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1、在經(jīng)前針刺十七椎穴護(hù)理原發(fā)性痛經(jīng)的臨床研究忠新豐高忠會李玉潔上海仁濟(jì)醫(yī)院第一附屬醫(yī)院【摘要】目的通過觀察月經(jīng)來潮前針刺十七椎穴治療原發(fā)性痛經(jīng)的臨床療效，為針灸治療原發(fā)性痛經(jīng)的穴位選擇提供參考。方法將符合納入標(biāo)準(zhǔn)的患者40例隨機(jī)分為兩組，其中治療組(針刺十七椎穴)20例予針刺療法3個(gè)療程，空白對照組(不予針刺)20例。參照COX痛經(jīng)癥狀量表(theCoxMenstrualSymptomScale)進(jìn)行痛經(jīng)臨床癥狀評分，分別記錄觀察組和對照組護(hù)理前和護(hù)理后的痛經(jīng)癥狀總頻率(持續(xù)總時(shí)間)和痛經(jīng)癥狀嚴(yán)重程度總分，并比較兩組之間的差異。結(jié)果觀
2、察組在護(hù)理過程中痛經(jīng)癥狀總頻率(持續(xù)總時(shí)間)總分和痛經(jīng)癥狀嚴(yán)重程度總分持續(xù)下降，第三月經(jīng)周期護(hù)理結(jié)束后，兩組比較，差異有統(tǒng)計(jì)學(xué)意義(P<0．01)。結(jié)論十七椎穴是治療原發(fā)性痛經(jīng)的有效穴位，可于經(jīng)前單用十七椎穴治療原發(fā)性痛經(jīng)?！娟P(guān)鍵詞】針刺；原發(fā)性痛經(jīng)；十七椎穴；COX痛經(jīng)癥狀量表(CMSS)【中圖分類號】R245．3；R271．113【文獻(xiàn)標(biāo)識碼】A【文章編號】1673—6613(2012)12—1073—03ClinicalResearchofPrimaryDysmenorrhea、vithAcupunctureatShiqizh
3、uifEX—B7)beforeMenstruationDUDong—qing。GAOShu—zhong，MAYu—xia(1．2010DoctorateCandidateofShandongUniversityofTraditionalChineseMedicine．JinanShandong250355；2．ShandongUniversityofTraditionalChineseMedicine，JinanShandong250355)【Abstract】ObjectiveToobservetheclinicalefficac
4、yonprimarydysmenorrheatreatedwithacu—punctureatShiqizhui(EX—B7)beforemenstruationSOastoprovidethereferencefortheacupointselectioninthetreatmentofprimarydysmenorrheawithacupunctureandmoxibustion．Methods40casesincompli—ancewiththeinclusivecriteriawererandomizedintotwogro
5、ups，20casesinatreatmentgroup[acupunctureatShiqizhui(EX—B7)groupfor3sessions]and20casesinablankcontrolgroup(nonacupuncture)．InreferencetotheCOXMenstrualSymptomScale，theclinicalsymptomsofdysmenorrheawereevaluated．Thetotalscoresofthetotalfrequencyofdysmenorrheasymptoms(to
6、talpersistenttime)andtheseverityofdysmenor·rheasymptomswererecordedbeforeandaftertreatmentinthetreatmentgroupandthecontrolgroupseparately．ResultsInthetreatmentgroup，thetotalscoresofthetotalpersistentfrequencyofdysmenorrheasymp—tomsandtheseverityofdysmenorrheasymptomswe
7、rereducedcontinually．Attheendofthetreatmentofthe3menstrualcycle，thedifferencesincomparisonbetweentwogroupsweresignificantstatistically(P<0．01)．ConclusionShiqizhui(EX—B7)istheeffectiveacupointinthetreatmentofprimarydysmenorrheaanditcanbeusedsinglybeforemenstruationinthe
8、treatmentofprimarydysmenorrhea．【Keywords】Acupuncture；PrimaryDysmenorrhea；Shiqizhui(EX—B7)；COXMenstrualSymptomScale(CM
