CAJ | 학술논문

目的：探讨周氏调气止痛方对气滞血瘀型原发性痛经的疗效。方法收集2013年1-11月首都医科大学附属北京中医医院针灸科气滞血瘀型原发性痛经患者60例，按就诊顺序将患者随机分为两组各30例，治疗组以周氏调气止痛方三络穴列缺、丰隆、蠡沟为主穴方，对照组以常规穴合谷、地机、三阴交为主穴方。均于自预测经期开始前1周内接受针灸治疗3次，共治疗3个月经周期。采用疼痛视觉模拟量表（VAS）、痛经严重程度评分（CMSSⅡ）、疼痛时长为观察指标，判定治疗后第1、2、3个月经周期的临床疗效。结果两组治疗后第1、2、3个月经周期VAS 评分、疼痛时长及CMSSⅡ评分[治疗组第1个月经周期分别为（5.05±0.98）分、（14.03±8.37）h、（12.77±3.64）分，第2个月经周期分别为（4.18±0.87）分、（12.53±7.13）h、（12.07±3.69）分，第3个月经周期分别为（3.43±0.82）分、（11.50±6.88）h、（11.33±3.64）分；对照组第1个月经周期分别为（5.00±1.05）分、（14.97±9.19）h、（14.40±3.52）分，第2个月经周期分别为（4.25±0.93）分、（13.83±9.12）h、（13.70±3.43）分，第3个月经周期分别为（3.73±0.91）分、（12.63±9.02）h、（13.03±3.41）分]均较同组治疗前[治疗组分别为（5.70±1.02）分、（14.77±8.78）h、（13.27±3.92）分，对照组分别为（5.60±0.96）分、（15.47±9.44）h、（14.87±3.75）分]显著降低（P＜0.01）。治疗后治疗组 VAS 评分低于对照组（P＜0.05），疼痛时长及CMSSⅡ评分减轻程度两组比较差异无统计学意义（P＞0.05）。结论周氏调气止痛方可有效缓解气滞血瘀型原发性痛经的疼痛程度、降低疼痛时间、改善痛经程度。
목적：탐토주씨조기지통방대기체혈어형원발성통경적료효。방법수집2013년1-11월수도의과대학부속북경중의의원침구과기체혈어형원발성통경환자60례，안취진순서장환자수궤분위량조각30례，치료조이주씨조기지통방삼락혈렬결、봉륭、려구위주혈방，대조조이상규혈합곡、지궤、삼음교위주혈방。균우자예측경기개시전1주내접수침구치료3차，공치료3개월경주기。채용동통시각모의량표（VAS）、통경엄중정도평분（CMSSⅡ）、동통시장위관찰지표，판정치료후제1、2、3개월경주기적림상료효。결과량조치료후제1、2、3개월경주기VAS 평분、동통시장급CMSSⅡ평분[치료조제1개월경주기분별위（5.05±0.98）분、（14.03±8.37）h、（12.77±3.64）분，제2개월경주기분별위（4.18±0.87）분、（12.53±7.13）h、（12.07±3.69）분，제3개월경주기분별위（3.43±0.82）분、（11.50±6.88）h、（11.33±3.64）분；대조조제1개월경주기분별위（5.00±1.05）분、（14.97±9.19）h、（14.40±3.52）분，제2개월경주기분별위（4.25±0.93）분、（13.83±9.12）h、（13.70±3.43）분，제3개월경주기분별위（3.73±0.91）분、（12.63±9.02）h、（13.03±3.41）분]균교동조치료전[치료조분별위（5.70±1.02）분、（14.77±8.78）h、（13.27±3.92）분，대조조분별위（5.60±0.96）분、（15.47±9.44）h、（14.87±3.75）분]현저강저（P＜0.01）。치료후치료조 VAS 평분저우대조조（P＜0.05），동통시장급CMSSⅡ평분감경정도량조비교차이무통계학의의（P＞0.05）。결론주씨조기지통방가유효완해기체혈어형원발성통경적동통정도、강저동통시간、개선통경정도。
Objective To study the effect of preventive treatment of primary dysmenorrhea (belonging to syndrome of stagnation of Qi and blood) by using “acupunctureof regulating Qi and relieving pain”. Methods 60 patientsfrom January 2013 to November 2013(in acupuncture and moxibustion department of Beijing Chinese Medicine Hospital affiliated to Capital Medical University), with Qi and blood stasis type of primary dysmenorrhea were randomly divided into a treatment group (formula of regulating Qi and relieving pain)and a control group(routine acupuncture group), 30 cases in each group. The treatment group was treated with acupuncturing onlieque,fenglong,ligou as the main points while the control group withhegu, diji, sanyinjiao as the main points. All patients received 3 times of acupuncture treatment at the beginning of the week before menstruation and were treated three menstrual cycles altogether. VAS scores, length of pain and CMSSⅡscores during baseline period and three menstrual cycles were observed in order to determine the clinical effects. Results VAS score, length of pain and CMSSⅡscores were significantly reduced than before(P<0.01)[the treatment group in cycle 1 was(5.05±0.98), (14.03±8.37)h, (12.77±3.64), in cycle 2 was (4.18±0.87), (12.53±7.13)h, (12.07±3.69), in cyce 3 was(3.43±0.82), (11.50±6.88)h, (11.33±3.64);the control group in cycle was 1(5.00± 1.05), (14.97±9.19)h、(14.40±3.5), in cycle 2 was(4.25±0.93), (13.83±9.12)h, (13.70±3.43), in cycle 3 was(3.73±0.91), (12.63±9.02)h, (13.03±3.41)];Compared with the control group, VAS scores intreatment groupdecreased more significantly (P<0.05), while reduced level of pain time and CMSSⅡscores showed no significant difference between the two groups (P>0.05). Conclusion Acupuncture of regulating Qi and relieving painmay effectively relieve pain, shortenlength of pain, improve symptoms of dysmenorrhea severity. It has a significant preventive treatment for Qi and blood stasis type of primary dysmenorrhea.