梁韵茹 李孔益

【摘 要】 目的：观察子午流注低频开穴法联合少腹逐瘀颗粒治疗原发性痛经的疗效。方法：将68例原发性痛经患者作为研究对象，按随机对照法分为对照组与观察组各34例。对照组于月经来潮前3天开始予少腹逐瘀颗粒治疗，至月经第5天停药;观察组在对照组基础上加用子午流注低频开穴法治疗，共治疗3个月经周期。观察治疗前后视觉模拟评分（Visual Analogue Scale/Score，简称 VAS）的变化并评价疗效。结果：治疗前，两组VAS及中医证候积分比较，差异无统计学意义（P>0.05）。连续治疗3个月及6个月后随访，观察组VAS及中医证候积分均较治疗前明显下降（P<0.05），且观察组VAS及中医证候积分的改善优于对照组（P<0.05）。治疗后对照组总有效率（76.47%）与观察组（94.12%）比较，差异有统计学意义（P<0.05）。两组均未发现明显不良反应。结论：子午流注低频开穴法联合少腹逐瘀颗粒可明显缓解痛经症状，镇痛效果佳，复发率低，且患者易于接受，值得临床应用及推广。

【关键词】 原发性痛经;子午流注低频开穴法;少腹逐瘀颗粒;临床研究

【中图分类号】R271.11+3   【文献标志码】 A    【文章编号】1007-8517（2021）11-0116-04

Abstract：Objective To explore the clinical efficacy of Midnight-noon ebbflow acupuncture combined with Shaofu Zhuyu granule in treating primary dysmenorrhea. Methods 68 patients with primary dysmenorrhea were selected as subjects.According to the randomized control method， they were divided into the observation group and the control group，with 34 cases in each group.The control group received the Shaofu Zhuyu granule from the first 3 days of menstruation until the fifth day of menstruation. The observation group was treated with the Midnight-noon ebbflow acupuncture on the basis of the control group.After 3-month continuous menstrual cycle， the changes in visual analogue scale （VAS） were observed in the two groups before and after treatment and evaluated the efficacy. Results Before treatment， the difference between the two groups of VAS and TCM syndrome scores was not statistically significant （P>0.05）. Follow-up after 1， 2， 3 and 6 months of treatment， the VAS and TCM syndrome scores in the observation group were significantly lower than before（P<0.05）. The improvement in VAS and TCM syndrome scores of the observation group was superior to that of the control group，the difference being signidicant（P<0.05）.The total effective rate in the control group was 76.47%， which was lower than that in the observation group （94.12%）. Therefore，the two groups had significant differences（P<0.05）. No obvious adverse reactions were found in both groups.Conclusion Midnight-noon ebbflow acupuncture combined with Shaofu Zhuyu granule can significantly relieve the symptoms of dysmenorrhea， with good analgesic effect， low recurrence rate， and easy acceptance by patients. This treatment deserves to be clinically applicated and promoted.

Keywords：Primary Dysmenorrhea; Midnight-noon Ebbflow Acupuncture; Shaofu Zhuyu Granule; Clinical Research

原發性痛经是妇科常见病，多见于15～25岁及初潮后的6个月至2年内的未婚适龄女性。患者往往腹痛难忍，常伴恶心呕吐、面色苍白甚至晕厥等症状[1]。痛经虽然周期相对较短，但对患者日常生活及工作造成了严重影响。针对原发性痛经多见于青春期少女，对针刺疼痛较为排斥，为寻求疼痛刺激小、疗效好的绿色疗法，本研究在口服少腹逐瘀颗粒的基础上加用零疼痛的子午流注低频开穴法，根据传统时间医学取穴治疗，疗效显著，现报道如下。

1 资料与方法

1.1 一般资料 选取2016年6月至2019年6月在阳江市中医医院生殖内分泌中心及妇科门诊就诊的70例原发性痛经患者作为研究对象（脱落2例），按照随机对照方法将其分为对照组与观察组各34例。对照……