The Clinical Study Of Stimulating The Combination Of Ciliao Acupoint(BL32) Plus Distant Acupoints By TEAS In The Treatment Of Primary Dysmenorrhea

Objective: To observe the effects of transcutanclus electrical acupoint stimulation(TEAS)therapy of distant acupoints alone and Ciliao Acupoint(BL32)plus distant acupoints on the severity and duration of primary dysmenorrhea(PD),and to compare the difference between lower abdominal pain score during menstruation period and overall symptoms scores of dysmenorrhea,in order to discuss the short-term and long-term efficacy difference between TEAS therapy of distant acupoints alone and Ciliao Acupoint(BL32)plus distant acupoints on PD treatment and assess patients’ compliance and treatment safety,so as to provide a new treatment thought for clinical treatment of PD.Methods:According to sequence of visits,78 inclusive patients with PD were randomly divided into blank group(group A),TEAS group of distant acupoint(group B),TEAS group of Ciliao acupoint(BL32)plus distant acupoint(group C),26 cases for each group.The patients in groups B and C received continuous treatment for 5 days on the first day of menstruation period,30 min,qd,for 3 courses.CMSS was adopted during treatment,that is,end of monthly menstruation(control group)or off-therapy(intervention group)to record respectively severity and duration of pain and overall symptoms for three groups during menstruation period.CMSS scale was used to record intervention group of two groups during follow-up period at the end of monthly menstruation.Meanwhile patients compliance and treatment safety were assessed.Results:Comparison of curative effects:(1)Lower abdominal pain: In terms of the short-term(3 treatment cycles)efficacy,compared with the blank group,the severity of lower abdominal pain of the group treated with distant acupoints TEAS alone significant decreased(P<0.05),and the duration of the lower abdominal pain significant reduced(P<0.01)after 3 months’ treatment.There was significant reduction in the severity and duration of the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS(P<0.01);compared with the group treated with distant acupoints TEAS alone,the severity and duration of the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS reduced more significantly(P<0.05).In terms of long-term efficacy,there was a month-by-month increase in the severity of the pain in both groups.There was a tendency that the severity in the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS would be superior to the group treated with distant acupoints TEAS alone,with no statistical significance(P>0.05);with regard to the duration,there was a month-by-month increase in the duration of the pain in both groups.In the first month’s follow-up,the duration of the pain in the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS was significantly shorter than that of the group treated with distant acupoints TEAS alone(P<0.05),and in the subsequent two months,there was a tendency that the duration in the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS would be shorter than that of the group treated with distant acupoints TEAS alone,with no statistical significance(P>0.05).In addition,during the follow-up,the severity and duration of pain in the group treated with distant acupoints TEAS alone recovered slowly,but there was a tendency to be more stable.(2)Overall symptom: In terms of the short-term efficacy,after one month’s treatment,there was no significant reduction in the severity and duration of the overall symptom in both groups compared with the blank group(P>0.05).After 2 months’ treatment,there was no significant reduction in the severity and duration of the overall symptom in the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS compared with the blank group(P>0.05).After 3 months’ treatment,there was significant reduction in the severity and duration of the overall symptom in both groups compared with the blank group(P<0.05).During the treatment,there was a tendency that the severity and duration of the overall symptom in the group treated with Ciliao Acupoint(BL32)plus distant acupoints TEAS would be superior to the group treated with distant acupoints TEAS alone,with no statistical significance(P>0.05).In terms of long-term efficacy,the severity and duration of the overall symptom in the two intervention groups gradually increased,with no statistical significance(P>0.05).Conclusion:1.In the treatment period,TEAS group of Ciliao acupoint(BL32)plus distant acupoints and TEAS group of distant acupoints alone has obvious efficacy in reducing pain severity of dysmenorrhea.TEAS group of Ciliao acupoint(BL32)plus distant acupoints was superior to TEAS group of distant acupoints alone in treating lower abdominal pain caused by PD,which has more stable treatment efficacy.TEAS group of Ciliao acupoint(BL32)plus distant acupoints was also superior to TEAS group of distant acupoints alone in shortening pian duration of dysmenorrhea,while TEAS group of distant acupoints has more stable treatment efficacy.2.Both TEAS group of Ciliao acupoint(BL32)plus distant acupoint and TEAS group of distant acupoint alone have efficacy in treating PD overall symptoms.Futhermore,there was no obvious efficacy difference between two groups.3.Both TEAS group of Ciliao acupoint(BL32)plus distant acupoints and TEAS group of distant acupoints alone have better compliance and safety.