| This study is part of a multicenter randomized controlled trial, another part of the test is the relationship between deqi and acupuncture analgesia effect immediately. Due to the uncontrollable deqi of occurrence, the experiment is designed by using the method of prospective randomized and deqi meter with the combination of the two analysis, prospective randomized controlled design choice different needle thorn method may not be as much deqi and no deqi induction method, The coarse needle stab, shallow, applied technique (qi, also known as expected deqi)/Fine needle, shallow, no gimmick(not deqi, which is also called expectation no deqi); DEqi scale is chosed by reliability validity tested homemade deqi meter, Confirm whether deqi or not after acupuncture (that is, the actual deqi and actual may not).Objective:(1) Evaluation and dampness type grinds to the period when the plant nerve function in patients with primary dysmenorrhea and state anxiety, Observed in the onset of menstrual cramps and accept Sanyinjiao point acupuncture of deqi condition, analysis that if there is a correlation between the two, from the perspective of the research to the influential factors of qi of the body to provide clinical basis. (2) Observation and dampness type grinds to primary dysmenorrhea patients at onset of menstrual cramps and accept three Sanyinjiao anxiety state changes before and after acupuncture, In order to understand whether acupuncture Sanyinjiao intercourse hole have lower anxiety with immediate effect; If there is a correlation analysis between the effect and needling, From the point of view to explore the relationship between the gas and the effect of acupuncture point.Method:(1) Before acupuncture, to detect autonomic nerve function of two groups of patients before one month of treatment that after 3-7 daysr of the end of Menstrual cycle, Hamilton anxiety scale were evaluated a week before menstruation.(2) To evaluate the type of each subject, cold and dampness stagnation type of the diagnostic standard and VAS pain visual analogue scale-P 40 mm or more, four clinical centers were Included, in total of 96 cases of cold and dampness stagnation syndrome in patients with primary dysmenorrheal. According to the completely randomized scheme of 96 subjects were equally and randomly divided into Expectation of deqi group and Expectation of no deqi group,At the onset of the first day of dysmenorrheal, before acupuncture needle, immediate, 10min after simulated, evaluate anxiety visual analogue scale (VAS-A). For patients with Acupuncture Sanyinjiao by acupuncturist, Expectation of deqi group with Φ 0.3 x 40 MMG needle tube, Acupuncture bilateral Sanyinjiao, depth of 1-1.2 inches, retaining needle for 30 minutes, every 10 minutes to insert turning 30 seconds. Expectation of no deqi group with Φ 0.18 x 13 mm filiform needle, needle bilateral Sanyinjiao, depth of 0.1 to 0.2 inch,30 minutes, retaining needle technique is not applied.Result:(1) According to the grouping is expected, deqi or not:Expect much deqi group and plant nerve function Kendall correlation coefficient is 0.10, P=0.4>0.05; And anxiety of the Kendall correlation coefficient is 0.14, P=0.26); Expectation shall not be deqi group and plant nerve function of the Kendall correlation coefficient is 0.11, P=0.34>0.05; And the degree of anxiety Kendall correlation coefficient is 0.23, P=0.051>0.05; According to the actual deqi or not compare group: ①the AD group (different state of different needling insertion method:A:Coarse needle, deep stab, technique group and the correlation of plant nerve function:needling Kendall correlation coefficient is 0.10, P=0.4>0.05; And the correlation of anxiety:the Kendall correlation coefficient is 0.14, P=0.26>0.05 D:Fine needle stab, shallow, and the technique group gas plant nerve function:the relevance of the Kendall correlation coefficient is 0.27, P=0.26> 0.05 ②AC group (the actual condition of different needling insertion method was compared with the plant nerve function correlation) A:Coarse needle, deep stab, needling technique group and the correlation of plant nerve function Kendall correlation coefficient is 0.10, P=0.4>0.05; Kendall correlation between the degree of anxiety and the correlation coefficient is 0.14, P=0.26>0.05; C:Fine needle stab, shallow, and the technique group gas plant nerve function:the relevance of the Kendall correlation coefficient is 0.10, P=0.49>0.49, the correlation between the degree of anxiety and Kendall correlation coefficient is 0.01, P=0.94>0.05.