CAJ | 학술논문

目的：比较针刺地机与地机、关元治疗原发性痛经的疗效差异，以探讨针刺治疗原发性痛经常用腧穴的配伍关系。方法将40例原发性痛经患者随机分为单穴组和双穴组，每组20例。单穴组针刺地机穴，双穴组针刺地机、关元穴，观察针刺前后两组患者视觉模拟评分(VAS)随时间的变化，并比较两组数据的差异。结果双穴组针刺后各时间点VAS读数与针刺前差值均大于单穴组差值。结论疼痛时针刺地机及地机、关元均可有效治疗原发性痛经，但针刺地机、关元有优于单刺地机的趋势，针刺地机、关元治疗原发性痛经时可能存在协同作用。
목적：비교침자지궤여지궤、관원치료원발성통경적료효차이，이탐토침자치료원발성통경상용수혈적배오관계。방법장40례원발성통경환자수궤분위단혈조화쌍혈조，매조20례。단혈조침자지궤혈，쌍혈조침자지궤、관원혈，관찰침자전후량조환자시각모의평분(VAS)수시간적변화，병비교량조수거적차이。결과쌍혈조침자후각시간점VAS독수여침자전차치균대우단혈조차치。결론동통시침자지궤급지궤、관원균가유효치료원발성통경，단침자지궤、관원유우우단자지궤적추세，침자지궤、관원치료원발성통경시가능존재협동작용。
ObjectiveTo compare the therapeutic efficacy of acupuncture at Diji (SP8) versus acupuncture at Dijiand Guanyuan (CV4) in treating primary dysmenorrhea, for exploring the combination relation of the commonly-used acupoints in acupuncture treatment for primary dysmenorrhea.MethodForty patients with primary dysmenorrhea were randomized into a single acupoint group and a double acupoint group, 20 in each group. The single acupoint group was intervened by acupuncture at Diji, while the double acupoint group was by acupuncture at Diji and Guanyuan. The change of Visual Analogue Scale (VAS) score was observed and compared between the two groups.ResultThe changes of VAS score in the double acupoint group were more significant than that in the single acupoint group at each different time point.ConclusionAcupuncture at Diji alone and acupuncture at Diji and Guanyuan both can effectively treat primary dysmenorrhea; however, acupuncture at Diji and Guanyuan tends to produce a more significant effect than acupuncture at Diji alone; Diji and Guanyuan may work synergistically in acupuncture treatment for primary dysmenorrhea.