[1]罗国凤,周杨嘉琪,金灵敏,等.揿针刺激不同耳穴组方治疗原发性痛经临床研究[J].陕西中医,2025,46(12):1691-1695.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.022]
　LUO Guofeng,ZHOU Yangjiaqi,JIN Lingmin,et al.Study of treatment of primary dysmenorrhea by pressing needle stimulating different auricular points[J].,2025,46(12):1691-1695.[doi:DOI:10.3969/j.issn.1000-7369.2025.12.022]
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揿针刺激不同耳穴组方治疗原发性痛经临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年12期
页码:
1691-1695
栏目:
针灸经络
出版日期:
2025-12-05

文章信息/Info

Title:
Study of treatment of primary dysmenorrhea by pressing needle stimulating different auricular points
作者:
罗国凤1; 周杨嘉琪2; 金灵敏1; 陈盼碧1; 杨雯雯3; 吴星蓉4
（1.贵州中医药大学针灸推拿学院，贵州 贵阳 550000;2.遵义医科大学附属医院针灸科，贵州 遵义 563000;3.遵义医药高等专科学校，贵州 遵义 563000;4.贵阳市乌当区人民医院中医科，贵州 贵阳 550000）
Author(s):
LUO Guofeng1; ZHOU Yangjiaqi2; JIN Lingmin1; CHEN Panbi1; YANG Wenwen3; WU Xingrong4
(1.Guizhou University of Traditional Chinese Medicine,School of Acupuncture and Tuina,Guiyang 550000,China；2.Department of Acupuncture,The Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China；3.Zunyi Medical and Pharmaceutical College,Zunyi 563000,China；4.Department of Chinese Medicine,Wudang District People’s Hospital,Guiyang 550000，China）
关键词:
原发性痛经; 不同耳穴组方; 揿针; 随机对照研究; 抑郁; 焦虑
Keywords:
Primary dysmenorrhea; Different auricular point prescriptions; press needle; Randomized controlled study; Depression; Anxiety
分类号:
R 271.113
DOI:
DOI:10.3969/j.issn.1000-7369.2025.12.022
文献标志码:
A
摘要:
目的：对比观察揿针刺激痛经相关耳穴与非相关耳穴治疗原发性痛经（PD）的临床疗效差异及对患者焦虑抑郁情绪的影响。方法：将72例PD患者随机分为观察组和对照组（n=36）。观察组耳穴取交感、内生殖器、神门、肝、肾、皮质下、内分泌，对照组耳穴取膝、指、肘、肩、颈椎、舌、枕。经前第7天开始进行揿针治疗，每留置2 d更换1次，双耳交替留针，直至月经来潮。1个月经周期为1个疗程，连续治疗3个疗程。比较两组痛经症状量表（CMSS）、贝克抑郁量表（BDI）、状态-特质焦虑量表（STAI）评分变化，评判两组临床疗效差异。结果：CMSS小腹疼痛时间评分存在交互效应（P<0.05），CMSS小腹疼痛程度评分、CMSS总评分无交互效应（P>0.05），治疗时间在CMSS小腹疼痛时间评分、CMSS小腹疼痛程度评分、CMSS总评分上效应显著（P<0.01），组别在CMSS小腹疼痛时间评分、小腹疼痛程度评分、总评分上主效应不显著（P>0.05）。观察组第一疗程CMSS小腹疼痛时间评分较治疗前无变化（P>0.05），CMSS小腹疼痛程度评分和CMSS总评分均较治疗前降低（P<0.05），对照组第一疗程CMSS小腹疼痛时间评分、CMSS小腹疼痛程度评分较治疗前均无变化（P>0.05），CMSS总评分较治疗前降低（P<0.05），两组第二疗程、第三疗程及随访期CMSS小腹疼痛时间评分、小腹疼痛程度评分、总评分较治疗前均降低（P<0.05）。治疗后，观察组BDI评分较治疗前降低（P<0.01），对照组BDI评分无变化（P>0.05）；两组STAI评分较治疗前均降低（P<0.05）。两组间CMSS小腹疼痛程度评分、CMSS小腹疼痛持续时间评分、CMSS总评分、BDI评分、STAI评分及总有效率比较均无统计学差异（P>0.05）。结论：揿针刺激痛经相关耳穴及非相关耳穴均能有效缓解PD患者临床症状，缓解焦虑情绪，前者还可改善患者抑郁情绪。
Abstract:
Objective:To observe the difference of clinical efficacy and the effect on anxiety and depression of patients with primary dysmenorrhea (PD) treated by acupuncture stimulation of dysmenorrhea related auricular points and unrelated auricular points.Methods:72 PD patients meeting inclusion criteria were randomly divided into two groups (n=36).Sympathetic,internal genitalia,shenmen,liver,kidney,subcortical and endocrine points were taken from ear points in the treatment group,while knee,finger,elbow,shoulder,cervical spine,tongue and pillow were taken from ear points in the control group.The press needle therapy began on the 7th day before menstruation,and was replaced once every 2 days.The press needle was retained alternately in both ears until menstruation.One menstrual cycle for a course of treatment,continuous treatment of three courses.The CMSS,BDI and STAI scores were compared between the two groups,and the clinical efficacy was evaluated.Results:CMSS lower abdominal pain time score had interaction effect (P<0.05),but there was no interaction effect between CMSS lower abdominal pain degree score and CMSS total score (P>0.05).The main effect of treatment time on CMSS lower abdominal pain time score,CMSS lower abdominal pain degree score and CMSS total score was significant (P<0.01).There was no significant effect on CMSS lower abdominal pain time score,lower abdominal pain degree score and total score (P>0.05).In the treatment group,the time score of CMSS pain in the lower abdomen of the first course of treatment had no change compared with that before treatment (P>0.05),and the degree score of CMSS pain in the lower abdomen of the first course of treatment and the total score of CMSS were both lower than that before treatment (P<0.05),while in the control group,the time score of CMSS pain in the lower abdomen of the first course of treatment had no change compared with that before treatment (P>0.05).The total CMSS score was lower than that before treatment (P<0.05),and the time score,degree score and total score of CMSS in the second course of treatment,the third course of treatment and the follow-up period were lower than that before treatment (P<0.05).After treatment,BDI scores were lower in the observation group than before treatment (P<0.01),and there was no change in BDI scores in the control group (P>0.05);STAI scores were lower in both groups compared to before treatment (P<0.05).There were no differences in CMSS lower abdominal pain degree score,CMSS lower abdominal pain duration score,total CMSS score,BDI score,STAI score and total effective rate between the two groups (P>0.05).Conclusion:Acupuncture stimulation of dysmenorrhea related auric points and non-related auric points can effectively relieve the clinical symptoms and anxiety of PD patients,and the former can also improve patients’ depression.

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备注/Memo

备注/Memo:
国家自然科学基金资助项目（81860883）
更新日期/Last Update: 2025-12-08