自拟痛经贴外敷配合口服中药治疗原发性痛经（寒凝血瘀证）的临床观察

发布时间：2018-12-27 17:34

【摘要】：目的:临床上,痛经作为妇科常见病、多发病,已严重影响广大女性的生活质量,日益受到人们的积极关注。无论在身体状况、痛经程度、痛经持续时间、伴随症状及妨碍工作学习生活程度方面,均对患者生理、心理均造成不同程度伤害,痛经已成为影响女性患者生活、学习、工作的主要因素。本课题主要观察口服暖宫七味丸配合中药穴位贴外敷治疗原发性痛经(寒凝血瘀行)的临床疗效。通过课题的研究为进一步临床推广提供依据。从临床实践研究的角度证明中医外治法治疗原发性痛经的良好疗效,在痛经尤其是顽固性痛经的治疗上提供更好的优选方案。方法:本研究采用随机、对照的方法进行规范化临床研究观察,选取二零一五年一月至二零以六年一月期间,就诊于吉林省中医院妇科门诊的原发性痛经(寒凝血瘀型)患者,将符合纳入标准的72例,随机分为治疗组和对照组,每组36例,口服暖宫七味丸配合自拟中药穴位贴外敷为治疗组。单纯口服暖宫七味丸对照组。主要观察各组患者治疗前后的痛经症状改变统计其疗效。于治疗结束后(1个疗程)进行周期性随访,观察并评价其临床疗效。结果:本课题通过随机、对照观察原则,对符合纳入标准的72例原发性痛经(寒凝瘀型)患者进行临床观察研究,结果显示:治疗组临床治愈17例,占47.22%;显效10例,占27.78.56%;有效5例,占13.89%;无效2例,占5.56%;总有效率为94.44%。对照组临床治愈12例,占33.33%;显效7例,占19.44%;有效9例,占25.00%;无效8例,占22.22%;总有效率为77.78%。结论:口服暖宫七味丸配合自拟中药穴位贴外敷治疗原发性痛经(寒凝血瘀型)疗效显著,使用安全性好,无副作用,中医药绿色治疗,值得临床推广。
[Abstract]:Objective: clinically, dysmenorrhea, as a common gynecological disease, has seriously affected the quality of life of women. In terms of physical condition, degree of dysmenorrhea, duration of dysmenorrhea, accompanying symptoms and obstructing working, learning and living degree, it has caused different degrees of injury to the patient's physiology and psychology. Dysmenorrhea has become an impact on the life and learning of female patients. The main factor of work. This paper mainly observed the clinical effect of oral warm-gongqi-Wei pill combined with traditional Chinese medicine acupoint application on primary dysmenorrhea (cold coagulation and blood stasis). The research provides the basis for further clinical popularization. From the point of clinical practice, it is proved that the external treatment of traditional Chinese medicine has a good effect on primary dysmenorrhea and provides a better choice in the treatment of dysmenorrhea, especially intractable dysmenorrhea. Methods: a randomized, controlled clinical study was conducted in this study. Patients with primary dysmenorrhea (cold coagulation and blood stasis type) were selected from January 2015 to January 20, 2015 to January 20 to 6 years in gynecological outpatient department of Jilin Provincial traditional Chinese Medicine Hospital. 72 cases were randomly divided into treatment group (n = 36) and control group (n = 36). The control group was treated by oral administration of Wengong Qiwei pills. The changes of dysmenorrhea symptoms before and after treatment were observed. At the end of treatment (1 course of treatment), periodic follow-up was carried out to observe and evaluate the clinical efficacy. Results: 72 cases of primary dysmenorrhea (cold coagulant stasis type) were studied by random and controlled observation principle. The results showed that 17 cases (47.22%) were clinically cured in the treatment group. There were 10 cases of remarkable effect (27.78.56), 5 cases of effective (13.89%), 2 cases of ineffectiveness (5.56%), and 94.4444% of total effective rate. In the control group, 12 cases (33.33%) were clinically cured; 7 cases (19.4444) were markedly effective; 9 cases (25.00%) were effective; 8 cases (22.22%) were ineffective; the total effective rate was 77.78%. Conclusion: the treatment of primary dysmenorrhea (cold coagulant and blood stasis type) by oral heating and traditional Chinese medicine acupoint plaster is effective, safe and without side effects. The green treatment of traditional Chinese medicine is worth popularizing in clinic.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.3

【相似文献】