摘要
目的观察神阙敷贴法治疗血瘀型原发性痛经的临床疗效。方法选取60例血瘀型原发性痛经患者,随机分为治疗组和对照组,两组分别于月经前3天开始治疗,治疗组采用中药敷贴神阙,对照组予布洛芬缓释胶囊口服,连续治疗3个月经周期,分别于治疗前、治疗后、随访期记录痛经积分及中医血瘀症候情况,观察两组临床疗效变化。结果治疗组近期总有效率为93.3%,稍低于对照组总有效率的96.7%,而治疗组远期疗效(93.3%)明显高于对照组(50.0%)。治疗组血瘀症候变化明显高于对照组,尤其在月经量、月经不畅、血色、血块等方面变化显著(P<0.01)。两组患者治疗期间均无不良反应发生。结论神阙敷贴疗法能够有效缓解痛经,改善痛经血瘀证型的临床症状。
Objective To observe the clinical efficacy of application at Shenque （CV8） in treating primary dysmenorrhea due to blood stagnation. Method Sixty patients with primary dysmenorrhea due to blood stagnation were enrolled and randomized into a treatment group and a control group to receive the corresponding intervention, started 3 d prior to menstruation. The treatment group was intervened by application at Shenque with Chinese herbal medicine while the control group was by orally taking Ibuprofen sustained release capsules, successively for 3 menstrual cycles. The pre-treatment, short-term and follow-up dysmenorrhea scores and traditional Chinese medicine symptom and sign scores for blood stagnation were recorded, and the clinical efficacies of the two groups were observed. Result The short-term total effective rate was 93.3% in the treatment group, slightly lower than 96.7% in the control group, while the long-term therapeutic efficacy in the treatment group （93.3%） was obviously higher than that in the control group （50.0%）. The changes in the symptom and sign scores for blood stagnation in the treatment group were more significant than those in the control group, especially in the scores of menstruation amount, blocked menstrual flow, color of menstrual blood and blood clots （P〈0.01）. No adverse events occurred during the whole study. Conclusion Application at Shenque can effectively release menstrual pain and improve the symptoms of dysmenorrhea due to blood stagnation.
出处
《上海针灸杂志》
2017年第2期162-166,共5页
Shanghai Journal of Acupuncture and Moxibustion
关键词
敷贴疗法
穴
神阙
痛经
血瘀
痛经评分
Application therapy
Point, Shenque （CV8）
Dysmenorrhea
Blood stasis
Dysmenorrhea scoring
