].北京：中国医药科技出版社，2002：240-243.
[8] Tashjian RZ，Hung M，Keener JD，et al. Determining the minimal clinically important difference for the American Shoulder and Elbow Surgeons score，Simple Shoulder Test，and visual analog scale（VAS）measuring pain after shoulder arthroplasty [J]. J Shoulder Elbow Surg，2017，26（1）：144- 148.
[9] Jones G，Jenkinson C，Kennedy S. Development of the short form endometriosis health profile questionnaire：the EHP-5 [J]. Qual Life Res，2004，13（3）：695-704.
[10] Stratopoulou CA，Donnez J，Dolmans MM. Origin and Patho- genic Mechanisms of Uterine Adenomyosis：What Is Known So Far [J]. Reprod Sci，2021，28（8）：2087-2097.
[11] 谢幸，孔北华，段涛.妇产科学[M].9版.北京：人民卫生出版社，2018：268-269.
[12] 孙瑶琦，蒋惠慈，刘洁.炎症因子与子宫腺肌病发病机制研究进展[J].国际妇产科学杂志，2020，47（1）：96- 100.
[13] 杨东霞，王宁，霍玉霞，等.从湿热瘀治疗子宫内膜异位症研究进展[J].中医药学报，2021，49（7）：116-120.
[14] 吴雷波，安素红.针刺联合膈下逐瘀汤治疗气滞血瘀型痛经疗效及对前列腺素E2、前列腺素F2α、β-内啡肽影响[J].创伤与急危重病医学，2020，8（4）：273-275， 280.
[15] 张田宁，吴生兵，朱咏梅，等.试析艾灸的质与量[J].中华中医药杂志，2018，33（11）：5088-5091.
[16] 田园，马良宵，于文颜，等.不同刺灸法对痛经大鼠子宫收缩程度与微循环的影响及其机制探讨[J].针刺研究，2022，47（3）：196-202.
[17] 朱小燕，吕明芳，高洁，等.针刺配合混元灸治疗寒凝血瘀型原发性痛经的临床疗效观察[J].当代医学，2020， 26（32）：146-148.
[18] 薛利凤，苗玉新.温针灸联合化癥止痛汤治疗寒湿凝滞型原发性痛经临床研究[J].新中医，2022，54（7）：184- 187.
[19] 欧玲，江映，严孟瑜，等.针刺足三里配伍四关穴对促进子宫全切除术后康复的临床疗效[J].辽宁中医杂志，2021， 48（12）：148-150.
[20] 张凯，刘君，佘延芬，等.足三阴经的郄穴体表电阻反应原发性痛经的研究[J].北京中医药大学学报，2017，40（3）：254-258.
[21] 孙旖旎，侯学思，吴江昀，等.基于脾经腧穴阳性反应取穴针刺治疗原发性痛经：随机对照研究[J].针刺研究，2018，43（5）：307-310.
[22] 张瑾，刘海永，周志敏，等.举足取足三里穴配合毫火针针刺次髎穴治疗原发性痛经的临床效果[J].中国医药导报，2020，17（18）：163-166.
[23] 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.
[24] 王蕊蕊.针刺血海穴配合艾灸盒温灸治疗寒凝血瘀型原发性痛经28例临床观察[J].实用妇科内分泌杂志（电子版），2016，3（20）：112，114.
[25] 杨佳敏，沈小雨，张玲，等.针刺不同穴位对寒凝证类痛经大鼠子宫收缩程度及疼痛相关机制的影响[J].中医药学报，2017，45（6）：73-76.
[26] 宋越，马良宵，甘莹莹，等.直刺与沿皮刺三阴交穴对寒凝证类痛经大鼠缩宫素及其受体的影响[J].中华中医药杂志，2020，35（4）：2046-2049.
[27] 付思思，岳增辉.子宫穴考[J].河南中医，2021，41（3）：346-348.