[1]张子龙,张世卿,王 喆,等.推拿联合肌筋膜触发点针刺原发性痛经疗效研究[J].陕西中医,2024,(7):975-979.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.026]
　ZHANG Zilong,ZHANG Shiqing,WANG Zhe,et al.Curative effect study on massage combined with myofascial trigger point acupuncture on primary dysmenorrhea[J].,2024,(7):975-979.[doi:DOI:10.3969/j.issn.1000-7369.2024.07.026]
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推拿联合肌筋膜触发点针刺原发性痛经疗效研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年7期
页码:
975-979
栏目:
针灸经络
出版日期:
2024-07-05

文章信息/Info

Title:
Curative effect study on massage combined with myofascial trigger point acupuncture on primary dysmenorrhea
作者:
张子龙1; 张世卿2; 王 喆2; 刘梦琪1; 赵中实1; 刘 畅1; 向家雨1
(1.河南中医药大学,河南 郑州 450046; 2.河南中医药大学第一附属医院,河南 郑州 450099)
Author(s):
ZHANG Zilong; ZHANG Shiqing; WANG Zhe; LIU Mengqi; ZHAO Zhongshi; LIU Chang; XIANG Jiayu
(Henan Uniersity of Traditional Chinese Medicine,Zhengzhou 450046,China)
关键词:
推拿;  肌筋膜触发点;  原发性痛经;  前列腺素;  血流速度
Keywords:
Massage;  Myofascial trigger point;  Primary dysmenorrhea;  Prostaglandin;  Blood flow velocity
分类号:
R 271.11
DOI:
DOI:10.3969/j.issn.1000-7369.2024.07.026
文献标志码:
A
摘要:
目的:观察推拿联合肌筋膜触发点针刺治疗原发性痛经(PD)的临床疗效。方法:选择80例PD患者,随机分为两组,每组40例。对照组予常规止痛治疗,观察组予以推拿联合肌筋膜触发点针刺治疗,对比两组疗效。结果:经治疗,观察组痛经症状评分显著低于对照组(P<0.05)。两组患者治疗后及随访3个月时视觉模拟评分(VAS)、现时疼痛强度评分(PPI)、痛经症状量表评分(CMSS)均较治疗前显著下降(P<0.05),但对照组随访3个月时VAS评分、PPI评分及CMSS评分较治疗后显著升高(P<0.05)。治疗后及随访3个月时观察组VAS评分、PPI评分及CMSS评分均显著低于对照组(P<0.05)。治疗后,观察组患者血清雌二醇(E2)水平显著低于对照组,前列腺素(PGE2)水平显著高于对照组(P<0.05)。治疗后,观察组收缩期血流速度(Vs)及舒张期血流速度(Vd)、平均速度(Vm)显著高于对照组(P<0.05)。结论:推拿联合肌筋膜触发点针刺治疗原发性痛经,能有效调节患者前列腺素及孕激素水平,改善其子宫微循环状态,减轻疼痛不适,提高临床疗效,且作用更加持久,远期效果更好。
Abstract:
Objective:To observe clinical efficacy of massage combined with myofascial trigger point acupuncture in treatment of primary dysmenorrhea.Methods:80 patients with primary dysmenorrhea were randomly divided into two groups,with 40 cases in each group.The control group received routine pain relief treatment,while the observation group received massage combined with myofascial trigger point acupuncture for treatment.The therapeutic effects of the two groups were compared.Results:Compared with the the control group,the symptom score of dysmenorrhea in the observation group was significantly lower after treatment(P<0.05).After treatment and at 3 months of follow-up,the VAS score,PPI score,and CMSS score of both groups decreased significantly compared to before treatment(P<0.05).The VAS score,PPI score,and CMSS score in the control group increased significantly at 3 months of follow-up(P<0.05).Compared with the control group,the VAS score,PPI score,and CMSS score in the observation group were significantly lower after treatment and at 3 months of follow-up(P<0.05).Compared with the control group,the E2 level of patients in the observation group was significantly lower,while the PGE2 level higher after treatment(P<0.05).Compared with the control group,the levels of Vs,Vd,and Vm in the observation group were significantly higher after treatment(P<0.05).Conclusion:Massage combined with myofascial trigger point acupuncture can effectively regulate the levels of prostaglandins and progesterone in patients with primary dysmenorrhea,improve uterine microcirculation symptoms,alleviate pain discomfortand clinical efficacy.The effect is more long-lasting and the long-term effect is better.

