经痛汤治疗原发性痛经寒凝血瘀证临床观察  

Jingtong Decoction in the Treatment of Primary Dysmenorrhea of Cold Coagulation and Blood Stasis Syndrome

作　　者：孟光宇 王昕[2] MENG Guangyu;WANG Xin(Grade 2021 Graduate,Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110847,China;Department of Obstetrics and Gynecology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Liaoning Province,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院妇产科,辽宁沈阳110032

出　　处：《光明中医》2024年第8期1551-1554,共4页GUANGMING JOURNAL OF CHINESE MEDICINE

摘　　要：目的 通过观察经痛汤治疗寒凝血瘀证原发性痛经的临床疗效,探究经痛汤的作用机制。方法 选取2022年2月—2023年2月就诊于辽宁中医药大学附属医院妇科门诊的原发性痛经且证属寒凝血瘀证患者60例,按照随机数字表法随机分为2组,各30例。观察组采用经痛汤治疗,对照组患者采用空白安慰剂。治疗3个月经周期后,对比2组中医证候积分、VAS评分及经期口服芬必得的次数。结果 治疗3个月经周期后,观察组中医证候积分及VAS评分均降低,差异具有统计学意义(P<0.05);与对照组比较,观察组评分降低明显,差异具有统计学意义(P<0.05),观察组治疗期间服用芬必得次数明显少于对照组(P<0.05)。结论 经痛汤治疗寒凝血瘀证原发性痛经的临床疗效显著。Objective To investigate the clinical efficacy of Jingtong decoction in the treatment of primary dysmenorrhea with cold coagulation and blood stasis,and to explore the mechanism of action of Jingtong decoction.Methods A total of 60 patients who were diagnosed in the gynecology clinic of Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from February 2022 to February 2023 and were certified as primary dysmenorrhea with cold coagulation and blood stasis were randomly divided into two groups according to the random number table method,with 30 cases in each group.Patients in the observation group were treated with oral Jingtong decoction,and patients in the control group were treated with no placebo.After 3 menstrual cycles of treatment,the changes in medical syndrome score and VAS score in the two groups were evaluated.The number of times the two groups were administered orally to Ibuprofen during menstruation.Results After 3 menstrual cycles,the TCM syndrome scores and VAS scores of the observation group were decreased,and the difference was statistically significant(P<0.05).Compared with the control group,the score of the observation group was significantly reduced,the difference was statistically significant(P<0.05),and the number of times of taking Ibuprofen during treatment in the observation group was significantly less than that in the control group(P<0.05).Conclusion The clinical efficacy of Jingtong decoction in the treatment of primary dysmenorrhea with cold coagulation and blood stasis has significant clinical effect.

关 键 词：经行腹痛 原发性痛经 寒凝血瘀证 经痛汤 中医药疗法 

分 类 号：R271.113[医药卫生—中医妇科学]