CAJ | 학술논문

目的：观察埋线配合中药治疗寒凝血瘀型原发性痛经的临床疗效。方法将136例寒凝血瘀型原发性痛经患者随机分为治疗组与对照组,每组68例。治疗组采用十七椎及双侧次髎穴埋线配合中药治疗,对照组采用单纯中药治疗。观察两组治疗前后痛经症状积分及VAS评分,比较两组临床疗效。结果治疗组总有效率和愈显率分别为93.8%和78.1%,对照组分别为85.2%和50.0%,两组愈显率比较差异具有统计学意义(P＜0.05)。两组治疗后痛经症状评分和VAS 评分与同组治疗前比较,差异均具有统计学意义(P＜0.01)。治疗组治疗后痛经症状评分和 VAS 评分与对照组比较,差异均具有统计学意义(P＜0.05)。治疗组半年后随访总有效率和愈显率分别为90.6%和68.8%,对照组分别为70.6%和38.2%,两组比较差异均具有统计学意义(P＜0.05,P＜0.01)。结论埋线配合中药是一种治疗寒凝血瘀型原发性痛经的有效方法,操作简便,患者痛苦小。
목적：관찰매선배합중약치료한응혈어형원발성통경적림상료효。방법장136례한응혈어형원발성통경환자수궤분위치료조여대조조,매조68례。치료조채용십칠추급쌍측차료혈매선배합중약치료,대조조채용단순중약치료。관찰량조치료전후통경증상적분급VAS평분,비교량조림상료효。결과치료조총유효솔화유현솔분별위93.8%화78.1%,대조조분별위85.2%화50.0%,량조유현솔비교차이구유통계학의의(P＜0.05)。량조치료후통경증상평분화VAS 평분여동조치료전비교,차이균구유통계학의의(P＜0.01)。치료조치료후통경증상평분화 VAS 평분여대조조비교,차이균구유통계학의의(P＜0.05)。치료조반년후수방총유효솔화유현솔분별위90.6%화68.8%,대조조분별위70.6%화38.2%,량조비교차이균구유통계학의의(P＜0.05,P＜0.01)。결론매선배합중약시일충치료한응혈어형원발성통경적유효방법,조작간편,환자통고소。
Objective To observe the clinical efficacy of thread embedding plus Chinese medication in treating primary dysmenorrhea due to blood stagnation caused by cold accumulation. Methods Totally 136 patients with primary dysmenorrhea due to blood stagnation caused by cold accumulation were randomized into a treatment group and a control group, 68 in each group. The treatment group was intervened by thread embedding at Shiqizhui (EX-B 8) and bilateral Ciliao (BL 32) plus Chinese medication;while the control group was by Chinese medication alone. The dysmenorrhea symptom score and Visual Analogue Scale (VAS) were observed before and after intervention, and the clinical efficacies were compared. Results The total effective rate and recovery-markedly effective rate were respectively 93.8%and 78.1%in the treatment group, versus 85.2%and 50.0%in the control group, and there was a significant difference in comparing the recovery-markedly effective rate (P<0.05). After intervention, the dysmenorrhea symptom score and VAS score were significantly changed in both groups (P<0.01);there were significant differences in comparing the symptom score and VAS score between the two groups (P<0.05). The half-a-year follow-up study showed that the total effective rate and recovery-markedly effective rate were respectively 90.6%and 68.8%in the treatment group, versus 70.6%and 38.2% in the control group, and the differences were statistically significant (P<0.05, P<0.01). Conclusions Thread embedding plus Chinese medication is an effective approach in treating dysmenorrhea due to blood stagnation caused by cold accumulation, and it’s easy-to-operate and causes less pain.