行气逐瘀汤治疗气滞血瘀型原发性痛经的临床探究.pdfVIP

提 要 目的：痛经是妇科领域的常见病与多发病，由于病因较为复杂，且容易复发，已 成为妇科的疑难病症之一，对女性正常的工作和学习造成了一定的困扰，严重影响了 其身心健康。因此，为了减轻痛经患者的痛苦，提高其工作生活质量，寻求一种防治 痛经的有效方法势在必行。患者口服西药治疗本病有着副作用大、远期疗效较差且不 易根治的缺点，然而中医药治疗痛经却有相对优势，因此研究运用中医药防治痛经具 有积极的临床意义和社会意义。本研究课题采用中药汤剂治疗的方法，对证施治，旨 在观察行气逐瘀汤治疗气滞血瘀型原发性痛经的临床疗效。 方法：本研究选取 60 例气滞血瘀型原发性痛经患者，随机分为治疗组 30 例（口 服行气化瘀汤），对照组 30 例（口服芬必得）。治疗 3 个疗程后，观察在辨证的基础 上两组治疗前后痛经的临床疗 98 效，为研究中医药治疗原发性痛经提供了科学依据。 结果：临床观察的 30 例气滞血瘀型原发性痛经患者经服用行气逐瘀汤加减治疗 3 个月经周期后，缓解痛经的程度有着显著的疗效，各种伴随症状亦取得了满意的改 善。临床治愈 10 例，显效 7，有效 8 例，无效 5 例，治疗后总有效率达到 83.3%。 结论：行气逐瘀汤具有活血化瘀、行气止痛的功效，运用其加减治疗气滞血瘀型 原发性痛经在缓解痛经的临床症状及疼痛改善率方面均有显著疗效，达到了标本兼治 的目的。可见中医药治疗痛经之独特的优势和深远的意义。 关键词 原发性痛经 气滞血瘀型 临床疗效 The Clinical Study of Taking Xingqizhuyu Decoction in the treatment of Dysmenorrhea of the Qi-Stagnation and Blood-Stasis Syndrome Specility: Gynecology of Traditional Chinese Medicine Author: Wang Peipei Tutor: Professor Wu Xinhua ABSTRACT Purpose:Dysmenorrheal has disturbed women’s work and study and affected their physical and mental health.It is evitable to find an effective method of prevention and treatment of dysmenorrhea in order to alleviate the sufferings of the patient and improve the quality of life.The objective in this paper is to investigate the therapeutic effect of primary dysmenorrheal with stagnation of qi and blood treated by Xingqizhuyu Decoction. Method:60 patients were given in the study of original dysmenorrheal with stagnation of qi and blood. Acorrding to the random number table is divided into 30cases of the test group (taking Xingqizhuyu Decoction)and control group of 30 patients(taking Fenbid).After 3 treatment courses there was an evaluation of curative effect by contrasting of both groups and observing clinical symptom before and after therapy.Science ba