Clinical Observation Of Heat-sensitive Moxibustion On Primary Dysmenorrhea(Cold Coagulation And Blood Stasis Type)

Objective:To observe and compare the clinical efficacy of heat-sensitive moxibustion and oral ibuprofen in the treatment of primary dysmenorrhea with cold coagulation and blood stasis,to explore the advantages of heat-sensitive moxibustion in immediate analgesia,improvement of dysmenorrhea symptoms,short-term efficacy and long-term efficacy,and to provide evidence for the clinical use of heat-sensitive moxibustion in the treatment of primary dysmenorrhea.Methods:66 patients with primary dysmenorrhea who met the inclusion criteria were randomly divided into two groups:heat-sensitive moxibustion group(heat-sensitive moxibustion treatment)and western medicine group(ibutrin sustained release capsule treatment),33 cases in each group.Both groups were treated for 3 consecutive menstrual cycles and followed up 3 months after stopping treatment.VAS scores,dysmenorrhea symptom scores and TCM syndrome scores of the two groups were evaluated before treatment,after 3 menstrual cycles and 3 months after cessation of treatment,respectively,to compare the difference in efficacy of the two treatments for this disease.Results:1.In the first menstrual cycle of treatment,the first day of dysmenorrhea,the immediate efficacy of the two groups was evaluated.The effective rate of the heat-sensitive moxibustion group was 90.00%,and that of the western medicine group was 93.33%,with no statistical significance(P>0.05).2.After treatment,VAS score,dysmenorrhea symptom score and TCM syndrome score of the two groups were evaluated at the next menstrual pain.After treatment,the three scores of heat-sensitive moxibustion group were significantly lower than that of western medicine group,and the difference was significant(P<0.01).After treatment,the scores of both groups were significantly lower than before treatment(P<0.01).3.The short-term total efficacy of the two groups was evaluated according to dysmenorrhea symptom score.The total effective rate of the heat-sensitive moxibustion group was 93.33%,and that of the western medicine group was 70.00%,with significant difference between the two groups(P<0.01).4.The patients’VAS score and dysmenorrhea symptom score were evaluated during follow-up 3 months after treatment.Compared between the two groups,the two scores of heat-sensitive moxibustion group were significantly lower than that of western medicine group,and the differences were significant(P<0.01).In comparison within groups,there was no significant increase in the two scores in the heat-sensitive moxibustion group during follow-up compared with after treatment,and the difference was not statistically significant(P>0.05).The scores in the western medicine group were significantly higher than those after treatment(P<0.01).Conclusion:Heat-sensitive moxibustion is safe and effective in treating primary dysmenorrhea,which can effectively relieve the pain and improve the accompanying symptoms.The immediate analgesic effect of the two groups was similar.The short-term effect and long-term effect of heat-sensitive moxibustion were better than oral ibuprofen sustained release capsules,which was an effective method in the clinical treatment of primary dysmenorrhea(cold coagulation and blood stasis type).