苗艳换;赵吉平;云洁;李宏彦;王燕平;
MIAO Yan-huan;ZHAO Ji-ping;YUN Jie;LI Hong-yan;WANG Yan-ping;School of Acu-moxibustion and Tuina,Beijing University of Chinese Medicine;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine;

• 1:北京中医药大学针灸推拿学院
• 2:北京中医药大学东直门医院

摘要(Abstract)：

目的:研究原发性痛经患者月经期三阴交穴的压痛反应。方法:将30例原发性痛经患者(痛经组)和30例健康女性(健康组)纳入本试验。分别在两组受试者的月(痛)经期和非经期进行三阴交穴压痛的视觉模拟评分(VAS)值和压痛阈值评估,并进行比较。结果:痛经组痛经期的三阴交穴VAS值显著高于非经期、健康组月经期(P<0.01);痛经组痛经期的三阴交穴压痛阈值显著低于非经期、健康组月经期(P<0.01);健康组和痛经组的非经期三阴交穴VAS值和压痛阈值分别比较,差异均无统计学意义(P>0.05)。结论:痛经的急性发作可使三阴交穴压痛反应更敏感。
Objective To observe the reflection of dysmenorrhea in acupoint Sanyinjiao(SP 6)region(body surface)so as to verify the relationship between the acupoint and uterus.Methods A total of 60women(15-35 years in age)including30primary dysmenorrhea patients(test group)and 30 healthy subjects(control group)were enrolled in the present study.The visual analog scale(VAS)score and mechanical pain threshold of bilateral Sanyinjiao(SP 6)regions were detected to assess changes of skin sensitivity in subjects undergoing menstrual pain and in the non-menstrual period.Results The VAS value in the menstrual period of test group was significantly higher than that in the non-menstrual period of the same one group and that in the menstrual period of the control group(P<0.01),and the pain threshold in the menstrual period of test group was significantly lower than that in the non-menstrual period of same one group and that in the menstrual period of the control group(P<0.01).No significant differences of both VAS value and pain threshold were found between the two groups in the non-menstrual period(P>0.05).Conclusion An obvious tenderness at Sanyinjiao(SP 6)exists in women undergoing primary dysmenorrhea,suggesting a close correlation between Sanyinjiao(SP 6)and uterus.

关键词(KeyWords)： 痛经;三阴交穴;痛反应;视觉模拟评分;压痛阈值
Dysmenorrhea;Sanyinjiao(SP 6);Tenderness;Visual analog scale;Pain threshold

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 苗艳换;赵吉平;云洁;李宏彦;王燕平;
MIAO Yan-huan;ZHAO Ji-ping;YUN Jie;LI Hong-yan;WANG Yan-ping;School of Acu-moxibustion and Tuina,Beijing University of Chinese Medicine;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine;

DOI: 10.13702/j.1000-0607.2014.05.031

参考文献(References)：

• [1]谢幸,苟文丽.妇产科学[M].8版,北京:人民卫生出版社,2013:362.
• [2]全国妇女月经生理常数协作组.中国妇女月经生理常数的调查分析[J].中华妇产科杂志,1980,15(4):219-220.
• [3]刘清国,胡玲.经络腧穴学[M].北京:中国中医药出版社,2012:22-23.
• [4]刘正华.经络穴位诊法[M].北京:中医古籍出版社,1997:29.
• [5]王春清.实用经络穴位诊疗法[M].北京:学苑出版社,2004:59.
• [6]高骏,刘旭光,余曙光,等.关于腧穴“动态性”的初步探讨[J].中国针灸,2010,30(8):643-646.
• [7]王京喜.腧穴动态性与“取穴求真”理念临床意义探讨[J].北京中医药,2012,31(8):584-586.
• [8]谭支绍.实用经络穴位诊断[M].广东:广东科技出版社,2004:210.
• [9]中华人民共和国卫生部药政局.中药新药临床研究指导原则[M].3版,北京:人民卫生出版社,1993:263-264.
• [10]Merboth M K,Barnason S.Managing pain:the fifth vital sign[J].Nurs Clin North Am,2000,35(2):375-383.
• [11]Persson A L,Brogardh C,Sjolund B H.Tender or not tender:test-retest repeatability of pressure pain thresholds in the trapezius and deltoid muscles of healthy women[J].J Rehabil Med,2004,36(1):17-27.
• [12]梁繁荣,赵吉平.针灸学[M].2版,北京:人民卫生出版社,2012:298.
• [13]卜彦青,陈少宗,杜广中.原发性痛经现代针灸腧穴应用研究[J].中医杂志,2010,51(9):811-813.
• [14]张原本,田宝元,于明丽.针灸治疗痛经35例临床分析[J].中国医药指南,2012,10(18):273-275.
• [15]李京枝.妇产科护理学[M].北京:中国中医药出版社,2012:266.
• [16]唐宏亮,庞军,杨扬.从《内经》“以痛为输”看中医经络诊疗的运用[J].辽宁中医杂志,2011,38(10):2065-2066.