针灸联合当归桂枝汤治疗对痛经患者症状改善的作用分析

文章信息/Info

• Title:针灸联合当归桂枝汤治疗对痛经患者症状改善的作用分析

• 卷期:2024年22卷17期

• 作者:胡微 张珍珍

• 南昌市洪都中医院妇科，江西南昌，330000

• Author(s):Huwei zhangzhenzhen

• Department of Gynecology, Nanchang Hongdu Hospital of Traditional Chinese Medicine 330000

• 关键词针灸；当归桂枝汤；痛经；中医证候积分

• Keywords:acupuncture; Angelica cassia branch soup; Dysmenorrhea; TCM syndrome score

• 摘要:目的 探析在痛经患者中采用针灸与当归桂枝汤联合治疗对症状改善的效果。方法 从2020年3月-2022年3月医院诊治的痛经患者中选择72例作为观察对象，根据随机数字表法将其分为对照组和观察组，每组36例，对照组采用常规西医治疗（布洛芬缓释胶囊），观察组采用针灸联合当归桂枝汤治疗。比较两组中医证候积分、疼痛时间以评估症状改善情况，同时统计两组不良反应。结果 观察组治疗后中医证候积分低于对照组低，且疼痛持续时间短于对照组（P＜0.05）；观察组不良反应率为2.78%，低于对照组的22.22%（P＜0.05）。结论 在痛经患者中采用针灸与当归桂枝汤联合治疗，能够改善患者临床症状，缩短疼痛时间，安全性较高。                                                                                                                                                                                

• Abstract To explore the effect of acupuncture combined with Angelica Guizhi Decoction on symptom improvement in patients with dysmenorrhea. Methods 72 patients with dysmenorrhea treated in hospital from March 2020 to March 2022 were selected as observation objects. According to random number table, they were divided into control group and observation group, with 36 cases in each group. The control group was treated with conventional Western medicine (ibuen sustained release capsules), and the observation group was treated with acupuncture combined with angelica Guizhitang. TCM syndrome scores and pain duration were compared between the two groups to evaluate symptom improvement, and adverse reactions were counted. Results The TCM syndrome score of the observation group was lower than that of the control group, and the pain duration was shorter than that of the control group (P < 0.05). The adverse reaction rate of observation group was 2.78%, which was lower than that of control group (22.22%) (P < 0.05). Conclusion Acupuncture and moxibustion combined with angelica Guizhi Decoction can improve the clinical symptoms and shorten the pain time in patients with dysmenorrhea with high safety.

  在妇科中痛经属于常见疾病之一，可分为继发性痛经和原发性痛经，其中原发性痛经较为常见，其主要临床表现为下腹部剧烈疼痛、腰酸、下腹部坠胀等，严重时可能会出现昏厥，对患者的学习、工作及生活造成严重影响。目前，临床上对于该疾病的治疗主要为常规西医药物治疗，在月经来潮前及来潮期间持续服用镇痛药物，如布洛芬缓释胶囊，以减轻痛感，但该种治疗方式治标不治本，治疗需求无法满足，且长时间服用部分患者会产生耐药性，不良反应发生率较高，导致临床效率不理想。近些年来，我国传统中医在妇科疾病中得到广泛应用，其认为痛经在“经行腹痛”的范畴，与“虚”“瘀”“滞”有着密切的关系，在治疗上应以温经散寒、补血活血、调经止痛为主[1]。