膈下逐瘀汤联合双氯芬酸钠栓治疗原发性气滞血瘀型痛经的临床观察.doc

膈下逐瘀汤联合双氯芬酸钠栓治疗原发性气滞血瘀型痛经的临床观察 中文摘要 研究背景：痛经为妇科常见病z—,青年女性发病者较多，屮医称其 为“经行腹痛”。有原发性和继发性之分,症状严重的会对患者造成情绪、 身心等方面的影响，导致患者在学习、工作和生活等方面表现不佳。原发 性痛经是痛经其屮的一种分类类型，不是因为组织器官发生病变而引起的 痛经，这种类型的痛经占痛经患者的90%以上。膈下逐瘀汤（《医林改错》） 和双氯芬酸钠栓（武汉同药药业）均为治疗原发性痛经的药物之一，但关 于膈下逐瘀汤（《医林改错》）联合双氯芬酸钠栓（武汉同药药业）治疗原 发性痛经的临床疗效还有待进一步的研究。目的：观察膈下逐瘀汤（《医 林改错》）联合双氯芬酸钠栓（武汉同药药业）治疗原发性气滞血瘀型痛 经的临床治疗效果。方法：将70例原发性痛经气滞血瘀型的患者随机分 为两组。试验组35例，应用膈下逐瘀汤（《医林改错》）联合双氯芬酸钠 栓（武汉同药药业，规格：50mg）治疗3个月经周期。对照组仅用同剂量 的双氯芬酸钠栓（武汉同药药业，规格：50mg）治疗3个月经周期。两组 分别在治疗前、治疗3个月经周期后分别进行评估主要症状、体征的缓解 程度。试验结果:试验组治愈15例,显效11例,冇效6例,总冇效率91.4%； 对照组治愈6例，显效9例，有效7例，总有效率62.9%,治疗3个月经 周期后试验组的症状和体征的改善率明显高于对照组（Plt;0.01）,两组治 疗3个月经周期后症状和体征的缓解程度均明显高于治疗前（Plt;0.01）o 结论：膈下逐瘀汤(《医林改错》)联合双氯芬酸钠栓(武汉同药药业)治 疗原发性气滞血瘀型痛经能够明显改善患者症状和体征，且安全度良好。 关键词： 原发性痛经；膈下逐瘀汤；双氯芬酸钠栓；联合；疗效观察 1 Abstract Backgro und: Dysme norrhea is one of comm on gynecological diseases, the incidence of many young women, Chinese medicine called by the line of abdomi nal pain”. There are primary and sec on dary bra nch, serious impact on the daily life of symptoms. Primary dysmenorrhea is a kind of dysmenorrhea, refers to the non organic disease of dysmenorrhea, dysmenorrhea patients accounted for more than 90% of all. Gexiazhuyutang (yilingaicuo*) and diclofenac sodium suppository (Wuhan Tongyao pharmaceutical) is one of the drugs for the treatment of primary dysmenorrhea, but about gexiazhuyutang (yilingaicuo*) combined with diclofe nac sodium suppository (Wu Hantong Pharmaceutical Medicine) clinical curative effect of the treatment of primary dysmenorrhea are needed further research. Objective： Observation of gexiazhuyutang (yilingaicuo) combined with diclofenac sodium suppository(Wuhan with medicine medicine) clinical curative effect of the treatm ent of primarydysme norrhea of qi stag nation and blood stasis type. Methods: Patients were randomly divided into 70 cases of primary dysmenorrhea of qi stagnation and blood stasis type into two groups. 35 cases of test group, application of gexiazhuyutang(Hyilingaicuo) combined wit