|本期目录/Table of Contents|

[1]黄耀连,罗桂青,李磊.针刺治疗原发性痛经的临床研究进展[J].环球中医药,2016,9(05):631-635.[doi:10.3969/j.issn.1674-1749.2016.05.032]
 HUANG Yao-lian,LUO Gui-qing,LI Lei..Clinical research progress of acupuncture therapy in treatment of primary dysmenorrhea[J].,2016,9(05):631-635.[doi:10.3969/j.issn.1674-1749.2016.05.032]
点击复制

针刺治疗原发性痛经的临床研究进展()
     
分享到:

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第9卷
期数:
2016年05期
页码:
631-635
栏目:
综述
出版日期:
2016-05-06

文章信息/Info

Title:
Clinical research progress of acupuncture therapy in treatment of primary dysmenorrhea
作者:
黄耀连罗桂青李磊
香港佛教联合会——香港大学中医临床教研中心(黄耀连); 香港大学中医药学院[罗桂青(博士研究生)、李磊]
Author(s):
HUANG Yao-lian LUO Gui-qing LI Lei.
The Hong Kong Buddhist Association-The University of Hong Kong Clinical Centre for Teaching and Research in Chinese Medicine,Hong Kong,China
关键词:
针刺 原发性痛经 综述
Keywords:
Acupuncture Primary dysmenorrhea Literature review
分类号:
R246.3
DOI:
10.3969/j.issn.1674-1749.2016.05.032
文献标志码:
A
摘要:
分析总结近年来有关针刺疗法治疗原发性痛经的临床研究文献,以明确针刺疗法治疗原发性痛经的临床研究进展。结果发现:(1)大多数文献为疗效观察研究,有关原发性痛经的针刺镇痛机理研究报导尚不多见;(2)三阴交、十七椎、次髎为临床上治疗原发性痛经的常用取穴,其中又以三阴交最为多选,疗效肯定;(3)采用辨证分型的文献报道以温针最为常用,次为皮内针及眼针;(4)多数研究均未设置随访,疗效评定尚欠充分;(5)国外文献报道中单纯毫针针刺2篇、电针3篇、眼针1篇。由此得出的结论为:针刺疗法治疗原发性痛经具有操作简单方便、方法多样、毒副作用小的优势,且疗效确切。今后应进一步完善针刺疗法治疗原发性痛经的临床研究实验设计,以阐明针刺疗法治疗原发性痛经的镇痛机理,使之更好地应用于临床。
Abstract:
To observe the clinical research progress of acupuncture therapy treating primary dysmenorrhea, the literatures of clinical research on the acupuncture therapy in treatment of primary dysmenorrhea in recent years were sorted and analyzed in this review. It showed(1)Most of the literature was the observation of the curative effect, the study on the mechanism of acupuncture analgesia for primary dysmenorrhea was still not much.(2)Sanyinjiao(SP6)、Shiqizhui(EX-B8)、Ciliao(BL-32)were the common use for PD treatment while SP6 was the most common out of the three.(3)Warm acupuncture was frequently-used in the syndrome differentiation of TCM, intradermal needling and eye acupuncture was followed.(4)Most of the researches were not completed with follow-ups which resulted was lack of evidence to prove the clinical effect.(5)The foreign literatures reported 2 studies of acupuncture, 3 studies of electro-acupunture and 1 study of eye acupuncture therapy. The review found promising evidence for the use of acupuncture in the treatment of primary dysmenorrhoea on relieving the menstrual pain. The treatment of primary dysmenorrhea with acupuncture has the advantages of simple and convenient operation, various methods, little toxic and side effects, and has a definite curative effect. We should further improve the design of clinical trials of acupuncture treatment of primary dysmenorrhea in order to elucidate the mechanism of analgesia of acupuncture, and make the acupuncture to be better used in clinical.

