悬灸不同经穴干预产后身痛的临床观察

黄晓飞 刘建武 邓陈英 胡美凤 李芬

【摘 要】 目的：觀察悬灸不同经穴干预产后身痛的临床疗效。方法：将符合纳入标准的研究对象90例随机分为督脉灸组、膀胱经灸组和胃经灸组，每组各30例。三组均采用悬灸进行干预，每次悬灸40 min，每周悬灸3次（隔天灸），2个月为一个疗程。治疗一个疗程后对比三组治疗前后临床症状评分、VAS、PPI评分变化，并评价其临床疗效。结果：三组治疗后临床症状评分、VAS评分、PPI评分均低于治疗前，差异均有统计学意义（P<0.05）;督脉灸组治疗前后临床症状评分、VAS评分、PPI评分差值均高于膀胱经灸组和胃经灸组，差异均有统计学意义（P<0.05）;膀胱经灸组治疗前后临床症状评分、VAS评分、PPI评分差值高于胃经灸组，差异有统计学意义（P<0.05）。结论：悬灸督脉经穴干预产后身痛的临床疗效优于膀胱经经穴、胃经经穴。

【关键词】 产后身痛;悬灸;督脉经穴;膀胱经经穴;胃经经穴

【中图分类号】R245.8   【文献标志码】 A【文章编号】1007-8517（2021）20-0113-04

Clinical Observation on the Effect of Hanging Moxibustion at Different Meridian Points on Postpartum Body Pain

HUANG Xiaofei1 LIU Jianwu2* DENG Chenying3 HU Meifeng3 LI Fen4

1.Jiangxi health vocational college， Nanchang 330052，China;2.The Affiliated hospital to Jiangxi university of TCM，Nanchang 330006，China;3.Nanchang Hongdu hospital of TCM，  Nanchang 330000，China;4.Jingxi Huimin hospital，  Nanchang 330046，China

Abstract：Objective to observe the clinical effect of hanging moxibustion on postpartum body pain.Methods 90 subjects who met the inclusion criteria were randomly divided into the moxibustion group with moxibustion of tumestrum， bladder and stomach， with 30 cases in each group.The three groups all used hanging moxibustion for intervention， each hanging moxibustion for 40 minutes， hanging moxibustion 3 times a week （moxibustion every other day）， 2 months for a course of treatment， treatment of a course of treatment.The changes of clinical symptom score， VAS score and PPI score before and after treatment in the three groups were compared， and the clinical efficacy was evaluated.Results the clinical symptom score， VAS score and PPI score of patients in the three groups were all lower than those before treatment， and the differences were statistically significant （P<0.05）.Before and after treatment， the differences in clinical symptom scores， VAS scores and PPI scores of the moxibustion group were all higher than those of the bladder moxibustion group and the stomach moxibustion group， with statistically significant differences （all P<0.05）.The difference of clinical symptom score， VAS score and PPI score in the bladder moxibustion group before and after treatment was higher than that in the stomach moxibustion group， and the difference was statistically significant （P<0.05）.Conclusion the clinical effect of hanging moxibustion tumejingacupoint on postpartum body pain is better than that of bladder jingjingacupoint and stomach meridian points.

Key words：Postpartum Physical Pain; Suspended Moxibustion; Du Meridian Points; Bladder Meridian points; Stomach Meridian points

产后身痛又称“产后遍身疼痛”，指产妇在产褥期内，出现肢体或关节酸楚、疼痛、麻木、重着者[1]。产后本多营血亏虚，随着二胎政策的开放，不合理使用空调等不当护理措施，风寒湿等外邪乘虚而入，稽留关节、经络，致使肢体或关节酸楚、疼痛、麻木、重着。研究[2-3]表明艾灸是干预产后身痛的有效方法，但艾灸不同经穴所产生的疗效差异研究甚少，本研究通过对比观察艾灸不同经穴干预产后身痛的疗效差异，从而优选出干预产后身痛的最佳经穴，提高艾灸干预产后身痛的疗效。

1 资料与方法

1.1 一般资料 90例产后身痛患者来自于2017年9月至2019年9月江西中医药大学附属医院针灸科门诊，年龄22～46岁，随机分为督脉灸组、膀胱经灸组、胃经灸组，每组各30例，一般资料比较无显著差异（P>0.05），具有可比性。具体如下表1所示。

1.2 诊断标准 参照《中医妇科学》产后身痛的诊断标……