③CD group (insertion method under the condition of same whether the actual gas and will compare with the plant nerve function correlation) C:Actual needling group and the correlation of plant nerve function Kendall correlation coefficient is 0.10, P=0.49>0.05. Correlation between anxiety and Kendall correlation coefficient is 0.01, P=0.94>0.05. D:actually not gas group and the correlation of plant nerve function:Kendall correlation coefficient is 0.27, P=0.26> 0.05, and the correlation of anxiety:Kendall correlation coefficient is 0.45, P=0.07>0.05; According to the different plant nerve function and anxious state compared to group:85 cases of type sp grinds to 44 cases of primary dysmenorrhea patients state of parasympathetic nerve excitement or hyperthyroidism (52%), and 44 cases of plant nerve function is normal (48%).24 cases is anxious state (28.24%),61 cases are anxious state (72%) ①Plant nerve function between normal and abnormal way to deqi ratio had no significant difference (X2= 0.194, P=0.659),85 patients with all plant nerve function between qi and Kendall correlation coefficient is 0.06, P=0.48 (P>0.05); Much deqi plant nerve normal group and the Kendall correlation coefficient is 0.011, P=0.93,plant nerve abnormal group and qi Kendall correlation coefficient is 0.05, P=0.64).②The no anxiety group and anxiety to deqi ratio had no significant difference between way (X2=0.087, P=0.77).85 all patients and qi HAMA scores Kendall correlation coefficient is 0.12, P=0.14; The anxiety roup and qi Kendall correlation coefficient is 0.23, P=0.02< 0.05. Anxious state group and qi Kendall correlation coefficient is-0.004, P=0.98). (2)Cold and dampness stagnation type of primary dysmenorrhea patients with anxiety in between Expectation of deqi group and Expectation of no deqi group VAS-A value had no significant difference (P>0.05); Different means of intervention on the premise of the actual deqi group and actual no deqi group of patients before and after treatment and acupuncture before and after the needle up 10 minutes VAS difference comparison (P=0.85, P=0.43), the VAS difference was not statistically difference between the two groups; Different means of intervention on the premise of the actual two deqi groups of patients before and after treatment and acupuncture needle and for 10 minutes before the VAS-A difference compare (P=0.96, P=0.96) no statistical difference; Intervention in the same way, the actual deqi and actual no deqi, two groups before and after treatment with acupuncture and VAS difference ago needle 10 minutes after VAS difference comparison (P=0.95, P=0.46), no statistical difference.conclusion:(1) The period of cold dampness grinds to normal plant nerve function in patients with primary dysmenorrhea (47.13%), parasympathetic nerve excitement is 39.08%, vice feeling nervous hyperthyroid accounted for 11.49% of the sympathetic nerve was abnormal excited accounted for 0.02%; Anxiety ZhuangTaiZhe accounted for 28%, the anxiety ZhuangTaiZhe accounted for 72% Has not yet found the plant nerve function is normal or not related with qi. Preliminary findings anxious state associated with not much air, rather than a state of anxiety associated with qi, speculated that the latter may be more prone to gas, the psychological factors may be a factor in the qi of the body. Next to not for classification of syndrome differentiation of primary dysmenorrhea patients with related research, in order to understand different syndrome types in patients with the disease plant nerve function and state of anxiety, analyze its relationship with qi, to more fully reflect the physiological and psychological factors as a qi of the body more than a factor is necessary to further increase the sample size to confirm.(2) Under different needle thorn method of qi state and the same method of insertion of qi state to acupuncture three vaginal intercourse hole type ease cold dampness grinds to primary dysmenorrhea anxiety immediate effects had no significant effect, prompt much air current observation is not have influence on acupuncture to relieve anxiety with immediate effect. |
PDF Full Text Request