Clinical efficacy analysis of acupuncture in treating dysmenorrhea caused by adenomyosis
针刺治疗子宫腺肌病痛经的临床疗效分析

摘要

目的 子宫腺肌病痛经采用针刺治疗的临床应用。方法 选取2023年7月—2024年10月武汉岐黄九针中医门诊80例患者随机分组，分别以药物治疗、针刺治疗干预，分析治疗效果、症候积分、康复情况。结果 研究组疗效显著97.50%，χ2=6.1346，P=0.0132。研究组经期小腹痛（1.05±0.32分）、行经不规律（1.16±0.48分）、经量异常（1.22±0.34分）低于对照组，P＜0.05。研究组VAS（1.35±0.61分）低于对照组，P＜0.05。研究组PBAC（45.86±5.56分）低于对照组，P＜0.05。研究组严重程度（25.86±5.44分）、持续时间（22.45±2.86分）低于对照组，P＜0.05。研究组子宫体积（90.45±5.19cm3）低于对照组，P＜0.05。结论 针刺治疗子宫腺肌病痛经效果显著，能改善临床症状，缓解疼痛情况，值得推广。

Abstract

Objective To explore the application of acupuncture in the treatment of dysmenorrhea caused by adenomyosis.
Methods From July 2023 to October 2024, 80 patients from the Qihuang Jiuzhen Traditional Chinese Medicine Clinic in Wuhan were randomly divided into groups and treated with either medication or acupuncture. The therapeutic effects, symptom scores, recovery conditions, and serum sex hormones were analyzed.
Results The effective rate of the study group was 97.50%, with χ2 = 6.1346, P = 0.0132. The study group had lower scores for dysmenorrhea during menstruation (1.05 ± 0.32), irregular menstruation (1.16 ± 0.48), and abnormal menstrual volume (1.22 ± 0.34) compared to the control group, with P < 0.05. The study group had a lower VAS score (1.35 ± 0.61) than the control group, with P < 0.05. The study group had a lower PBAC score (45.86 ± 5.56) than the control group, with P < 0.05. The study group had lower severity (25.86 ± 5.44) and duration (22.45 ± 2.86) scores than the control group, with P < 0.05. The study group had a smaller uterine volume (90.45 ± 5.19 cm3) than the control group, with P < 0.05.
Conclusion   Acupuncture is significantly effective in treating dysmenorrhea caused by adenomyosis, improving clinical symptoms, and alleviating pain, and is worthy of promotion.