林玲

【摘 要】 目的：观察分期针刺对气滞血瘀型原发性痛经的临床疗效及血清FGE2的影响。方法：选取60名 气滞血瘀型原发性痛经患者，采用简单随机法分为对照组和治疗组各30例。对照组在经前期接受针刺治疗，治疗组在经前期、经后期均接受针刺治疗。观察两组的临床有效率及血清FGE2的变化。结果：对照组有效率73.3%，治疗组临床有效率96.7%，两组比较差异具有统计学意义（P<0.05）。治疗前两组血清FGE2无明显差异，治疗后，治疗组血清FGE2水平明显高于对照组，且差异具有统计学意义（P<0.05）。结论：分期针刺较单纯经前期针刺治疗气滞血瘀型原发性痛经临床疗效好，且对血清FGE2的改善更明显。

【关键词】 原发性痛经;气滞血瘀;经前期;经后期;FGE2

【中图分类号】R271.113   【文献标志码】 A    【文章编号】1007-8517（2021）12-0101-03

Abstract：Objective To observe the effect of acupuncture on blood stasis of FGE 2. Methods 60 patients with primary dysmenorrhea of qi stagnation and blood stasis type were randomly divided into control group and treatment group with 30 cases in each group. The control group received acupuncture treatment in premenstrual period，while the treatment group received acupuncture treatment in premenstrual and late menstrual period. The clinical effective rate and the change of serum fge2 were observed. The effective rate of the two groups was significantly different （P<0.05）. There was no significant difference in serum fge2 between the two groups before treatment. After treatment，the serum fge2 level in the treatment group was significantly higher than that in the control group，and the difference was significant （P<0.05）.Conclusion the clinical effect of staged acupuncture on primary dysmenorrhea of qi stagnation and blood stasis type is higher than that of simple premenstrual acupuncture，and the improvement of serum fge2 is more obvious.

Keywords：Primary Dysmenorrhea; Qi Stagnation and Blood Stasis; Pre Menstruation; Late Menstrual; Fge2

原发性痛经是指女性在行经前后或月经期出现下腹部疼痛、坠胀，伴有腰酸或其他不适，严重者可伴有恶心呕吐、冷汗淋漓、手足厥冷， 甚至昏厥， 影响生活和工作质量，且经妇科检查，生殖器官无明显器质性病变者[1]。多发生在女性初潮后1～2年內，好发于15～25岁[2]。据文献报道[3]近年来痛经发病率逐年递增，女大学生的原发性痛经率为53.5%～80.3%，且其中严重影响学习生活、必须经治疗才能缓解的重度痛经高达6%～12.2%，不容忽视。针灸作为中医学的重要组成部分，在治疗原发性痛经上具有确切的疗效，为进一步优化针刺治疗原发性痛经的临床方案，本研究比较分期针刺（经前期与经后期联合针刺）与经前期针刺对气滞血瘀型原发性痛经的临床有效率与血清FGE2的差异，现报道如下。

1 资料与方法

1.1 一般资料 选择我院就诊的60例气滞血瘀型原发性痛经患者，采用随机对照的临床研究方法分为对照组和治疗组各30例。对照组30例，年龄……