首页|活血消癥方联合隔药饼灸周期调治肾虚血瘀型子宫腺肌症痛经的疗效观察

活血消癥方联合隔药饼灸周期调治肾虚血瘀型子宫腺肌症痛经的疗效观察

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目的 探讨活血消癥方联合隔药饼灸周期调治治疗子宫腺肌症痛经(肾虚血瘀)对临床症状及子宫体积的影响.方法 选取2020年10月—2022年10月就诊于我院的122例子宫腺肌症痛经患者,按随机数字表法分为对照组和观察组,各61例.对照组采用隔药饼灸周期治疗,观察组采用活血消癥方联合隔药饼灸周期治疗.比较2组临床疗效、临床症状、痛经情况、治疗前后疼痛相关因子、子宫体积、子宫内膜厚度、性激素及不良反应.结果 观察组总有效率高于对照组(P<0.05);治疗 3 个月经周期后,观察组症状积分、痛经症状评分量表(CMSS)评分、疼痛持续时间、视觉模拟评分法(VAS)、血清前列腺素F2(PGF2α)、P物质(SP)、子宫体积及内膜厚度、血清促卵泡刺激素(FSH)、促黄体生成素(LH)低于对照组,β-内啡肽(β-EP)、雌二醇(E2)高于对照组(P<0.05).结论 活血消癥方联合隔药饼灸周期调治治疗子宫腺肌症痛经(肾虚血瘀)的疗效确切,能缓解患者临床症状,改善痛经情况,调节疼痛相关因子水平,减少子宫体积及子宫内膜厚度,调节性激素表达.
Observation of the therapeutic effect of Huoxue Xiaozheng formula combined with herbal cake separated moxibustion on period regulation and treatment of dysmenorrhea in patients with adenomyosis of kidney deficiency and blood stasis type
Objective To explore the effect of period regulation and treatment of dysmenorrhea in adenomyosis(kidney deficiency and blood stasis)with the combination of Huoxue Xiaozheng formula and herbal cake separated moxibustion on clinical symptoms and uterine volume.Methods 122 patients with dysmenorrhea caused by adenomyosis who visited the First Affiliated Hospital of Fuyang Normal University/Fuyang Women and Children's Hospital from October 2020 to October 2022 were divided into the control group and the observation group according to random number table method,with 61 cases in each group.The control group received period treatment with herbal cake separated moxibustion,and the observation group received period treatment with the combination of Huoxue Xiaozheng formula and herbal cake separated moxibustion.The clinical efficacy,clinical symptoms,dysmenorrhea,levels of pain related factors before and after treatment,uterine volume,endometrial thickness,levels of sex hormones and adverse reactions were compared between two groups.Results The total effective rate of the observation group was higher than that of the control group(P<0.05).After 3 menstrual cycles of treatment,scores of symptoms,Cox Menstrual Symptom Scale(CMSS)scores,pain duration,Visual Analogue Scale(VAS)scores,prostaglandin F2alpha(PGF2α)and substance P(SP)levels,uterine volume,endometrial thickness,levels of follicle stimulating hormone(FSH)and luteinizing hormone(LH)in the observation group were lower than those in the control group,while levels of serum β-endorphin(β-EP)and estradiol(E2)were higher than those in the control group(P<0.05).Conclusion The combinaton of Huoxue Xiaozheng formula and herbal cake separated moxibustion for period treatment of dysmenorrhea caused by adenomyosis(kidney deficiency and blood stasis)has the definite therapeutic effect,which can relieve clinical symptoms,improve dysmenorrhea,regulate levels of pain related factors,reduce uterine volume and endometrial thickness,and regulate expressions of sex hormones.

adenomyosisdysmenorrheakidney deficiency and blood stasisHuoxue Xiaozheng formulaperiod treatment with herbal cake separated moxibustionclinical symptomuterine volume

鲍蔓蔓、李晓伟、刘英、杨美霞

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阜阳师范大学附属第一医院/阜阳市妇女儿童医院,安徽 阜阳 236001

子宫腺肌症 痛经 肾虚血瘀 活血消癥方 隔药饼灸周期调治 临床症状 子宫体积

2020年安徽省阜阳健康科研课题项目安徽省阜阳市卫生健康科研项目

2020FY16FY2023-033

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(9)