首页|疏肝温经汤联合艾灸及电子痛经治疗仪治疗寒凝血瘀证痛经临床观察

疏肝温经汤联合艾灸及电子痛经治疗仪治疗寒凝血瘀证痛经临床观察

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目的:探讨寒凝血瘀证痛经患者采用疏肝温经汤联合艾灸辅以电子痛经治疗仪治疗的临床效果。方法:选取廊坊市第四人民医院2020年1月至2021年12月收治的90例寒凝血瘀证痛经患者,依据随机数字表法分为对照组和观察组各45例。对照组给予常规治疗联合艾灸辅以电子痛经治疗仪,观察组在对照组基础上加用疏肝温经汤治疗,两组均治疗3个月。比较两组治疗前及治疗3个月后寒凝血瘀证评分;比较两组月经相关指标(月经周期、月经量、疼痛持续时间);比较两组治疗前及治疗3个月后血清疼痛介质[前列腺素F2α(PGF2α)、前列腺素E2(PGE2)、β-内啡肽(β-EP)]水平。结果:两组患者在用药3个月后的寒凝血瘀证评分明显下降,观察组比对照组明显下降(P<0。05);观察组术后镇痛时间明显缩短(P<0。05);两组患者在用药3个月后PGF2α和PGE2均较治疗前下降,观察组血清中的PGF2α和PGE2与对照组比较明显降低,血清中的β-EP则明显升高(P<0。05)。结论:疏肝温经汤联合艾灸辅以电子痛经治疗仪治疗寒凝血瘀证痛经患者的疗效确切,可缩短痛经持续时间,降低血清疼痛介质。
Observation on Efficacy of Shugan Wenjing Decoction(疏肝温经汤)Combined with Moxibustion and Electronic Dysmenorrhea Treatment Device in Treatment of Dysmenorrhea with Syndrome of Cold Congulation and Blood Stasis
Objective:To explore the efficacy of using Shugan Wenjing Decoction(疏肝温经汤)combined with moxibustion and electronic dysmenorrhea treatment device in the treatment of dysmenorrhea with cold congulation and blood stasis.Methods:Ninety patients of dysmenorrhea with cold congulation and blood stasis from Fourth People's Hospital of Langfang from January 2020 to December 2021 were included.They were divided into a control group(45 cases)and an observation group(45 cases)by a random number table.The control group was treated with conven-tional treatment combined with moxibustion and electronic dysmenorrhea treatment device,and the observation group was treated with Shugan Wenjing Decoction based on control group.Both groups were treated for 3 months.Scores of cold coagulation and blood stasis syndrome of both groups before treatment and 3 months after treatment were compared;menstrual related indicators(menstrual cycle,menstrual volume,duration of pain)were compared between two groups;levels of serum pain mediators[(prostaglandin F2α(PGF2α),prostaglandin E2(PGE2),β-endorphin(β-EP)]were compared between two groups before treatment and 3 months after treatment.Results:Three months after treatment,scores of cold coagulation and blood stasis in the two groups were significantly decreased,and the decrease in observation group was more significant than that in the control group(P<0.05);the postoperative analgesic time in the treatment group was significantly reduced(P<0.05);both groups showed decreased levels of PGF2α and PGE2 after the treatment,and in the observation group,serum PGF2α and PGE2 decreased more than those in the control group,while levels ofβ-EP in the observation group were increased more than those in the control group(P<0.05).Conclusion:The combination of Shugan Wenjing Decoction of moxibustion with cold congulation and blood stasis and electronic dysmenorrhea treatment device shows definite therapeutic effect on patients with cold dysmenorrhea,can reduce the duration of dysmenorrhea and reduce serum pain mediators.

dysmenorrheaShugan Wenjing Decoctionmoxibustionelectronic dysmenorrhea treatment devicecold congulation and blood stasisserum pain mediatorsadverse reaction

吴迪、朱明慧、石美婷、刘俊鹤

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廊坊市第四人民医院,河北廊坊 065700

痛经 疏肝温经汤 艾灸 电子痛经治疗仪 寒凝血瘀 血清疼痛介质 不良反应

廊坊市科学技术研究与发展计划项目

2021013136

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(4)
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