八珍汤治疗气血虚弱型痛经的临床研究

Clinical Study on Bazhen Decoction in the Treatment of Qi and Blood Deficiency Type Dysmenorrhea

目的探究八珍汤治疗气血虚弱型痛经的临床疗效。方法选取我院妇科诊断为气血虚弱型痛经患者103例,采用随机数字表随机分为2组。对照组53例,给予孕激素治疗,自月经来潮第5天起给予炔诺酮4~8 mg,每日1次;试验组50例,在对照组治疗基础上给予八珍汤治疗,每日1剂。2组均连续服用20 d,连用3个月经周期。比较2组患者治疗前后经期小腹坠胀、乳房胀痛、腰酸临床症状评分及疼痛视觉模拟评分(VAS)。结果 2组患者经期小腹坠胀、乳房胀痛、腰酸临床症状评分均降低(P<0.05),与对照组相比,试验组患者临床症状评分较低(P<0.05);2组患者疼痛VAS评分降低(P<0.05),与对照组相比,试验组的VAS疼痛评分较低(P<0.05)。结论八珍汤能够改善气血虚弱型痛经,对临床具有指导意义,值得推广。

Objective To explore clinical effect of Bazhen decoction in the treatment of qi and blood deficiency type dysmenorrhea.Methods 103 cases of qi and blood deficiency type dysmenorrhea that were diagnosed by gynecological department in our hospital were randomly divided into 2 groups. 53 cases in the control group were given progesterone treatment, since the fifth day of menstruation given norethisterone was 4 ~8 mg, qd for 20 days, and the control group was treated for three menstrual cycles. 50 patients in the experimental group were treated with Bazhen decoction, qd for 20 days, and the treatment continued for three menstrual cycles. Before and after treatment, the lower abdominal distension, breast pain, backache clinical symptoms score and VAS pain score were compared. Results After different treatment, scores of abdominal distension, breast distending pain and lumbar soreness clinical symptom in 2 groups of patients decreased（ P〈0.05）. Comparing with the control group, the clinical symptom scores of the experimental group were lower（P〈0.05）. The VAS pain scores of 2 groups decreased（ P〈0.05）, and VAS pain score in the study group was lower（P〈0.05）. Conclusion Bazhen decoction can improve the qi and blood deficiency type dysmenorrhea,has a great significance in clinical medicine, and is worthy of promotion.