调周法治疗寒凝血瘀型原发性痛经的临床研究

Observation on the effect of treating 56 cases of primary dysmenorrhea of congealing coldand blood stasis type with menstruation regulating method

目的观察调周法治疗寒凝血瘀型原发性痛经的临床疗效。方法将2011年4月至2012年4月首都医科大学附属北京中医医院妇科门诊辨证为寒凝血瘀型的原发性痛经患者56例，采用随机数字表法分为治疗组30例、对照组26例。治疗组经间排卵期开始用补肾助阳化瘀汤，经期换服痛经汤，中重度痛经者，经后服用金匮肾气丸10d；对照组口服少腹逐瘀颗粒，持续服至月经来后3d止，连用3个月经周期。观察并比较两组治疗前后痛经评分、疼痛程度及疗效。结果两组均可改善患者的临床症状，治疗组30例中总显效21例（70％），对照组26例中总显效8例（30．8％），两组总显效率比较，差异有统计学意义（X2=8．813，P〈O．05）。结论调周法可较好改善寒凝血瘀型原发性痛经的临床症状。

Objective To observe clinical effect of treating primary dysmenorrhea of congealing cold and blood stasis type with menstruation regulating method. Methods 56 cases of primary dysmenorrhea of congealing cold and blood stasis type were divided into 30 cases as a treatment group and 26 cases as a control group with random number table. The treatment group took Buyang Huanwu decoction in ovulatory period, and took Tongjing decoction in menstrual period. Moderate and severe patients took Jinkui shenqi pill for reinforcing kidney qi for 10 days after menstrual period. The control group took Shaofu Zhuyu granules and stopped to take it until the third day of menstrual period. All patients took the medicines for 3 continuous menstrual cycles. The dysmenorrhea score pre and post treatment, pain degree and effect were observed and compared. Results Menstruation regulating method and Shaofu Zhuyu granules could both improve the clinical symptoms, but the cured and markedly effective rate and total effective rate of menstruation regulating method was better （X2 = 8.813, P〈0.05）, especially for moderate and severe dysmenorrhea. Conclusion Menstruation regulating method can improve symptoms of primary dysmenorrhea of congealing cold and blood stasis type.