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中文摘要: 摘 要：目的：探讨中药热罨包联合耳穴压丸治疗寒凝血瘀型原发性痛经的临床疗效。方法：选取2021年3—12月上海 市浦东新区洋泾社区卫生服务中心收治的中医辨证为寒凝血瘀型原发性痛经患者 80例，将其随机分为西药对照组 （n=40） 和中医外治组 （n=40）。西药对照组给予患者口服布洛芬缓释胶囊治疗，中医外治组给予患者中药热罨包联合耳穴压丸法治 疗，比较两组患者临床疗效及安全性。结果：中医外治组总有效率 （80.00%） 显著高于西药对照组 （55.00%），差异有统计 学意义 （Z=-2.414，P＜0.05）。治疗后中医外治组患者 VAS评分和 SAS评分均低于西药对照组，差异有统计学意义 （t值分 别为2.772、3.896，P＜0.05）。两组治疗方案均无明显毒副作用，安全可靠。结论：中药热罨包联合耳穴压丸可有效治疗寒 凝血瘀型原发性痛经，可明显改善痛经等相关症状，有效缓解患者焦虑情绪。
Abstract:Abstract: OBJECTIVE To explore the effect of traditional Chinese medicine(TCM) fomentation sack and auricular acupoint pressing pills therapy on primary dysmenorrhea with syndrome of blood-stasis due to cold coagulation. METHODS 80 cases of prima⁃ ry dysmenorrhea with syndrome of blood-stasis due to cold coagulation from March to December in 2021 were randomly divided into control group of western medicine(n=40)and treatment group of TCM （n=40） . The patients of control group of western medicine were given ibuprofen sustained-release capsules, and the patients of treatment group of TCM were given TCM fomentation sack and auricular acupoint pressing pills therapy. The clinical efficacy and safety of two groups were analyzed. RESULTS The total effective rate of the TCM external treatment group was significantly higher than that of the western medicine control group(80.00%VS55.00%, Z=-2.414, P＜0.05). VAS score and SAS score of TCM external treatment group were significantly decreased compared with western medicine control group ( t=2.772, 3.896, P＜0.05 ). The therapies of two groups had no toxic effects and side effects, they were safe and reliable for clinic. CONCLUSION The TCM fomentation sack and auricular acupoint pressing pills therapy are effective for pri⁃ mary dysmenorrhea with syndrome of blood-stasis due to cold coagulation, and improve pain and other related symptoms significant⁃ ly, relieve anxiety effectively .
keywords: Keywords: cold coagulation and blood stasis type primary dysmenorrhea Chinese medicine hot socket ear point pressure pill curative effect
文章编号：3202110025 中图分类号：R244.9 文献标志码：