加味温经汤治疗寒凝血瘀型原发性痛经临床观察  

Clinical Efficacy of Jiawei Wenjing Decoction in Treatment of Primary Dysmenorrhea with Blood Stasis Due to Cold Accumulation

作　　者：万安霞[1] 明琳琳 WAN Anxia;MING Linlin(Comprehensive Outpatient Department,Nanjing University of Information Science and Technology,Nanjing,Jiangsu 210044,China;Hangzhou Xiacheng Hospital of Integrated Traditional Chinese and Western Medicine,Hangzhou,Zhejiang 310000,China)

机构地区：[1]南京信息工程大学综合门诊部,江苏南京210044 [2]杭州下城区中西医结合医院,浙江杭州310000

出　　处：《湖南中医药大学学报》2018年第7期798-800,共3页Journal of Hunan University of Chinese Medicine

基　　金：国家自然科学基金资助课题(81260587)

摘　　要：目的观察中药方加味温经汤治疗痛经的临床疗效。方法选择寒凝血瘀型原发性痛经患者102例,随机分为中药组和西药组各51例。西药组服用布洛芬缓释胶囊治疗,中药组给予加味温经汤治疗。分别治疗3个月经周期后开始停药,观察治疗3个月经周期后及停药3个月后,患者的痛经评分及临床疗效。结果痛经评分方面:治疗3个月经周期后和停药3个月后,两组的痛经积分均较治疗前明显下降(P<0.05,P<0.01),且中药组下降较西药组显著(P<0.05)。临床疗效方面:治疗3个月经周期,中药组总有效率为94.1%,西药组为72.5%;停药3个月随访,中药组总有效率为92.2%,西药组为62.7%。中药组总有效率均高于西药组(P<0.05)。结论加味温经汤能较好缓解寒凝血瘀型痛经的疼痛程度,其临床效果具有持久性。Objective To observe the clinical efficacy of Jiawei Wenjing Decoction in the treatment of dysmenorrhea.Methods Totally 102 cases of primary dysmenorrhea with blood stasis due to cold accumulation were selected and randomly divided into traditional Chinese medicine group(TCM group)and Western medicine group(WM group),with 51 cases in each group.The WM group was treated with ibuprofen sustained-release capsules,and the TCM group was given Jiawei Wenjing Decoction.The patients in each group were treated for 3 menstrual cycles.The dysmenorrhea score and clinical outcome for the patients were assessed immediately and at 3 months after the treatment.Results Both groups showed significant reductions in dysmenorrhea score immediately and at 3 months after the treatment(P<0.05,P<0.01),and the TCM group had a significantly greater reduction than the WM group(P<0.05).The TCM group had a significantly higher overall response rate than the WM group(immediately after the treatment:94.1%vs 72.5%,P<0.05;at 3 months after the treatment:92.2%vs 62.7%,P<0.05).Conclusion Jiawei Wenjing Decoction shows a favorable effect in relieving the pain from primary dysmenorrhea with blood stasis due to cold accumulation,and the clinical efficacy is persistent.

关 键 词：痛经 寒凝血瘀证 加味温经汤 

分 类 号：R271.11[医药卫生—中医妇科学] R711.51[医药卫生—中医学]