| ObjectiveProfessor Lai Xinsheng according to his clinical experience creat the "Tongyuan "therapy, which has the remarkable curative effect. This topic through the adoption of randomized controlled trials, to set up the drug control group, routine acupuncture group, Tongyuan therapy group, compare rating scale changes before and after treatment, assessment Tongyuan therapy the clinical effectiveness and superiorityMethods90 patients with primary dysmenorrhea are included in the experiment, divided them into three groups:Tongyuan therapy group (group 1), medication group (group 2), the conventional acupuncture group (group 3), 30 cases in each group. One group using Tongyuan therapy, tongduyangshen and yinqiguiyuan alternate, start acupuncture treatment at 5 ~ 7 days before menstruation,1 once each day, finish at the moment of menstruating comes; 2 groups started take ibuprofen sustained release capsule 300 mg q12h at menstruation or dysmenorrhea occurred, continue 3~5 d or symptoms relieved; Three groups using conventional acupuncture therapy. The treatment cycles are three menstrual cycles. Assessment each menstrual cycle with the clinical symptoms of menstrual cycle (CMSS) and abdominal pain (VAS) score. Adopting SPSS22.0 software for statistical analysis, analysis of the therapeutic effect of three groups.ResultsFirstly, baseline data comparability analysis:three groups patients before treatment in age, duration, VAS score, total duration CMSS evaluation, CMSS on average severity evaluation were no statistical difference (P> 0.05), comparable.Secondly, the curative effect analysis1. Curative effect evaluation:the efficiency of Tongyuan therapy group, drug group and routine acupuncture group were 63.3%,40.0%,50.0%, total effective rate were 86.7%,83.3% and 86.7%. Comparing with each group, the efficiency difference, P= 0.275, P> 0.05, there was no statistically significant difference, but there are the trend of Tongyuan therapy group> routine acupuncture group>drug group in efficiency.2. VAS scores:three group difference was statistically significant (P< 0.05) comparing each menstrual cycle and the last menstrual cycle. Comparison between groups,1,2 menstrual cycle after treatment, there was no statistically significant difference between the three groups (P> 0.05); After treatment of third menstrual cycles,1 group and 2 group had statistically significant difference. The third menstrual cycle after the end of treatment, three groups have statistical significance, including P1.3< 0.05,< 0.001, P2.3 P1.2< 0.001. Show that in the aspect of improving the VAS score, Tongyuan therapy is better than drug group, and in terms of the long-term curative effect, Tongyuan therapy> routine acupuncture group> drug group.3. CMSS total duration evaluation aspects:three group difference was statistically significant (P< 0.05) comparing each menstrual cycle and the last menstrual cycle. Comparison between groups, the second and third menstrual cycles after treatment,1 and 2 groups had statistically significant difference (P< 0.05), after treatment of third menstrual cycles,1 and 3 group had statistically significant difference (P< 0.05), there was no statistically significant difference between 2 group with 3 group (P> 0.05); The third menstrual cycle after the end of treatment, three groups have statistical significance, including P1.3< 0.05, P1.2 < 0.001, P2.3< 0.001. Suggests to improve the symptoms of CMSS dysmenorrhea clinical evaluation of total duration, Tongyuan therapy is better than drug group and routine acupuncture group, and in terms of the long-term curative effect, Tongyuan therapy> routine acupuncture group> drug group.4. The average CMSS severity evaluation aspects:three group difference was statistically significant (P< 0.05) comparing each menstrual cycle and the last menstrual cycle. Comparison between groups, first, second, third menstrual cycles after treatment, the difference between 1 and 2 groups had statistical significance (P< 0.05), treatment after second or third menstrual cycles, there was statistically significant difference between 2 group with 3 group (P< 0.05), the rest of each had no statistical significance (P> 0.05); The third menstrual cycle after the end of treatment, group 1 and 2,2 group and 3 group difference was statistically significant (P< 0.001), group 1 and 3 groups has no statistically significant difference (P> 0.05). Average severity evaluation shows that to improve the symptoms of CMSS dysmenorrhea, Tongyuan therapy> drug group, routine acupuncture group> drug group, Tongyuan therapy have the stable long-term curative effect comparing with drug group.ConclusionThis study showed that Tongyuan therapy, drug and routine acupuncture have some extent alleviate to dysmenorrhea patients clinical symptoms, and in improving clinical symptom scores and long-term curative effect of primary dysmenorrhea patients, Tongyuan therapy group reflects the superiority of routine acupuncture group and drug group. |
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