Clinical Investigations On Acupuncture Combined With Ginger-separated Moxibustion At Baliao Acupoints To Treat Primary Dysmenorrhea Caused By Syndrome Of Cold Coagulation And Blood Stasis

Objective: To observe and evaluate the clinical effect and mechanism of acupuncture combined with ginger-separated moxibustion on Baliao acupoints on treating primary dysmenorrhea congeal cold and blood stasis,so as to provide more effective treatment for primary amenorrhea.Methods: In this study,60 patients with primary dysmenorrhea were randomly divided into two groups according to the random number table.The treatment group and the control group each had 30 patients.The treatment group was treated with acupuncture combined with ginger-separated moxibustion on Baliao acupoints,starting 3 days before menstruation,ending with acupuncture and then moxibustion on Baliao acupoints with ginger once a day,continuously treating until the third day of menstruation;The control group was treated with ibuprofen sustained-release capsules orally,and began to take the medicine on the first day of menstruation,0.3g(1 tablet)once,twice a day,take orally for 5 consecutive days.Patients in both groups were treated for 3 consecutive menstrual cycles,the main indexes were dysmenorrhea symptom score,VAS score and uterine artery hemodynamic parameters.Establish data table by statistical software and get the result through data statistics,To evaluate the clinical effect on treating primary dysmenorrhea caused by syndrome of cold coagulation and blood stasis of acupuncture combined with ginger moxibustion on Baliao acupoints.Results:(1)Comparison of dysmenorrhea symptom score,VAS score and uterine arteryhemodynamic parameters between treatment group and control group:(1)Before treatment:there was no statistically significant difference between the two groups(P>0.05),and the two groups were comparable;(2)After treatment: compared with the control group,the dysmenorrhea symptom score,VAS score,uterine arterial pulse index(PI),resistance index(RI),systolic peak flow rate/diastolic flow rate(S /D)in the treatment group were lower than those in the control group(P<0.05);(3)Comparison before and after treatment,the scores of dysmenorrhea symptoms,VAS score,uterine artery hemodynamic pulsation index(PI),resistance index(RI),systolic peak flow rate/diastolic flow rate(S/D)of the two groups were lower than before treatment(P < 0.05).The above results showed that the treatment group and the control group can alleviate dysmenorrhea and improve uterine blood circulation,and the improvement degree of the treatment group is better than that of the control group.(2)follow-up in three months after treatment,Comparison of dysmenorrhea symptom score and VAS score between treatment group and control group:(1)Compared with the control group,the dysmenorrhea symptom score and VAS score of the treatment group were lower(P<0.05);(2)Follow-up results were compared with those of pretherapy,the scores of dysmenorrhea symptoms and VAS in the treatment group were lower(P<0.05),the symptom score of dysmenorrhea in the control group was not different from that before treatment(P>0.05),but the VAS score was higher than that before treatment(P<0.05);(3)Follow-up results were compared with those after treatment,there was no difference in the treatment group(P>0.05),and the dysmenorrhea symptom score and VAS score were higher in the control group during follow-up than after treatment(P<0.05).The above results show that the symptoms of dysmenorrhea can still be alleviated in the treatment group 3 months after the end of the treatment,while the control group can not continue to alleviate dysmenorrhea,and the degree of dysmenorrhea may even be higher than pretherapy.(3)The comparison of clinical efficacy between the two groups showed that in the treatment group,9 cases were cured,11 cases were markedly effective,8 cases were effective,and 2 cases were ineffective,the total effective rate was93.3%;In the control group,0 cases were cured,4 cases were markedly effective,22 cases were effective and 4 cases were ineffective.,the total effective rate was 86.7%.The results of rank sum test showed that there was significant difference between the two groups(P <0.05),indicating that the treatment group had better clinical efficacy than the control group.Conclusion: Acupuncture combined with ginger-separated moxibustion at Baliao acupoints can effectively relieve pain in patients with dysmenorrhea,with stable and lasting effect and less adverse reactions.Considering its mechanism,it may be related to improving uterine blood circulation.The curative effect is obviously better than oral ibuprofen sustained-release capsule,which is well worthy of clinical application.