CAJ | 학술논문

目的：观察原发性痛经患者针刺十七椎穴留针时间的长短对疼痛性质的改变及疼痛程度的减轻与否有无相关性，为临床确定最佳留针时间提供相关的理论依据。方法：将符合纳入标准的90例原发性痛经患者根据随机分配的原则，分为留针20 min组、留针30 min组及空白等待组，每组各30例。应用SF－MPQ（ McGill简化量表）观察治疗前后随时间变化情况，并比较各组间的差异。结果：在改善患者疼痛的强度及疼痛的性质上，针刺组均能明显改善SF－MPQ中各项指标的评分，组间差异有显著性意义（P＜0．01）。结论：针刺十七椎穴可以明显改善原发性痛经患者的不同性质的疼痛及其程度，且留针30 min优于留针20 min。
목적：관찰원발성통경환자침자십칠추혈류침시간적장단대동통성질적개변급동통정도적감경여부유무상관성，위림상학정최가류침시간제공상관적이론의거。방법：장부합납입표준적90례원발성통경환자근거수궤분배적원칙，분위류침20 min조、류침30 min조급공백등대조，매조각30례。응용SF－MPQ（ McGill간화량표）관찰치료전후수시간변화정황，병비교각조간적차이。결과：재개선환자동통적강도급동통적성질상，침자조균능명현개선SF－MPQ중각항지표적평분，조간차이유현저성의의（P＜0．01）。결론：침자십칠추혈가이명현개선원발성통경환자적불동성질적동통급기정도，차류침30 min우우류침20 min。
Objective:To observe the effect on relieving pain with acupuncturing Shiqizhui point( EX-B7) in time-varying as soon as pain occurrence for primary dysmenorrhea, and to provide a reference for the clinical treatment for the best needle retention time and acupuncture frequency.Methods:90 patients with primary dys-menorrheal were randomly divided into the blank group (n=30),the needle retention 20 min group (n=30) and the needle retention 30 min group ( n=30 ) .Observe the changes of SF-MPQ before and after acupunc-ture and compare the differences between groups.Results:Both of the treatment groups could improve the scores of each index of SF-MPQ and the efficacy of needle retention 30 min group was better than that of needle re-tention 20 min group (P<0.01).Conclusion:Acupuncturing at Shiqizhui point(EX-B7) can significantly improve the patients’ pain severity and the nature as soon as pain occurrence,and the needle retention 30 min is better than the needle retention 20 min.