参考文献/References:

[1] 全国妇女月经生理常数协作组. 中国妇女月经生理常数的调查分析[J]. 中华妇产科杂志, 1980, 15(4): 219.
[2] Intira Sriprasert, Suparerk Suerungruang, Porntip Athilarp, et al. Efficacy of Acupuncture versus Combined Oral Contraceptive Pill in Treatment of Moderate-to-Severe Dysmenorrhea: A Randomized Controlled Trial[J]. Evidence-Based Complementary and Alternative Medicine, 2015,4: 1-10.
[3] Yu-xi Ma, Xiao-na Ye, Cun-zhi Liu, et al. A clinical trial of acupuncture about time-varying treatment and points selection in primary dysmenorrhea[J]. J of E thnopharmacology, 2013,148(2): 498-504.
[4] 卜彦青. 不同时机针刺十七椎治疗原发性痛经疗效对比观察[J]. 中国针灸, 2011, 31(2): 110-112.
[5] 王桂芳,元媛,崔海. 电针结合隔姜灸治疗原发性痛经30例[J]. 针灸临床杂志, 2014, 30(1): 30-31.
[6] 薛晓, 岳增辉, 肖硕实, 等. 不同电针刺激量治疗青春期原发性痛经疗效观察[J]. 上海针灸杂志, 2013, 32(7): 565-566.
[7] Yu-qi Liu, Liang-xiao Ma, Jian-min Xing,et al. Does traditional Chinese Medicine pattern affect acupoint specific effect? Analysis of data from a multicenter, randomized, controlled trial for primary dysmenorrhea[J]. J of Alternative and Complementary Medicine, 2013, 19(1), 43-49.
[8] Cun-zhi Liu, Jie-ping Xie, Lin-peng Wang,et al. Immediate analgesia effect of single point acupuncture in primary dysmenorrhea: a randomized controlled trial[J]. Pain Medicine, 2011, 12(2):300-307.
[9] Yu-xia Ma, Liang-xiao Ma, Xue-lian Liu, et al. A Comparative study on the immediate effects of electroacupuncture at Sanyinjiao(SP6), Xuanzhong(GB39)and a Non-Meridian Point, on menstrual pain and uterine arterial blood flow, in primary dysmenorrhea patients [J]. Pain Medicine, 2010, 11(10):1564-1575.
[10] 耿洪岳. 温针灸治疗寒凝血瘀型原发性痛经的疗效观察[J]. 实用妇科内分泌杂志, 2015, 2(5): 69.
[11] 张昶, 张怡, 徐伟, 等. 温针灸治疗寒凝血瘀型原发性痛经的临床疗效评价[J]. 北京中医药, 2013, 32(4): 284-286.
[12] 金丹. 温针灸治疗原发性痛经72例临床观察[J]. 中国医药指南, 2013, 11(14): 284-285.
[13] 万鹏, 刘家林. 温针灸治疗原发性痛经寒凝血瘀型32例临床疗效观察[J]. 西南军医, 2012, 14(3): 479.
[14] 戴明, 汤倩. 温针灸治疗寒湿凝滞型原发性痛经疗效观察[J]. 上海针灸杂志, 2012, 31(6): 385-386.
[15] 徐立, 王卫. 次髎穴埋针为主治疗原发性痛经45例[J]. 四川中医, 2003, 21(4): 79.
[16] 王红云. 耳穴埋针法治疗原发性痛经68例——附月月舒痛经宝治疗64例对照[J]. 浙江中医杂志, 2002, 37(6): 249.
[17] 夏效云, 张仁昌, 张文臻. 耳穴皮内埋针法治疗原发性痛经108例[J]. 中医外治杂志, 2000, 9(3): 46.
[18] 钟春毅. 浮针治疗原发性痛经的疗效观察[J]. 当代医学, 2014, 20(1): 160.
[19] 职良喜. 浮针疗法治疗原发性痛经的随机对照观察[J]. 中国针灸, 2007, 27(1): 18-21.
[20] 安少华, 岳明明. 平衡针对原发性痛经的实时止痛疗效观察30例[J]. 新疆中医药, 2011, 29(1): 25-26.
[21] 赵铭峰, 王聪, 陈秀华. 薄氏腹针治疗原发性痛经34例临床观察[J]. 新中医, 2014, 46(10): 175-177.
[22] 林强, 陈为志, 厉岩, 等. 眼针对原发性痛经患者子宫动脉血流的影响[J]. 上海针灸杂志, 2012, 31(12): 885-887.
[23] 冷际琴, 林强, 厉岩, 等. 眼针对原发性痛经患者血液流变学的影响[J]. 中医临床研究, 2012, 4(15): 4-6.
[24] HU Yu-lian, LIN Qiang, LI Yan, et al. Effect of eye acupuncture on plasma PGF2α in patients of primary dysmenorrhea[J]. WJAM, 2012, 22(1): 17-22.
[25] 王洪彬, 赵舒, 孙娜, 等. 腕踝针治疗大学生原发性痛经疗效观察[J]. 中国针灸, 2013, 33(11): 996-999.
[26] 邢青霞. 耳穴刺血治疗原发性痛经疗效观察[J]. 上海针灸杂志, 2011, 30(4): 235-236.
[27] 韩慧, 李杰. 耳穴为主治疗青春期痛经疗效观察[J]. 陕西中医, 2011, 32(1): 84-86.

