中药热奄包敷贴治疗虚寒型原发性痛经疗效观察

Therapeutic Effect of External Application of Chinese Medicine Foment Package for Deficiency-cold Primary Dysmenorrhea

【目的】观察中药热奄包敷贴对虚寒型原发性痛经患者的治疗作用。【方法】将72例确诊为虚寒型原发性痛经患者随机分为对照组和热敷组各36例,对照组给予常规解痉止痛治疗,热敷组在常规解痉止痛治疗基础上给予中药热奄包敷贴。采用视觉模拟评分法(VAS)分别在用药前及用药后15 min、30 min、60 min、3 h由医生和患者本人对疼痛强度进行判断,观察疼痛评分情况,并评价2组的证候疗效。【结果】(1)对照组治疗后15 min VAS评分无显著改善(P>0.05),治疗后30 min、60 min、3 h的VAS评分均显著降低(P<0.05);治疗组治疗后15 min、30 min、60 min、3 h的VAS评分均显著降低(P<0.05);治疗后各时间点2组比较,治疗组在治疗后15 min、30 min、60 min的VAS评分均显著低于对照组(P<0.05),表明热敷组的止痛起效时间优于对照组。(2)治疗组的痊愈率和总有效率分别为58.3%、94.4%,对照组分别为36.1%、80.6%,2组比较,治疗组的痊愈率和总有效率均优于对照组(P<0.05)。【结论】中药热奄包敷贴治疗虚寒型原发性痛经疗效确切,且起效迅速。

Objective To observe the therapeutic effect of external application of Chinese medicine foment package for deficiency-cold primary dysmenorrhea. Methods Seventy-two deficiency-cold primary dysmenorrhea patients were equally randomized into two groups. The control group was given routine treatment for relieving spasm and pain, and the treatment group was given external application of Chinese medicine foment package on the basis of the treatment for the control group. The pain scores were evaluated with visual analog scale （VAS） by the physicians and the patients before treatment, and 15 rain, 30 rain, 60 rain and 3 hours after treatment. After treatment, the therapeutic effect was evaluated in both groups. Results （1） In the control group, VAS scores were not improved 15 rain after treatment （P〉0.05） and then were decreased 30 rain, 60 rain and 3 hours after treatment （P〈0.05） . In the treatment group, VAS scores were decreased 15 rain, 30 min, 60 min and 3 hours after treatment （P〈0.05） . Treatment group had lower VAS scores than the control group at the time points of 15, 30, and 60 rain after treatment （P〈0.05）, indicating that the time for starting analgesic effect was shorter in the treatment group. （2） The cure rate was 58.3% and the overall effective rate was 94.4% in the treatment group, and was 36.1%, 80.6% in the control group respectively, the difference being significant between the two groups （P〈0.05）. Conclusion External application of Chinese medicine foment package is effective for the treatment of deficiency-cold primary dysmenorrhea, and is quick in starting analgesic effect.