摘要
目的观察温胞饮加减联合穴位埋线治疗肾虚血瘀型子宫内膜异位症痛经的临床效果。方法将赣州市南康区中医院86例肾虚血瘀型子宫内膜异位症痛经患者随机分为对照组(穴位埋线治疗)与观察组(穴位埋线联合温胞饮加减治疗),各43例,比较2组痛经症状、疼痛程度、子宫情况、包块直径以及血清指标。结果观察组中文版COX痛经症状评分量表(CMSS)评分、视觉模拟评分量表(VAS)评分低于对照组(P<0.05);观察组子宫内膜厚度、子宫体积、包块直径小,白细胞介素-6及前列腺素F_(2α)优于对照组(P<0.05)。结论在肾虚血瘀型子宫内膜异位症痛经患者的治疗中,温胞饮加减联合穴位埋线能改善痛经症状、减轻疼痛程度、抑制炎症因子的高表达,有利于患者康复,值得借鉴。
Objective To observe the clinical effect of modified Wenbao drink combined with acupoint catgut embedding in the treat⁃ment of endometriosis dysmenorrhea with kidney deficiency and blood stasis type.Methods A total of 86 endometriosis dysmenorrhea patients with kidney deficiency and blood stasis admitted to Nankang District Hospital of Traditional Chinese Medicine were randomly divided into a control group with 43 cases and an observation group with 43 cases.The control group was treated with acupoint catgut embedding and the observation group was treated with modified Wenbao drink on the basis of the control group.The dysmenorrhea symptoms,pain degree,uterine condition,mass diameter and serum indexes were compared between the two groups.Results The scores of COX dysmenorrhea Symptom Scale(CMSS)and Visual Analogue Scale(VAS)in the observation group were lower than those in the control group(P<0.05).Endometrial thickness,uterine volume and mass diameter in observation group were smaller than those in control group(P<0.05).Interleukin-6 and prostaglandin F2αwere superior to those in observation group(P<0.05).Conclusion In the treatment of endometriosis dysmenorrhea with kidney deficiency and blood stasis,modified Wenbao drink combined with acupoint catgut embedding can improve the symptoms of dysmenorrhea,reduce the degree of pain,and inhibit the high expression of inflamma⁃tory factors,which is beneficial to the recovery of patients.It is worth referring.
作者
李趣英
LI Quying(Department of Obstetrics and Gynecology,Nankang District Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 341400,China)
出处
《中国中医药现代远程教育》
2023年第20期91-93,共3页
Chinese Medicine Modern Distance Education of China
关键词
痛经
子宫内膜异位症
温胞饮
穴位埋线
肾虚血瘀证
中医综合疗法
dysmenorrhea
endometriosis
Wenbao drink
acupoint catgut embedding
kidney deficiency and blood stasis syndrome
comprehensive therapy of traditional Chinese medicine