摘要
目的:观察艾附暖宫汤联合穴位敷贴治疗寒凝血滞型原发性痛经(PD)的临床疗效。方法:将136例寒凝血滞型PD患者按随机数字表法分为对照组和观察组,每组68例。对照组给予布洛芬缓释胶囊治疗,观察组在对照组基础给予艾附暖宫汤内服联合穴位敷贴治疗,均治疗3个月经周期。观察2组治疗前后中医证候积分的变化,评估临床疗效,对比组间治疗前及治疗第1、第2、第3个月经周期时的痛经程度,记录不良反应发生情况。结果:治疗后,2组小腹疼痛、经血色暗、月经伴有瘀块、四肢畏冷积分均较治疗前降低(P<0.05),观察组上述4项中医证候积分均比对照组下降更明显(P<0.05)。观察组总有效率为91.18%,高于对照组的82.35%,差异有统计学意义(P<0.05)。2组治疗第1、第2、第3个月经周期时的痛经积分均逐渐下降(P<0.05),观察组治疗第3个月经周期时的痛经积分低于对照组(P<0.05)。2组治疗第1、第2个月经周期时的痛经积分比较,差异均无统计学意义(P>0.05)。治疗期间,2组均未出现明显不良反应。结论:艾附暖宫汤联合穴位敷贴可明显改善寒凝血滞型PD患者的痛经症状,临床应用安全有效。
Objective:To observe the clinical effect of Aifu Nuangong tang combined with acupoint application for primary dysmenorrhea(PD) of cold congelation and blood stasis type. Methods: Divided 136 cases of patients with PD of cold congelation and blood stasis type into the control group and the observation group according to random number table,68 cases in each group. The control group received ibuprofen sustained release capsules, while the observation group additionally received the oral administration of Aifu Nuangong tang combined with acupoint application. The treatment of both groups lasted for 3 menstrual cycles. Observed Chinese medicine syndrome scores before and after treatment,evaluated the clinical effect in the two groups, compared the degree of dysmenorrhea in-between the two groups before treatment with that in the 1st, 2 nd and 3rd menstrual cycles,and recorded the occurrence of adverse reactions in both groups. Results:After treatment,the scores of pain in lower abdomen,dark menstrual blood,menstruation with stasis and aversion to cold in four limbs in both groups were lower than those before treatment(P<0.05), and the four Chinese medicine syndrome scores above in the observation group were decreased more obviously than those in the control group(P<0.05). The total effective rate was 91.18% in the observation group,being higher than 82.35% in the control group, difference being significant(P<0.05). The scores of dysmenorrhea in the 1st,2nd and 3rd menstrual cycles in both groups were gradually decreased(P<0.05),and the scores of dysmenorrhea in the 3rd menstrual cycle in the observation group were lower than those in the control group(P<0.05). There was no significant difference being found when comparing the scores of dysmenorrhea in both groups in the 1st menstrual cycles with those in 2nd menstrual cycles(P>0.05). During treatment,no obvious adverse reactions occurred in both groups. Conclusion:Aifu Nuangong tang combined with acupoint application can significantly improve the symptoms of dysmenorrhea in patients with PD of cold congelation and blood stasis type, whose clinical application is safe and effective.
出处
《新中医》
CAS
2020年第10期102-104,共3页
New Chinese Medicine
关键词
原发性痛经
寒凝血滞证
艾附暖宫汤
穴位敷贴
中医证候
Primary dysmenorrhea
Cold congelation and blood stasis syndrome
Aifu Nuangong tang
Acupoint application
Chinese medicine syndrome
