隔药灸配合中药口服治疗寒凝血瘀型原发性痛经临床观察  

Herb-partitioned Moxibustion Combined with Oral Administration Chinese Medicine in the Treatment of Primary Dysmenorrhea of Cold Coagulation and Blood Stasis Type

作　　者：王娓秀[1] 胡菁麟 蔡飞燕 WANG Weixiu;HU Jinglin;CAI Feiyan(Department of Gynecology,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院妇科,江西南昌330000

出　　处：《中国中医药现代远程教育》2023年第12期125-127,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省中医药管理局科技计划课题【No.2021A397】。

摘　　要：目的探讨隔药灸配合中药口服治疗寒凝血瘀型原发性痛经的临床效果。方法选取2020年1月—2020年12月在南昌市洪都中医院就诊的寒凝血瘀型原发性痛经患者75例,按随机数字表法将其分为西药组及中药组,西药组37例,中药组38例。西药组患者采用布洛芬治疗,中药组在西药组的基础上,使用隔姜灸的同时口服温经汤治疗。3个疗程后,观察2组患者的临床治疗效果;评估2组患者的经期疼痛程度及疼痛持续时间;检测2组患者的β-内啡肽(β-EP)及前列腺素E2(PGE2)的水平。结果3个疗程后,中药组总有效率为92.11%(35/38),高于对照组的72.97%(27/37);中药组疼痛程度低于西药组,疼痛持续时间短于西药组;中药组患者的PGE2水平低于西药组,β-EP水平高于西药组,差异均有统计学意义(P<0.05)。结论隔药灸配合中药口服治疗寒凝血瘀型原发性痛经,可在减轻患者疼痛程度的基础上,缩短患者疼痛时间,有效抑制机体疼痛介质因子的释放,临床效果显著。Objective To explore the clinical efficacy of herb-partitioned moxibustion combined with oral administration Chinese medicine in the treatment of primary dysmenorrhea of cold coagulation and blood stasis type.Methods 75 patients with primary dysmenorrhea of cold coagulation and blood stasis type in Nanchang Hongdu Hospital of Traditional Chinese Medicine from January 2020 to December 2020 were selected and divided into western medicine group and Chinese medicine group according to random number table method,with 37 cases in Western medicine group and 38 cases in Chinese medicine group.The Western medicine group was treated with ibuprofen,while the Chinese medicine group was treated with herb-partitioned moxibustion and oral Wenjing decoction on the basis of the Western medicine group.After 3 courses of treatment,the clinical therapeutic effect of the two groups was observed.The degree and duration of menstrual pain were evaluated in the two groups.The levels ofβ-endorphin(β-EP)and prostaglandin E2(PGE2)in 2 groups were detected.Results After 3 courses of treatment,the total effective rate of the Chinese medicine group was 92.11%(35/38),which was higher than that of the control group(72.97%,27/37).The pain degree of Chinese medicine group was lower than that of western medicine group,and the pain duration was shorter than that of Western medicine group.The level of PGE2 in Chinese medicine group was lower than that in western medicine group,and the level ofβ-EP was higher than that in Western medicine group,and the difference was statistical significance(P<0.05).Conclusion On the basis of reducing the pain degree of patients,herb-partitioned moxibustion combined with oral administration Chinese medicine in the treatment of primary dysmenorrhea of cold coagulation and blood stasis type can shorten the pain time of patients,effectively inhibit the release of pain mediator factors,and has significant effect.

关 键 词：经行腹痛 原发性痛经 寒凝血瘀证 隔药灸 温经汤 中医药疗法 

分 类 号：R271.113[医药卫生—中医妇科学]