相似文献/References:

[1]胡敏,张跃辉,侯丽辉,等.多囊卵巢综合征“冲任停滞”的内涵探讨[J].环球中医药,2013,6(02):111.
[2]杨洋,李军.带状疱疹中医治疗的研究进展[J].环球中医药,2013,6(02):155.
 YANG Yang,LI Jun..Research progress in traditional Chinese medicine treatment of herpes zoster[J].,2013,6(05):155.
[3]王秀霞,梁玲,薛会灵,等.近5年中药治疗原发性痛经临床研究进展[J].环球中医药,2012,5(02):157.
 WANG Xiu-xia,LIANG Ling,XUE Hui-ling,et al.Study progression on treatment of primary dysmenorrhea by Chinese herbs in recent five years[J].,2012,5(05):157.
[4]刘勇 王洪 赵军等.针刺介入时机对缺血性中风大鼠神经功能评分和Bcl-2、Bax表达的影响[J].环球中医药,2014,7(08):581.
 LIU Yong,WANG Hong,ZHAO Jun,et al.Influence of acupuncture intervention time on neurological function damage of and expression of Bcl-2,Bax protein in rats after ischemic stroke[J].,2014,7(05):581.
[5]姚晓玲 张敏 李莉.针刺联合耳穴按压法对分娩镇痛的临床观察与研究[J].环球中医药,2014,7(12):958.
[6]辛思源,林驰,王培,等.对86例寒湿凝滞证原发性痛经患者不同子宫位置与三阴交穴效应关系的分析[J].环球中医药,2015,8(02):129.[doi:10.3969/j.issn.1674-1749.2015.02.001]
 XIN Si-yuan,LIN Chi,WANG Pei,et al.Analysis of the relationship between uterine position and Sanyinjiao effect on 86 PD patients with cold and dampness stagnation pattern[J].,2015,8(05):129.[doi:10.3969/j.issn.1674-1749.2015.02.001]
[7]武啸远.师瑞华主任“提捻冲任法”治疗原发性痛经经验总结[J].环球中医药,2015,8(02):211.[doi:10.3969/j.issn.1674-1749.2015.02.026]
[8]于川,申斌,许世闻,等.不同留针时间对针刺治疗中风后痉挛瘫痪的疗效观察[J].环球中医药,2015,8(10):1258.[doi:10.3969/j.issn.1674.1749.2015.10.034]
[9]杜晓晖 杨晓丽 付龑 李琳 姜桂仙 肖佳 宫安明.自拟活血化瘀煎剂联合针刺治疗慢性湿疹34例[J].环球中医药,2016,9(04):473.[doi:10.3969/j.issn.1674-1749.2016.04.027]
[10]袁兆红,尤玉慧,姜秀芳,等.针刺治疗儿童孤独症临床研究的系统评价[J].环球中医药,2016,9(05):636.[doi:10.3969/j.issn.1674-1749.2016.05.033]
 YUAN Zhao-hong,YOU Yu-hui,JIANG Xiu-fang,et al.Systematic evaluation of acupuncture therapy for childhood autism[J].,2016,9(05):636.[doi:10.3969/j.issn.1674-1749.2016.05.033]

备注/Memo

备注/Memo:
作者简介: 黄耀连(1986- ),女,本科,中医师。研究方向:常见妇科病症的针刺治疗。E-mail:florencewonglg@gmail.com
通讯作者:李磊(1958- ),博士,副教授。研究方向:针灸临床研究。E-mail:llie@hku.hk
更新日期/Last Update: 2016-05-06