摘要
目的:观察中医多方位疗法治疗寒凝血瘀型子宫内膜异位症患者痛经及其所致的抑郁、焦虑等的临床效果。方法:选取2015年6月-2018年6月于本院妇科门诊就诊的寒凝血瘀型子宫内膜异位症患者60例,根据随机数字表法分为试验组和对照组,各30例。对照组采用口服中药治疗,试验组采用香囊、脐疗、足浴、口服中药四者综合疗法。观察两组治疗前后抑郁、焦虑评分情况,视觉模拟评分(VAS)以及血清CA125值变化情况。结果:治疗前,两组HAMD、HAMA、VAS评分及血清CA125水平比较,差异均无统计学意义(P>0.05);治疗后,两组HAMD、HAMA、VAS评分及血清CA125水平均降低,且试验组均明显低于对照组,差异均有统计学意义(P<0.05)。结论:中医多方位疗法能有效改善寒凝血瘀型子宫内膜异位症患者的痛经症状及焦虑、抑郁状态,效果满意,且优于单一中药内服方式。
Objective:To observe the clinical effect of traditional Chinese medicine multi-directional therapy on dysmenorrhea and depression and anxiety caused by cold coagulation and blood stasis type endometriosis.Method:A total of 60 patients with cold coagulation and blood stasis type endometriosis were selected from June 2015 to June 2018 in the gynecological department of our hospital.According to the random number table method,the patients were divided into the experimental group and the control group,30 cases in each group.The control group was treated with oral Chinese medicine,the experimental group was treated with sachet,umbilical therapy,foot bath and oral Chinese medicine.The scores of depression and anxiety,visual analogue scale(VAS)and serum CA125 in two groups were observed before and after treatment.Result:Before treatment,there were no significant differences in HAMD,HAMA,VAS scores and serum CA125 level between the two groups(P>0.05).After treatment,HAMD,HAMA,VAS scores and serum CA125 levels in both groups were decreased,and the experimental group were significantly lower than those of the control group,with statistically significant differences(P<0.05).Conclusion:Traditional Chinese medicine multi-directional therapy can effectively improve dysmenorrhea symptoms,anxiety and depression of patients with cold blood stasis type endometriosis,and the effect is satisfactory,and it is better than the single oral administration of traditional Chinese medicine.
作者
徐玲
王铮
XU Ling;WANG Zheng(The Second Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330012,China;不详)
出处
《中国医学创新》
CAS
2020年第23期81-84,共4页
Medical Innovation of China
基金
江西省卫生厅中医药科研基金课题(2013B030)。
关键词
中医多方位疗法
寒凝血瘀
子宫内膜异位症
Traditional Chinese medicine multi-directional therapy
Cold coagulation and blood stasis
Endometriosis
