CAJ | 학술논문

目的观察调周法治疗寒凝血瘀型原发性痛经的临床疗效.方法将2011年4月至2012年4月首都医科大学附属北京中医医院妇科门诊辨证为寒凝血瘀型的原发性痛经患者56例,采用随机数字表法分为治疗组30例、对照组26例.治疗组经间排卵期开始用补肾助阳化瘀汤,经期换服痛经汤,中重度痛经者,经后服用金匮肾气丸10d；对照组口服少腹逐瘀颗粒,持续服至月经来后3d止,连用3个月经周期.观察并比较两组治疗前后痛经评分、疼痛程度及疗效.结果两组均可改善患者的临床症状,治疗组30例中总显效21例(70％),对照组26例中总显效8例(30.8％),两组总显效率比较,差异有统计学意义(x2=8.813,P＜0.05).结论调周法可较好改善寒凝血瘀型原发性痛经的临床症状.
목적 관찰조주법치료한응혈어형원발성통경적림상료효.방법 장2011년4월지2012년4월수도의과대학부속북경중의의원부과문진변증위한응혈어형적원발성통경환자56례,채용수궤수자표법분위치료조30례、대조조26례.치료조경간배란기개시용보신조양화어탕,경기환복통경탕,중중도통경자,경후복용금궤신기환10d；대조조구복소복축어과립,지속복지월경래후3d지,련용3개월경주기.관찰병비교량조치료전후통경평분、동통정도급료효.결과 량조균가개선환자적림상증상,치료조30례중총현효21례(70％),대조조26례중총현효8례(30.8％),량조총현효솔비교,차이유통계학의의(x2=8.813,P＜0.05).결론 조주법가교호개선한응혈어형원발성통경적림상증상.
Objective To observe clinical effect of treating primary dysmenorrhea of congealing cold and blood stasis type with menstruation regulating method.Methods 56 cases of primary dysmenorrhea of congealing cold and blood stasis type were divided into 30 cases as a treatment group and 26 cases as a control group with random number table.The treatment group took Buyang Huanwu decoction in ovulatory period,and took Tongjing decoction in menstrual period.Moderate and severe patients took Jinkui shenqi pill for reinforcing kidney qi for 10 days after menstrual period.The control group took Shaofu Zhuyu granules and stopped to take it until the third day of menstrual period.All patients took the medicines for 3 continuous menstrual cycles.The dysmenorrhea score pre and post treatment,pain degree and effect were observed and compared.Results Menstruation regulating method and Shaofu Zhuyu granules could both improve the clinical symptoms,but the cured and markedly effective rate and total effective rate of menstruation regulating method was better (x2=8.813,P＜0.05),especially for moderate and severe dysmenorrhea.Conclusion Menstruation regulating method can improve symptoms of primary dysmenorrhea of congealing cold and blood stasis type.