中医药防治PD的诊疗思路及自我管理策略

Diagnosis and Treatment Ideas and Self-Management Strategies of PD Prevention and Treatment with Traditional Chinese Medicine

原发性痛经(primary dysmeorrhea, PD)即功能性痛经,其不伴有明显的盆腔器质性病变,是妇科的常见疾病之一,现代医学认为PD的发生与前列腺素的产生、释放相关,西医上多采用非甾体抗炎药与口服避孕药治疗,但多会造成不良反应,临床疗效并不理想,因此寻找有效的替代性疗法非常重要,中医药防治痛经有独特的优势,能够运用特色疗法,有效改善痛经症状,提高妇女经期生活质量。本文结合中医药防治原发性痛经的诊疗思路,提出针对该疾病的相应自我管理策略,以期为临床治疗原发性痛经提供经验。Primary dysmeorrhea (PD) is functional dysmenorrhea, which is not accompanied by obvious pelvic organic lesions and is one of the common diseases in gynecology. Modern medicine believes that the occurrence of PD is related to the production and release of prostaglandins. In Western medicine, non-steroidal anti-inflammatory drugs and oral contraceptives are mostly used to treat the dysmenorrhea, but they often cause adverse reactions. The clinical effect is not ideal, so it is very important to find effective alternative therapies. Traditional Chinese medicine has unique advantages in preventing and treating dysmenorrhea, and can effectively improve the symptoms of dysmenorrhea and improve the quality of life of women during menstruation. This article combined with traditional Chinese medicine to prevent and treat primary dysmenorrhea, put forward corresponding self-management strategies for the disease, in order to provide experience for clinical treatment of primary dysmenorrhea.