舒经饮治疗寒凝血瘀型原发性痛经临床观察

Clinical observation of “Shujing Decoction”in treating primary dysmenorrhea of cold congealing and blood stasis syndrome

目的观察舒经饮治疗寒凝血瘀型原发性痛经的临床疗效。方法将80例寒凝血瘀型原发性痛经患者随机分成治疗组与对照组,每组40例。对照组予复方炔诺酮片或布洛芬胶囊,治疗组予中药舒经饮。两组疗程均为3个月经周期,随访1年,观察临床疗效,比较中医证候积分变化情况。结果 1治疗组、对照组临床总有效率分别为92.50%和80.00%;组间临床疗效比较,差异有统计学意义(P<0.05)。2组间治疗前后中医证候积分差值比较,差异有统计学意义(P<0.05)。3组内停药6个月及1年后比较,治疗组痛经证候积分差异无统计学意义(P>0.05),对照组痛经证候积分显著升高(P<0.05);组间停药6个月及1年后比较,痛经证候积分差异有统计学意义(P<0.05)。结论舒经饮治疗寒凝血瘀型原发性痛经,可显著缓解疼痛等临床症状,且疗效持续时间较长。

Objective To observe clinical effect of 'Shujing Decoction 'in the treatment of cold congealing and blood stasis type of primary dysmenorrheal.Methods 80 patients were randomized into treatment group and control group,40 cases in each group.Treatment goup was treated with'Shujing Decoction',and control group was treated with Compound Norethisterone Tablets and ibuprofen capsule.Course of the both groups was 3 months,with one year's follow-up.The clinical efficacy,change of TCM symptoms were observed.Results 1After treatment,the total effective rate of treatment group was 92.50%,while control group was 80.00%.A significant difference was observed between two groups(P < 0.05).2 The changes of scores of TCM symptoms after treatment were different between the two groups(P < 0.05).3 Compared 6 months after treatment and one year after treatment,there was no significant difference in scores of TCM symptoms in treatment group(P > 0.05),while there was significant difference in scores of TCM symptoms in control group(P < 0.05).Compared 6 months after treatment and one year after treatment,there was significant difference in scores of TCM symptoms between two groups(P < 0.05).Conclusion 'Shujing Decoction'in treatment of cold congealing and blood stasis type of primary dysmenorrhea can relieve pain,and has longer effective time of duration.