参考文献/References:

[1] 刘银姣,赵素玲,崔翠林.化癥止痛汤治疗原发性痛经寒凝血瘀证疗效及对患者前列腺素、血液流变学及性激素水平的影响[J].陕西中医,2018,39(9):1221-1224.
[2] 郭虹.女大学生妇科疾病236例临床分析[J].陕西医学杂志,2011,40(4):451-452.
[3] 马萧童,刘耔宜,强昆,等.原发性痛经机制及针灸疗效[J].中国医学影像技术,2022,38(9):1301-1306.
[4] 聂文佳,徐帅师,张咏梅.原发性痛经治疗方法的研究进展[J].中国中医基础医学杂志,2021,27(4):683-689.
[5] 赵文杰,杜小利,吴晓婷,等.原发性痛经的治疗研究现状[J].内蒙古中医药,2022,41(8):149-151.
[6] 金超琼,吕宾.非甾体抗炎药相关消化道出血及防治[J].临床内科杂志,2020,37(4):250-252.
[7] 刘珊珊,杨坚.原发性痛经的非药物治疗研究进展[J].按摩与康复医学,2020,11(5):27-30.
[8] 郑春丽,侯晓,王妮,等.基于肌筋膜触发点理论治疗相关妇产科疾病的临床研究进展[J].上海中医药大学学报,2023,37(5):99-104.
[9] 钱静,湖波.中医妇科学[M].北京:科学出版社,2013:56-58.
[10] BURNETT M,LEMYRE M.345-primary dysmenorrhea consensus guideline[J].Journal of Obstetrics & Gynaecology Canada,2017,39(7):585-595.
[11] 邓韵,易玮,叶宵欣,等.以酵素姜油为介质的自我推拿治疗原发性痛经的随机、双盲、对照试验[J].中国全科医学,2019,22(19):2388-2392.
[12] 冉鑫,尹洁,王瑞琼,等.当归精油对原发性痛经小鼠子宫PGF-(2a)、PGE-2、AVP的影响[J].时珍国医国药,2022,33(3):530-532.
[13] 朴雪,郭凤英,李莉.星状神经节阻滞治疗对原发性痛经患者疼痛及血清PGF2α、PGE_2水平的影响[J].现代医学与健康研究电子杂志,2021,5(1):57-59.
[14] 房军帆,王思思,孙海榉,等.抑制外周神经元PAR2-PKA/PKCε通路对痛转化模型大鼠痛阈的影响[J].中国实验动物学报,2018,26(1):13-19.
[15] 任晴,王昕.原发性痛经的中西医治疗进展[J].实用中医内科杂志,2020,34(7):4-7.
[16] 张敏.星状神经节阻滞治疗原发性痛经临床疗效观察[J].亚太传统医药,2018,14(9):206-207.
[17] 李涵,伏春玲,吕亚楠.低能量放散式体外冲击波治疗原发性痛经的临床研究[J].中国疼痛医学杂志,2017,23(12):919-922.
[18] 成熟,刘建启,胡小刚,等.肌筋膜触发点综合征的治疗进展[J].中国康复医学杂志,2017,32(4):487-491.
[19] 陈兴利,乔亚芬,孙明雨,等.肌筋膜触发点针刺和牵伸运动对原发性痛经的即刻镇痛效果比较[J].中国康复医学杂志,2022,37(9):1198-1207,1218.
[20] 彭敏坚.基于肌筋膜疼痛触发点拉伸手法联合温经汤治疗青年原发性痛经寒凝血瘀证患者的临床观察[J].中医临床研究,2021,13(7):33-37.
[21] 聂巧珍,王智光.针刺肌筋膜触发点治疗原发性痛经临床研究[J].内蒙古医科大学学报,2022,44(6):610-612.
[22] 周宇博,吴红斌.壮医药线点灸对寒湿凝滞型痛经大鼠血栓素B2及血液流变学的影响[J].陕西中医,2019,40(10):1330-1332.
[23] 彭旋铃,张志玲,谢更钟.膈下逐瘀汤联合穴位贴敷治疗原发性痛经气滞血瘀证92例[J].陕西中医,2017,38(6):741-743.
[24] 金子开,朱晶晶,李德坤,等.推拿治疗原发性痛经临床研究概况[J].甘肃中医药大学学报,2021,38(2):107-111.
[25] 王得志,包银兰,丁全茂,等.推拿治疗原发性痛经临床疗效的Meta分析[J].吉林中医药,2018,38(10):1213-1216.
[26] 张嘉勋,李铁,赵晋莹,等.穴位贴敷治疗原发性痛经机制的研究进展[J].吉林中医药,2023,43(12):1484-1487.
[27] 沈潜,张巧娜,王康,等.振腹推拿对原发性痛经大鼠模型的影响[J].世界中西医结合杂志,2018,13(9):1252-1255,1309.

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(2023ZXZX1083,2023ZXZX1030)
更新日期/Last Update: 2024-07-09