新加艾附暖宫汤治疗虚寒型原发性痛经的临床疗效观察

发布时间：2018-02-26 21:22

本文关键词： 新加艾附暖宫汤原发性痛经虚寒型临床疗效　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察新加艾附暖宫汤治疗虚寒型原发性痛经的临床疗效,评价新加艾附暖宫汤的安全性和有效性,更好地指导临床,提高原发性痛经的临床治愈率。方法：选取2014年8月至2015年12月就诊于成都中医药大学附属医院中医妇科吴克明导师门诊、符合纳入标准的33例虚寒型原发性痛经患者作为研究对象,签署知情同意书。经前经期注意保暖,在下次月经来潮前7天,开始予新加艾附暖宫汤口服,2日1剂,分3次服,每次150ml,温服,饭前服用,服至月经干净,为1个疗程,共使用3个疗程。连续观察停药后的3个月经周期,进行随访,询问患者各项症状有无改善,填写临床观察表,分别对治疗前和治疗后第一、二、三个月经周期进行痛经症状评分、中医证候评分、VAS评分,并进行积分汇总,观察患者痛经症状是否有所改善,有无出现药物使用不良反应等。采用统计软件进行统计分析,观察患者治疗前后痛经症状积分变化、中医证候积分、VAS评分变化,以评价新加艾附暖宫汤对于虚寒型原发性痛经的治疗效果。结果：①痛经症状疗效比较：痊愈12例,显效16例,有效4例,无效1例,总有效率达到96.96%,治疗前后痛经症状积分明显下降(P0.05),差异有统计学意义。②中医证候疗效比较：临床痊愈6例,显效7例,有效19例,无效1例,总有效率达到96.96%,治疗前后中医证候积分明显下降(P0.05),差异有统计学意义。③VAS评分疗效比较：临床痊愈12例,显效6例,有效13例,无效2例,总有效率达到93.9%,治疗前后VAS评分明显下降(P0.05),差异有统计学意义。④治疗过程中未出现任何不良反应。结论：新加艾附暖宫汤对于虚寒型原发性痛经有显著疗效,能明显降低痛经症状积分、中医证候积分、VAS评分。新加艾附暖宫汤是治疗虚寒型原发性痛经安全有效的方剂。
[Abstract]:Objective: to observe the clinical effect of Xin Ai Fu Nao Gong Tang on primary dysmenorrhea of asthenia and cold type, to evaluate the safety and effectiveness of Xin Ai Fu Nao Gong Tang, and to guide the clinical practice better. To improve the clinical cure rate of primary dysmenorrhea methods: from August 2014 to December 2015, we selected Wu Keming, a tutor of gynecology and gynecology of the affiliated Hospital of Chengdu University of traditional Chinese Medicine, to visit the clinic. Thirty-three patients with primary dysmenorrhea of asthenia and cold type who met the inclusion criteria were selected as study subjects, and signed informed consent letters. Pay attention to keep warm during the menstrual period, and begin to take New Ai Fu Nuo Gong Tang orally 7 days before the next menstrual cycle. On 2nd, 1 dose was taken in 3 doses. Each time 150ml, warm clothes, take before meals, take until menstruation is clean, for a course of treatment, a total of three courses of treatment. Observe the three menstrual cycles after withdrawal, follow up, ask patients whether symptoms have improved, fill out clinical observation form, Before and after treatment, dysmenorrhea symptom score, TCM syndrome score and VAS score were carried out before and after treatment respectively, and the scores were summarized to observe whether the symptoms of dysmenorrhea had been improved. Statistical software was used to analyze the symptoms of dysmenorrhea before and after treatment. In order to evaluate the therapeutic effect of Xin Ai Fu Nao Gong Tang on primary dysmenorrhea of asthenia and cold type, 12 cases were cured, 16 cases were markedly effective, 4 cases were effective, and 1 case was ineffective. The total effective rate was 96.96. The score of dysmenorrhea symptom decreased significantly before and after treatment. The difference was statistically significant. 2 the curative effect of TCM syndrome was compared: 6 cases were cured, 7 cases were markedly effective, 19 cases were effective, 1 case was ineffective. The total effective rate was 96.96. The score of TCM syndromes decreased significantly before and after treatment. The difference was statistically significant .3VAS score: 12 cases were cured, 6 cases were effective, 13 cases were effective, 2 cases were ineffective. The total effective rate was 93. 9. The VAS score decreased significantly before and after treatment, and the difference was statistically significant. 4. There was no adverse reaction during the treatment. Conclusion: Xiefunanggong decoction has a significant effect on primary dysmenorrhea of asthenia and cold type. It can obviously reduce the score of dysmenorrhea symptoms and the VAS score of TCM syndromes. New and Fufu warm Palace decoction is a safe and effective prescription for the treatment of primary dysmenorrhea of asthenia and cold type.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R271.113

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