四逆散加减治疗原发性痛经的效果探讨

Discussion on the effect of adding or subtracting sini powder in treating primary dysmenorrhea

目的:探讨用四逆散加减治疗原发性痛经的效果。方法:选取东南大学附属江阴医院中医妇科2018年1月至2019年11月期间接诊的25例原发性痛经患者作为研究对象。用四逆散加减对这些患者进行治疗,然后观察其疗效及用药期间发生不良反应的情况。结果:治疗前,这25例患者中疼痛程度为轻度疼痛、中度疼痛、重度疼痛、极重度疼痛的患者分别有5例、10例、9例、1例;治疗后,其中疼痛程度为无痛、轻度疼痛的患者分别有18例、7例。治疗后,这25例患者视觉模拟评分法(VAS)的评分低于治疗前,差异有统计学意义(P<0.05)。用药期间,这25例患者均未出现不良反应。结论:用四逆散加减治疗原发性痛经的效果显著,能有效地减轻患者疼痛的程度,且用药的安全性较高。

Objective:To investigate the effect of treating primary dysmenorrhea with Sini powder.METHODS:A total of 25 patients with primary dysmenorrhea admitted to the Department of Gynecology of Traditional Chinese Medicine of Jiangyin Hospital Affiliated to Southeast University from January 2018 to November 2019 were selected as the research subjects.These patients were treated with addition or subtraction of Sini powder,and then its efficacy and adverse reactions during the medication were observed.RESULTS:Before treatment,there were 5 cases of mild pain,10 cases of moderate pain,9 cases of severe pain and 1 case of extremely severe pain,respectively.After treatment,there were 18 cases of painless and 7 cases of mild pain.After treatment,the visual analogue scale(VAS)score of the 25 patients was lower than that before treatment,the difference was statistically significant(P<0.05).None of the 25 patients had adverse reactions during the treatment period.Conclusion:Adding or subtracting sini powder in the treatment of primary dysmenorrhea has significant effect,can effectively reduce the pain degree of patients,and the safety of medication is high.