CAJ | 학술논문

目的：观察采用新型腹部艾灸盒灸疗对寒凝血瘀型原发性痛经的临床疗效。方法选取2009年7月至2013年6月深圳市宝安区人民医院、瑞安市妇幼保健院、深圳市中医院158例寒凝血瘀型原发性痛经患者，按随机数字表法将患者随机分为对照组（A组，50例）、新型腹部艾灸盒治疗组（B组，56例）和传统艾灸盒治疗组（C组，52例）。A组采用布洛芬治疗；B采用新型艾灸盒施灸、C组采用本院自制艾灸盒灸疗，在经前1周开始治疗，连续治疗10 d为1个疗程；3组均连续治疗3个月经周期，采用痛经症状量表进行痛经症状评分，并比较各组疗效。结果治疗后，B组临床痊愈20例（35.71%）， C组18例（34.62%），均显著高于A组（9例，18.00%），χ2分别为4.17、3.62，P＜0.05；B组总有效率为92.85%（52/56），C组为90.38%（47/52），均高于A组的70.00%（35/50），χ2分别为9.38、6.72，P＜0.01。在治疗安全性方面：B组1级安全54例（96.43%），高于A组（41例，82.00%），χ2＝5.91，P＜0.05；C组与A组比较，差异无统计学意义（χ2＝0.40，P＞0.05）。结论新型腹部艾灸盒灸疗对寒凝血瘀型原发性痛经有效，同时安全性优于传统艾箱灸及布洛芬。
목적：관찰채용신형복부애구합구료대한응혈어형원발성통경적림상료효。방법선취2009년7월지2013년6월심수시보안구인민의원、서안시부유보건원、심수시중의원158례한응혈어형원발성통경환자，안수궤수자표법장환자수궤분위대조조（A조，50례）、신형복부애구합치료조（B조，56례）화전통애구합치료조（C조，52례）。A조채용포락분치료；B채용신형애구합시구、C조채용본원자제애구합구료，재경전1주개시치료，련속치료10 d위1개료정；3조균련속치료3개월경주기，채용통경증상량표진행통경증상평분，병비교각조료효。결과치료후，B조림상전유20례（35.71%）， C조18례（34.62%），균현저고우A조（9례，18.00%），χ2분별위4.17、3.62，P＜0.05；B조총유효솔위92.85%（52/56），C조위90.38%（47/52），균고우A조적70.00%（35/50），χ2분별위9.38、6.72，P＜0.01。재치료안전성방면：B조1급안전54례（96.43%），고우A조（41례，82.00%），χ2＝5.91，P＜0.05；C조여A조비교，차이무통계학의의（χ2＝0.40，P＞0.05）。결론신형복부애구합구료대한응혈어형원발성통경유효，동시안전성우우전통애상구급포락분。
Objective To observe the clinical effects of new ventral moxibustion box in treating primary dysmenorrhea of the type of congealing cold blood stasis. Methods 158 patients of primary dysmenorrhea of the type of congealing cold blood stasis were randomized into new ventral moxibustion box treatment group(56 patients),traditional moxibustion box treatment group(52patients)and control group (50patients). The control group was treated by conventional treatment, and the other two groups were treated by new ventral moxibustion box and traditional moxibustion box. The therapeutic effects were compared after treatment. Results After treatment,the cure rate of new ventral moxibustion box treatment group was 35.71%, the cure rate of traditional moxibustion box treatment group are 34.61%,both were better than18.00%of the control group with statistical significance(χ2=4.17, 3.62, P<0.05). The total effective rate of new ventral moxibustion box treatment group was 92.86%, the total effective rate of traditional moxibustion box treatment group was 90.38%,both were better than 70.00%of the control group with statistical significance(χ2=9.38, 6.72, P<0.01). The safety rate of new ventral moxibustion box treatment group was better than the control group(χ2=5.91, P<0.05). Conclusion The new ventral moxibustion box can not only improve the curative effect of primary dysmenorrhea of the type of congealing cold blood stasis,but also can improve the safety rate in treating primary dysmenorrhea.