目的：观察颊针疗法治疗中重度原发性痛经的临床疗效。方法：选取80 例中重度原发性痛经患者作为研究对象，按随机数字表法分为观察组及对照组各40 例，其中观察组剔除4 例、脱落4 例，对照组剔除2 例、脱落4 例，共完成66 例，观察组32 例，对照组34 例。观察组采用颊针疗法，对照组口服布洛芬缓释胶囊治疗，2 组均治疗3 个月经周期。比较2 组近期及远期疗效，比较2 组治疗前及每个疗程治疗前后疼痛视觉模拟评分法（VAS） 评分、痛经症状评分、健康调查简表（SF-36） 评分［包括精力（VT）、社会功能（SF）、情感职能（RE）、精神健康（MH）、生理功能（PF）、生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、健康变化（HT）］的变化。结果：2 组VAS 评分均较治疗前下降，疗程结束后，2 组间差异有统计学意义（P＜0.05）。2 组痛经症状评分均较治疗前下降，疗程结束后，2 组间差异有统计学意义（P＜0.05）。治疗后，除PF、VT，其他维度的评分上观察组均优于对照组，差异均有统计学意义（P＜0.05），其中BP、RE 和MH 3 个维度组间比较，有显著性差异（P＜0.01）。经过3 个周期的治疗，观察组及对照组近期疗效总有效率分别为90.63%、85.29%，2 组比较，差异有统计学意义（P＜0.05）。观察组及对照组的远期疗效总有效率分别为84.38%、70.59%，2 组比较，差异有统计学意义（P＜0.05）。结论：颊针疗法可有效缓解中重度原发性痛经临床症状，减轻善痛经所伴随的症状，提高生活质量。
Abstract： Objective： To observe the clinical effect of buccal acupuncture on moderate- to- severe primary dysmenorrhea. Methods：A total of 80 patients with moderate- to- severe primary dysmenorrhea were selected as the research objects and divided into the observation group and the control group，with 40 cases in each group. Among them， four cases were eliminated and four cases dropped out in the observation group，and two cases were eliminated and four cases dropped out in the control group. A total of 66 cases were eventually involved，with 32 cases in the observation group and 34 cases in the control group. The observation group was treated with buccal acupuncture，and the control group was treated with oral administration of Ibuprofen Sustained-release Capsules. Both groups were treated for three menstrual cycles. The short- term and long- term effects in the two groups were compared. Before and after each course of treatment，the scores of Visual Analogue Scale(VAS)，dysmenorrhea-associated symptoms and Short Form Health Survey 36(SF- 36)， including vitality(VT)， social functioning(SF)， role- emotional(RE)， mental health(MH)， physical functioning(PF)， role- physical(RP)， body pain(BP)， general health(GH) and health transition(HT) were compared between the two groups. Results： After treatment， the scores of VAS in the two groups were decreased when compared with those before treatment，the differences being significant(P＜0.05). After treatment，the scores of dysmenorrhea-associated symptoms in the two groups were decreased when compared with those before treatment，the differences being significant(P＜0.05). After treatment，except PF and VT，the scores of other dimensions in the observation group were better than those in the control group，the differences being significant(P＜0.05). There were significant differences in BP， RE and MH among the three dimensions(P＜0.01). After three cycles of treatment， the total effective rate was 90.63% in the observation group and 85.29% in the control group，the difference being significant(P＜0.05). The total effective rate was 84.38% in the observation group and 70.59% in the control group， the difference being significant(P＜0.05). Conclusion： Buccal acupuncture can effectively relieve moderate- to- severe primary dysmenorrhea， improve the dysmenorrhea- associated symptoms， and improve the quality of life.