巫婷 罗琪 周霞

摘 要 目的：探討二草调经汤联合穴位贴敷法治疗气滞血瘀型原发性痛经的临床疗效。方法：选择2020年1月—2020年9月江西省萍乡市中医院西门分院妇产科门诊接诊的原发性痛经患者60例，分为研究组和对照组，每组30例。治疗组给予二草调经汤（每日1剂）配合香桂贴敷法治疗，7 d为1个疗程，连续治疗3个月。对照组采用在患者每次痛经时予常规止痛药或解痉药。观察两组患者治疗前后痛经症状评分变化情况、治疗效果、以及不良反应发生情况。结果：观察组治疗后痛经症状评分（4.26±1.03）分，低于对照组的（7.11±1.67）分（P<0.05）。观察组总有效率为93.33%（28/30），高于对照组的70.00%（21/30，P<0.05）。所有患者均未发生明显不良反应。结论：二草调经汤联合穴位贴敷法治疗气滞血瘀型原发性痛经，效果较好，患者无明显不良反应。

关键词 原发性痛经；气滞血瘀型；二草调经汤；穴位贴敷法

中图分类号：R271.11 文献标志码：A 文章编号：1006-1533（2021）18-0027-03

Clinical research of Ercaotiaojing decoction combined with acupoint sticking therapy in the treatment of primary dysmenorrhea of qi stagnation and blood stasis type

WU Ting， LUO Qi， ZHOU Xia（Obstetrics and Gynecology Department of Ximen Branch of Traditional Chinese Medicine Hospital of Pingxiang， Jiangxi 337000， China）

ABSTRACT Objective： To explore the clinical effect of Ercaotiaojing decoction combined with acupoint sticking therapy in the treatment of primary dysmenorrhea of qi stagnation and blood stasis type. Methods： Sixty patients with primary dysmenorrhea treated in the Outpatient Department of Obstetrics and Gynecology of Ximen Branch of Traditional Chinese Medicine Hospital of Pingxiang， Jiangxi Province from January 2020 to September 2020 were selected and divided into a research group and a control group with 30 cases each. The treatment group was treated with Ercaotiaojing decoction（1 dose per day） combined with Xianggui sticking therapy， 7 days as a course of treatment， and the continuous treatment was for 3 months. The control group was given routine painkillers or antispasmodic drugs at each time of dysmenorrhea for the patients. The changes of dysmenorrhea symptom score， treatment effect and adverse reactions of the patients of the two groups were observed before and after treatment. Results： The dysmenorrhea symptom score of the observation group after treatment was （4.26±1.03）， which was lower than that of the control group （7.11±1.67） （P<0.05）. The total effective rate of the observation group was 93.33%（28/30）， which was higher than 70.00%（21/30） of the control group（P<0.05）. No obvious adverse reactions occurred in all patients. Conclusion： Ercaotiaojing decoction combined with acupoint sticking therapy is effective in treating primary dysmenorrhea of qi stagnation and blood stasis type， and the patients have no obvious adverse reactions.

KEY WORDS primary dysmenorrhea； qi stagnation and blood stasis type； Ercaotiaojing decoction； acupoint sticking therapy

原发性痛经发病率高，患者每个月至少有1～3 d的时间深受困扰，严重影响患者日常生活[1]。严重者还可引发负面情绪，增加患者焦虑、抑郁等情况，因此对痛经的治疗非常重要。中医药治疗原发性痛经有较好的疗效，且无毒副作用、方法简便、经济效益高，逐渐得到医学界的重视[2]。针对气滞血瘀型原发性痛经的患者，本院开展了二草调经汤联合穴位贴敷法治疗，效果较好。汇报如下：

1 资料与方法

1.1 一般资料

选择2020年1月—2020年9月江西省萍乡市中医院西门分院妇产科门诊接诊的原发性痛经患者60例，均符合原发性痛经诊断标准[3]，符合中医气滞血瘀证辨证标准[4]，且有连续三个月经周期以上的原发性痛经史，月经周期（28±7）d。分为研究组和对照组，每组30例。观察组患者年龄为18～40岁，平均（27.15±4.33）岁；……