隔药灸联合经痛汤治疗寒凝血瘀型原发性痛经临床观察  

Herbs-Partitioned Moxibustion Combined with Jingtong Decoction(经痛汤)in Treatment of Primary Dysmenorrhea of Cold Coagulation and Blood Stasis Type

作　　者：周航 陈莹[2] 孙晶[2] ZHOU Hang;CHEN Ying;SUN Jing(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,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,辽宁沈阳110032

出　　处：《辽宁中医杂志》2024年第9期156-159,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：辽宁省辽派中医学术经验和技能活态传承项目(辽卫中综合字[2021]19号)。

摘　　要：目的观察隔药灸联合经痛汤治疗寒凝血瘀型原发性痛经患者的临床疗效。方法纳入2021年8月—2023年5月就诊于医院且符合诊断标准的90例寒凝血瘀证原发性痛经患者,将其随机分为3组,每组30例。试验组给予隔药灸联合经痛汤治疗,隔药灸组单纯使用隔药灸治疗,中药组单纯服用经痛汤治疗。3组患者均于每次月经前7 d开始治疗,其中隔药灸组连续治疗7 d,中药组连续治疗14 d,试验组方法同前两组联合,3组均连续治疗3个月经周期,观察记录各组治疗前后疼痛视觉模拟评分法(visual analogue scale,VAS)评分、中医证候积分、症状量表及计算各组总有效率。结果治疗前,各组VAS评分、中医证候积分、症状量表比较,差异无统计学意义(P>0.05),治疗后各组的VAS评分、中医证候积分及症状量表较治疗前均有所下降,差异有统计学意义(P<0.05)。且试验组评分明显低于中药组和隔药灸组(P<0.05)。试验组总有效率(96.5%,28/29)明显高于中药组(84.3%,25/30)及隔药灸组(70.0%,21/30)。结论隔药灸联合经痛汤治疗寒凝血瘀型原发性痛经的疗效较单纯隔药灸或单纯服用经痛汤有明显优势,值得临床推广与应用。Objective To observe the clinical efficacy of herbs-partitioned moxibustion combined with Jingtong Decoction(经痛汤)in the treatment of primary dysmenorrhea of cold coagulation and blood stasis type.Methods Ninety patients with primary dysmenorrhea due to cold coagulation and blood stasis who met the diagnostic criteria in the hospital from August 2021 to May 2023 were randomly divided into three groups,30 patients in each group.The experimental group was treated with herbs-partitioned moxibustion combined with Jingtong Decoction,the herbs-partitioned moxibustion group was treated with herbs-partitioned moxibustion alone,and the Chinese medicine group was treated with Jingtong Decoction alone.All three groups started the treatment 7 days before each menstrual cycle.The moxibustion group was treated continuously for 7 days,and the Chinese medicine group was treated continuously for 14 days.The experimental group was treated in the same way as the first two groups,and all three groups were treated continuously for 3 menstrual cycles.Results Before treatment,there was no statistically significant difference of the visual analogue scale(VAS)score,TCM syndrome score and symptom scale of each group(P>0.05),but after treatment,the VAS score,TCM syndrome score and symptom scale of each group decreased compared with those before treatment,and the difference was statistically significant(P<0.05).And the scores of the experiment group were significantly lower than those of the Chinese medicine group and the spaced medicine moxibustion group(P<0.05).The total effective rate(96.5%,28/29)in the experiment group was significantly higher than thatin the Chinese medicine group(84.3%,25/30)and the herbs-partitioned moxibustion group(70%,21/30).Conclusion The efficacy of herbs-partitioned moxibustion combined with Jingtong Decoction in the treatment of primary dysmenorrhea of cold coagulation and blood stasis type has obvious advantages over herbs-partitioned moxibustion or Jingtong Decoction alone,and is worthy of clinical prom

关 键 词：原发性痛经 寒凝血瘀型 临床研究 

分 类 号：R271.113[医药卫生—中医妇科学]