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不同推拿手法对原发性痛经患者血清PGF2α含量及疼痛症状的影响 预览 被引量:17

Effects of different massage manipulations on serum PGF2α and pain in patients with primary dysmenorrhea
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摘要 目的观察不同推拿手法作用于原发性痛经患者的疗效并研究其作用机制。方法 120例患者随机分为6组:振腹组、摩腹组、一指禅组、擦腰组、布洛芬组和假手法组。分别进行振腹、摩腹、一指禅、擦腰、口服布洛芬胶囊治疗和假手法对照,于月经来潮前3 d开始治疗,2次/d,3 d为1疗程,共治疗3个疗程;运用"长海痛尺"疼痛量表观察其经期腹痛改善情况,并检测患者治疗前后血清前列腺素F2a(PGF2α)含量。结果推拿手法治疗各组经期腹痛程度较治疗前减轻,与布洛芬组疗效相似,差异无统计学意义(P〉0.05);推拿手法治疗各组和布洛芬组治疗后血清PGF2α含量均有明显下降,其中振腹组治疗后血清PGF2α含量与布洛芬组差异无统计学意义(P〉0.05)。结论不同推拿手法对于缓解原发性痛经疼痛症状的疗效确切,振腹组与布洛芬组血清PGF2α含量下降相当。其治疗机制可能是通过降低PGF2α含量实现的。 To investigate the mechanism and effects of different massage manipulations on primary dysmenorrhea patients. Methods 120 patients with primary dysmenorrhea were random- ly divided into 6 groups treated with different massage manipulations or medicines: vibrating ab- domen group, rubbing abdomen group, one-finger scrubbing group, scraping waist group, ibupro- fen group, and fake manipulation control group. Different groups were given different treatments of serum PGF2α. Results The symptoms of dysmenorrhea were improved in vibrating abdomen group, rubbing abdomen group, one-finger scrubbing group and scraping waist group, and their data were similar to the ibuprofen group's with no significant statistic differences (P〉0.05). The content of PGF2α decreased after treatments in different massage manipulation groups and ibuprofen group. A- mong these groups, the content of PGF2α in vibrating abdomen group was similar to ibupro- fen group. Conclusion The different massage manipulations are effective to primary dysmenorrhea patients. The mechanism could be related to the decrease of serum PGF2α.
作者 彭亮 李江山 李铁浪 刘小卫 王德军 李武 PENG Liang, LI Jiang-shan, LI Tie-lang, LIU Xiao--wei, WANG De--jun, LI Wu (Hunan University of Traditional Chinese Medicine, Changsha, Hunan 410208, China)
出处 《湖南中医药大学学报》 CAS 2012年第7期64-66,74共4页 Journal of Traditional Chinese Medicine University of Hunan
基金 湖南省教育厅科研资助项目(10C1033) 湖南中医药大学青年教师科研基金资助课题(2011)
关键词 原发性痛经 前列腺素F2Α 不同推拿手法 一指禅法 振腹法 摩腹法 primary dysmenorrhea PGF2α different massage manipulations one-fingerscrubbing massage vibrating abdomen massage rubbing abdomen massage
作者简介 彭亮(1980-),男,湖南南县人,在读博士研究生,讲师,主要从事推拿治疗脊柱相关疾病及内分泌疾病的机制研究。
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