摘要
目的探讨中药少腹逐瘀汤联合穴位贴敷治疗寒凝血瘀型痛经的临床效果。方法选取2019年11月至2020年10月在新余市中医院就诊的80例寒凝血瘀型痛经患者为研究对象,应用随机数字表法将其分为对照组和观察组,每组40例。对照组予以少腹逐瘀汤治疗,观察组在对照组基础上加用穴位敷贴治疗。比较两组视觉模拟疼痛评分法(VAS)评分、痛经症状评分、血液流变学指标及治疗总有效率。结果治疗后,两组VAS评分、痛经症状评分均低于治疗前,且观察组评分低于对照组,差异有统计学意义(P<0.05);两组红细胞压积、全血高切、血浆黏度水平均低于治疗前,且观察组低于对照组(P<0.05);观察组治疗总有效率92.5%高于对照组85.0%(P<0.05)。结论寒凝血瘀型痛经患者应用少腹逐瘀汤联合穴位贴敷治疗,能有效促进血液循环,缓解经期腹痛,提高治疗效果。
Objective To discuss the clinical effects of Chinese medicine Shaofu Zhuyu decoction combined with acupoint application in the treatment of cold-congealed blood stasis type dysmenorrhoea.Methods 80 cases of dysmenorrhoea of the cold-congealed blood stasis type who came to our hospital from November 2019 to October 2020 were selected to be included in the study,and were divided into the control group and the observation group by the random data table method,with 40 cases in each group.The patients in the control group were treated with the traditional Chinese medicine Shaofu Zhuyu decoction,and the patients in the observation group were treated with acupoint application on the basis of the control group.The visual analog scales(VAS)scores,dysmenorrhoea scores,haemorheological indexes and the overall effective rate of treatment were compared between the two groups.Results After treatment,the VAS scores and dysmenorrhea symptom scores of the two groups were lower than those before treatment,and the two scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After treatment,the hematocrit,whole blood high shear and plasma viscosity levels of the two groups were lower than those before treatment,and the indexes of the observation group were lower than those of the control group(P<0.05).The total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Cold-congealed blood stasis-type dysmenorrhoea patients are treated with the Chinese medicine Shaofu Zhuyu decoction combined with acupoint application,which is effective in relieving the symptoms of abdominal pain during menstruation,promoting blood circulation,and increasing the effective rate of treatment.
作者
邱晶
肖孝凤
肖招华
QIU Jing;XIAO Xiaofeng;XIAO Zhaohua(Xinyu Hospital of Traditional Chinese Medicine,Xinyu 338800,China)
出处
《华夏医学》
CAS
2024年第3期175-179,共5页
Acta Medicinae Sinica
基金
江西省中医药科技计划项目(2020B0046)。
关键词
少腹逐瘀汤
穴位贴敷
痛经
寒凝血瘀型
Shaofu Zhuyu decoction
acupoint application
dysmenorrhea
cold coagulation and blood stasis type