摘要
目的探讨治疗原发性痛经的有效治疗途径。方法对本院中医科应用自拟调肝养血化瘀汤为主方辨证治疗原发性痛经的结果进行分析,并对各证型治疗前后积分及治疗效果进行比较。结果≤20岁者49例,21～30岁者27例,31～40岁者21例,治疗后总有效率分别为98.0%、96.3%、75.2%,发病率及有效率比较均有明显差异。气血瘀滞型38例,寒湿凝滞型19例,肝郁湿热型4例,气血亏虚型8例,肝肾亏损型18例,治疗后总有效率分别为97.4%、94.7%、75.0%、83.3%、89.5%,不同证型患者患病率及疗效比较均有明显差异(均P<0.01),各证型治疗前后总积分均有明显变化,差异均有统计学意义(均P<0.01)。结论原发性痛经好发于30岁以下的年轻女性,临床分型以气滞血瘀型常见。调肝养血化瘀汤是治疗原发性痛经的有效方法,尤其对30岁以前年青患者、辨证分型为气血瘀滞型的原发性痛经的疗效更好。
Objective To investigate the treatment of primary dysmenorrhea and effective therapeutic approach. Methods application of department of traditional Chinese medicine in our hospital to be transferred from the liver nourishing decoction in treatment of primary dysmenorrhea dialectical analysis of the results, and integration of various syndromes and therapeutic effects before and after treatment were compared. Results ≤ 20 years of age,49 eases,21 to 30 years of age in 27 eases,31-40 years of age in 21 eases after treatment,the total effective rates were 98.0% ,96.3% ,75.2%, compared the incidence and efficiency are significant differenees in. 38 eases of Qi and blood stasis type,alpine stagnate type 19 eases,liver depression four eases of damp-heat,Qi and blood defieieney type in 8 eases ,liver and kidney loss type in 18 eases,the total effective rate after treatment were 97.4% ,94. 7% ,75.0 % ,83.3% ,89.5%, the prevalence of different syndromes and efficacy in patients with more significant differences in both（all P 〈0.01 ） ,the syndromes before and after treatment showed significant changes in total score, the differences were statistieally signifieant（ P 〈 0.01 ）. Conclusion Primary dysmenorrhea were occurred in the young wanton 30 years of age,elinieal sub-types in order to Qi stagnation blood stasis type common. Liver-nourishing decoction is an effective method of treatment of primary dysmenorrhea,espeeially before the age of 30 young patients with blood stasis syndrome type for the type of primary dysmenorrhea and better efficacy.
出处
《医学综述》
2010年第1期158-160,共3页
Medical Recapitulate
关键词
原发性痛经
中药治疗
调肝养血化瘀汤
Primary dysmenorrhea
Traditional Chinese medicine treatment
Tune liver nourishing decoction
