疏肝行气定痛汤治疗气滞血瘀型原发性痛经的临床探究.pdfVIP

提 要 目的：观察疏肝行气定痛汤治疗气滞血瘀型原发性痛经各项临床症状改善的情况 并探讨其作用机理。方法：共观察原发性痛经患者52例，治疗组26例，服用疏肝行 气定痛汤；对照组 26 例，服用散结镇痛胶囊。观察两组患者临床症状改善情况及对 患者紧张焦虑情绪、盆腔血流 PI、RI 的影响。结果：治疗组近期疗效总有效率为 88.46%，对照组为69.23%，差异有显著性（P 0.05）；治疗组远期疗效总有效率为 80.77%，对照组为57.69%，差异有非常显著性（P 0.01）。两组患者治疗后中医症 状总积分均有明显下降，两组比较有显著性差异（P 0.05）。两组患者治疗后紧张焦 虑情绪总积分均有明显下降，两组比较有非常显著性差异（P 0.01）。两组患者治疗 后盆腔血流 PI 值、RI 值较治疗前明显降低。PI 值组内比较有非常显著性差异（P 0.01），组间比较有非常显著性差异（P 0.01）；RI 值组内比较有非常显著性差异 （ P 0.01），组间比较有显著性差异（P 0.05）。结论：疏肝行气定痛汤治疗气滞血 瘀型原发性痛经有较好疗效，患者各项临床症状有明显改善,其机理可能与疏肝行气 定痛汤可调节患者的情绪，改善盆腔血流有关。 关键词 原发性痛经；疏肝行气定痛汤；紧张焦虑情绪；临床研究 1 The Clinical Research on the Treatment of Gas Stagnation and Blood Stasis Primary Dysmenorrhea with Shuganxingqidingtong Decoction Speciality: Gynecology of TCM,The study of menstruation sickness and sterility Tutor: Professor Ye Qing Author: Jiang Yin Abstract Objective：Observe the clinical curative effect of Shuganxingqidingtong Decoction， which is applied to treat Primary Dysmenorrhea(PD), and explore its work mechanism.Methods: We totally observed 52 patients of PD and it was divided into two groups randomly. The treatment group take Shuganxingqidingtong Decoction, while the control group takes Analgesic Capsule，which are compared to observe their curative effects and impacts on Nervous anxiety and pelvic blood flow Pulsatility index （PI ）， resistance index （RI ）.Results: the total effective rate of the treatment group short-term curative effect for 88.46%, to 69.23% in the control group, there was significant difference (P 0.05);The treatment group the long-term outcome the total effective rate was 80.77%, compared with 57.69% ，with very significant difference （P 0.01