[1]和丽娟,区淑娟.中药结合分期埋线治疗寒凝血瘀型痛经临床观察[J].西部中医药,2018,31(07):98-101.
　HE Lijuan,OU Shujuan.Clinical Observation on Treating Dysmenorrhea of Cold Coagulation and Blood Stasis Pattern by Traditional Chinese Medicine and Thread Embedding Therapy by Stages[J].Western Journal of Traditional Chinese Medicine,2018,31(07):98-101.
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中药结合分期埋线治疗寒凝血瘀型痛经临床观察()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年07期
页码:
98-101
栏目:
出版日期:
2018-07-15

文章信息/Info

Title:
Clinical Observation on Treating Dysmenorrhea of Cold Coagulation and Blood Stasis Pattern by Traditional Chinese Medicine and Thread Embedding Therapy by Stages
文章编号:
1004-6852(2018)07-0098-04
作者:
和丽娟1，区淑娟2
庆阳市人民医院妇科，甘肃 庆阳 745000
Author(s):
HE Lijuan1, OU Shujuan2△
Department of Gynecology, Qingyang Municipality People′s Hospital, Qingyang 745000, China
关键词:
原发性痛经; 雌二醇; 孕酮; 分期埋线疗法; 少腹逐瘀汤
Keywords:
primary dysmenorrhea;  estradiol;  progesterone;  thread embedding therapy by stages;  ShaoFu ZhuYu decoction
分类号:
R271
文献标志码:
B
摘要:
目的：观察少腹逐瘀汤加味结合分期埋线治疗寒凝血瘀型痛经的远期及近期疗效以及对雌二醇及孕酮水平的影响。方法：将寒凝血瘀型痛经患者90例随机分为治疗组与对照组各45例，治疗组予少腹逐瘀汤加味结合分期埋线治疗，对照组予布洛芬缓释胶囊治疗，连续治疗3个月经周期观察2组患者用药前后及随访期(疗程结束后3月)痛经症状评分、视觉模拟评分；并应用放免法测定治疗前后患者外周血中雌二醇及孕酮水平。结果：1)总有效率治疗组为88.9%，优于对照组的75.6%(P＜0.01)；2)随访期治疗组总有效率为88.9%，优于对照组的40.0%(P＜0.01)；3)3疗程后及随访期治疗组在痛经评分及视觉模拟评分较治疗前下降(P＜0.01)，较对照组下降明显(P＜0.05)；4)治疗组雌二醇水平较治疗前及对照组下降(P＜0.01)，对照组与治疗前比较无明显差异；治疗组孕酮水平较治疗前及对照组升高(P＜0.01)，而对照组与治疗前比较无明显差异(P＞0.05)。结论：少腹逐瘀汤加味结合分期埋线治疗寒凝血瘀型痛经近期及远期疗效均优于布洛芬，可能是通过调整卵巢雌、孕激素水平，从而达到治疗痛经的目的。
Abstract:
Objective: To observe long-term, short-term effects of modified ShaoFu ZhuYu decoction combined with thread embedding therapy by stages in the treatment for dysmenorrhea of cold coagulation and blood stasis pattern, and their effects on the levels of estradiol and progesterone. Methods: A total of 90 patients were randomized into the treatment group and the control group, 45 cases each group, the treatment group were treated by ShaoFu ZhuYu decoction combined with thread embedding therapy by stages, while the control group by ibuprofen sustained release capsules, to observe visual analogue scales (VAS) and the scales of dysmenorrhea symptom of the patients in both groups before and after the medication, as well as in the follow-up period after they were treated for three menstrual cycles consecutively; to detect the levels of estradiol and progesterone by radioimmunoassay before and after treating. Results: 1) Total effective rate of the treatment group was 88.9%, superior to 75.6% of the control group (P＜0.01); 2) total effective rate of the treatment group in the follow-up period was 88.9%, superior to 40% of the control group (P＜0.01); 3) the scales of dysmenorrhea symptom and VAS of the treatment group after three course and in the follow-up period lowered compared with before treating (P＜0.01), they were lower compared with the control group (P＜0.05); 4) the level of estradiol of the treatment group was lower than that before treating and that of the control group (P＜0.01), there was no obvious difference when the control group was compared with before treating; the level of progesterone of the treatment group raised compared with the treatment group before treating and the control group (P＜0.01), while there was no obvious difference when the control group was compared with before treating (P＞0.05). Conclusion: Long-term, short-term effects of modified ShaoFu ZhuYu decoction combined with thread embedding therapy by stages are superior to these of ibuprofenin the treatment for dysmenorrhea of cold coagulation and blood stasis pattern, and it achieves the aim of treating dysmenorrhea by regulating the levels of ovarian estradiol and progesterone.

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备注/Memo

备注/Memo:
收稿日期：2017-02-09 *基金项目：庆阳市科技计划项目(编号KZ2015-33)。 作者简介：和丽娟(1972—)，女，副主任医师。研究方向：妇科疾病的治疗。
更新日期/Last Update: 2018-07-15