艾灸合暖宫贴干预寒湿凝滞型痛经的临床观察

目的探讨艾灸合暖宫贴对寒湿凝滞型痛经女大学生痛经症状、疼痛程度和睡眠质量的影响。方法选择寒湿凝滞型痛经女大学生80例,随机分为西药组和艾灸合暖宫贴组,每组40例,共观察4个月经周期。采用中医痛经症状评分、疼痛视觉模拟评分(visual analogue scale,VAS)和匹兹堡睡眠质量指数评分(Pittsburgh sleep quality index,PSQI),评定患者治疗前、第3个月经周期(治疗期间)、第4个月经周期(停止治疗)的痛经症状、疼痛程度和睡眠质量的变化情况。结果治疗后的第3个月经周期,两组的中医痛经症状评分、VAS评分和PSQI评分均较前明显下降(P<0.05)。第4个月经周期,停止治疗后,西药组的中医痛经症状评分、VAS评分较第3个月经周期上升(P<0.05),但较治疗前评分降低(P<0.05);艾灸合暖宫贴组中医痛经症状评分、VAS评分和PSQI评分与西药组比较,差异有统计学意义(P<0.01)。结论艾灸合暖宫贴可以改善寒湿凝滞型痛经女大学生的痛经症状、疼痛程度和睡眠质量,疗效具有持久性,值得推广应用。

Clinical Observation on the Intervention of Moxibustion and Warm Uterus Paste on Dysmenorrhea with Syndrome of Stagnation and Congelation of Cold-Damp

Objective To explore the effects of moxibustion and warm uterus paste on symptoms,pain degree and sleep quality of female dysmenorrhea college students with syndrome of stagnation and congelation of cold-damp.Methods A total of 80 cases of female dysmenorrhea college students with syndrome of stagnation and congelation of cold-damp were randomly divided into a western medicine group(n=40)and a moxibustion combined with warm uterus pastes group(n=40),with a course of4 months’observation.The traditional Chinese medicine(TCM)dysmenorrhea symptoms integral,visual analogue scale(VAS)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the changes of dysmenorrhea symptoms,pain degree and sleep quality before treatment,the 3 rdmenstrual cycle(during the treatment)and the 4 thmenstrual cycle(stopping treatment).Results In the3 rdmenstrual cycle,the scores of TCM dysmenorrhea symptom,VAS and PSQI in the 2 groups were significantly decreased than before(P<0.05);in the 4 thmenstrual cycle,after stopping treatment,the scores of TCM dysmenorrhea symptom,VAS and PSQI in the western medicine group were increased than those in the 3 rdmenstrual cycle(P<0.05),but decreased than before treatment(P<0.05);in the moxibustion combined with warm uterus paste group,the scores of TCM dysmenorrhea symptom was significantly different from that of western medicine group,with statistically significant difference(P<0.01).Conclusion Moxibustion combined with warm uterus paste can improve the symptoms of dysmenorrhea,the degree of pain and the quality of sleep of female dysmenorrhea college students with syndrome of stagnation and congelation of cold-damp.The curative effect is lasting,and it is worthy of clinical application.