少腹逐瘀汤加减治疗北方寒凝血瘀型原发性痛经临床疗效

Shaofuzhuyu decoction in treating primary dysmenorrhea with cold coagulation and blood stasis in the north

目的探讨少腹逐瘀汤加减治疗北方寒凝血瘀型原发性痛经的临床疗效。方法选取2018年1-12月北部战区总医院中医妇科门诊收治的46例寒凝血瘀型原发性痛经患者为研究对象。所有患者均行少腹逐瘀汤为基础加减治疗。观察患者的临床疗效,并比较治疗前后的痛经中医症状积分及痛经视觉模拟(VAS)评分。结果 46例患者中,治愈16例(34.8%),显效26例(56.5%),无效4例(8.7%),总有效率为91.3%(42/46)。治疗期间第1个月经周期、第2个月经周期、治疗结束第3个月经周期VAS评分均优于治疗前,差异有统计学意义(P<0.05)。患者治疗后中医症状积分为低于治疗前,差异有统计学意义(P<0.05)。结论少腹逐瘀汤加减治疗北方寒凝血瘀型原发性痛经的疗效显著,且远期疗效理想。

Objective To observe and evaluate the clinical effect of Shaofuzhuyu decoction in treating primary dysmenorrhea with cold coagulation and blood stasis in the north.Methods A retrospective study was performed on 46 cases of patients with primary dysmenorrhea with cold coagulation and blood stasis who were admitted from January to December 2018.All patients were treated with Shaofuzhuyu decoction.The clinical efficacy of patients after treatment was observed,and the changes of TCM symptom score and VAS score of dysmenorrhea was compared.Results Among the 46 patients,16 were cured(34.8%),26 were effective(56.5%),and 4 were ineffective(8.7%).The total effective rate was 91.3%(42/46).Visual analogue scores of the first menstrual cycle,the second menstrual cycle and the third menstrual cycle at the end of treatment were all better than those before treatment,with statistically significant differences(P<0.05).The TCM symptom score of the patients after treatment was lower than that before treatment,and the difference was statistically significant(P<0.05).Conclusion Shaofuzhuyu decoction has a significant effect on the treatment of cold coagulation and blood stasis primary dysmenorrhea in the north,and the long-term effect is ideal.