原发性痛经发病机制及治疗的研究进展  

Primary Dysmenorrhea:an Etiology and Treatment Systematic Review

作　　者：连伟清[1] 王唯迪[1] 徐梅[1] 张婷婷[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,级研究生2004372009

出　　处：《国际妇产科学杂志》2012年第1期29-31,39,共4页Journal of International Obstetrics and Gynecology

基　　金：上海市重点学科建设资助项目(S30303);上海市科委课题"求因为主;止痛为辅"辨治痛经的临床诊疗方案研究资助项目(09dZ1973700)

摘　　要：痛经是妇科最常见的疾病之一,分为原发性和继发性两大类,前者生殖器官无器质性病变,后者由盆腔器质性病变所引起。而罹患原发性痛经(PD)者占多数,近年国外对其研究不断深入,随着高科技的发展进一步认识到原发性痛经的发病机制如脑代谢异常、子宫肌层血流等,而饮食方面目前是原发性痛经诱发因素的热门研究方向。医学家不断地研究更确切的治疗方案包括神经切除手术,同时替代医学亦提供患者更多适合自己治疗方案的选择。综述原发性痛经发病机制、危险因素以及治疗的新进展。Dysmenorrhea is one of the most common gynecologic diseases.It can be divided into primary dysmenorrhea（PD）and secondary dysmenorrhea upon whether pelvic pathology detected,which the former one is found in most cases.Along with the scientic high-tech development,there are a lot new researches on PD＇s etiology these years such as abnormal cerebral metabolism,uterine vascularization,etc.Diet is the main risk factors scientist researching on.Doctors are finding the way to completely cure PD include pelvic nerve ablation,while alternative medicine provides more choices of treatment for patients.This review summarizes the current state of knowledge on its etiology,risk factors and treatment.

关 键 词：痛经 病因 综述 危险因素 治疗 

分 类 号：R711.51[医药卫生—妇产科学]