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1、針?biāo)幗Y(jié)合治療原發(fā)性痛經(jīng)療效觀察[摘要]目的觀察少腹逐瘀湯配合針灸的針?biāo)幗Y(jié)合的方法治療原發(fā)性痛經(jīng)的臨床療效。方法本院2008年1月?2012年1月對(duì)60例原發(fā)性痛經(jīng)患者作為治療組采用針?biāo)幗Y(jié)合進(jìn)行治療,并且將另外40例作為對(duì)照組,采用僅用少腹逐瘀湯的方法進(jìn)行治療,同時(shí)觀察并記錄兩組的療效。結(jié)果兩組患者療效比較,治療組總有效率高于對(duì)照組,分別為85.0%和67.5%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論少腹逐瘀湯配合針灸的針?biāo)幗Y(jié)合的方法治療原發(fā)性痛經(jīng)療效可靠。[關(guān)鍵詞]少腹逐瘀湯;針灸;原發(fā)性痛經(jīng);青春期[中
2、圖分類號(hào)]R271.11[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1674-4721(2012)07(b)-0138-02ObservationofthecurativeeffectonthecombinationofacupunctureanddrugsinthetreatmentofprimarydysmenorrheaZHANGYanhuaLIUWenjingLIAOJinshengDepartmentofRehabilitation,theMaternalandChildHealthHospitalofDong
3、guanCityinGuangdongProvinee,Dongguan523000,China[Abstract]ObjectiveToobservetheclinicaleffectofthemethodofcombinationofacupunctureanddrugsofShaofuZhuyuDecoctioncombinedwithacupunctureandmoxibustioninthetreatmentofprimarydysmenorrhea1.MethodsSixtypatientsw
4、ithprimarydysmenorrheainourhospitalfromJanuary2008toJanuary2012weretakenastreatmentgroupandweretreatedwiththecombinationofacupunctureanddrugs?Another40casesweretakenascontrolgroupandweretreatedwithShaofuZhuyuDecoctionalone?Atthesametime,theclinicaleffects
5、ofthetwogroupswereobservedandrecorded?ResultsTheclinicaleffectsofthetwogroupswerecompared,whichshowedthatthetotaleffectiverateoftreatmentgroupwashigherthanthatofcontrolgroup,thetotaleffectiveratesofthetwogroupswere85.0%and67.5%respectively,thedifferencewa
6、sstatisticallysignificant(P<0.05).ConclusionThemethodofcombinationofacupunctureanddrugsofShaofuZhuyuDecoctioncombinedwithacupunctureandmoxibustioninthetreatmentofprimarydysmenorrhealhasreliableeffect?[Keywords]ShaofuZhuyuDecoction;Acupuncture;Primarydysme
7、norrhea;Puberty原發(fā)性痛經(jīng)(primarydysmenorrheal,PD)又稱功能性痛經(jīng),是指月經(jīng)初潮開始,月經(jīng)前后或行經(jīng)期,周期性小腹部或腰部疼痛,是一種生殖系統(tǒng)無(wú)明顯病變的痛經(jīng)[1]。多見(jiàn)于青春期少女與未生育青年婦女。其發(fā)病機(jī)制尚不完全清楚,常因精神緊張,過(guò)度勞累,飲食失節(jié)或冷飲冷食,淋雨,受寒所致,部分患者伴有子宮位置的過(guò)度前屈或后傾。臨床表現(xiàn)為頭痛、眩暈、煩躁易怒、惡心嘔吐,食欲不振等癥狀,嚴(yán)重影響患者的工作、學(xué)習(xí)及生活質(zhì)量。中醫(yī)學(xué)把痛經(jīng)一般分為虛、實(shí)兩大類。中醫(yī)治療時(shí)以“實(shí)則瀉之
8、、虛則補(bǔ)之、熱則疾之、寒則溫之”的治療為原則[2]。實(shí)者,解瘀化結(jié),通經(jīng)活血;虛者,以溫補(bǔ)氣血,健脾和中,通經(jīng)活血為主。西醫(yī)治療常用藥物為前列腺素合成酶抑制劑,但因其具有不良反應(yīng)和容易產(chǎn)生依賴,所以臨床治療采用中藥配合針刺治療,取得了滿意的療效。現(xiàn)報(bào)道如下:1資料與方法1.1一般資料本文100例患者均為2008年1月?2012年1月本院的門診患者,隨機(jī)將其分為治療組60例,對(duì)照組40例。治療組:患者年齡14?28歲,平均(19