中医辨证分期治疗原发性痛经81例临床疗效观察

目的：探讨中医辨证分期治疗原发性痛经的临床疗效。方法：2011年2月～2012年9月，采用中医辨证分期治疗原发性痛经患者81例。年龄16～25岁，中位数19岁。病程2个月～3年，中位数1年。临床表现为经期或经行前后下腹部疼痛、坠胀，部分患者伴头痛、恶心、呕吐或腹泻。妇科检查无阳性体征发现，部分患者下腹部轻微压痛。轻度痛经给予血府逐瘀汤口服，中度痛经给予四物汤口服，重度痛经给予桃红四物汤口服。治疗1个月经周期为1个疗程，连续治疗3个疗程。治疗结束后随访观察并评价疗效。结果：本组81例患者均获得随访，随访时间4～9个月，中位数6个月。按照《中医病证诊断疗效标准》中痛经的疗效评定标准评价疗效，本组治愈73例，好转8例。结论：采用中医辨证分期治疗原发性痛经，疗效可靠，患者易于接受，值得临床推广应用。

Clinical observation on treating 81 cases of primary dysmenorrhea in TCM

Objective：To investigate the TCM treatment of primary dysmenorrhea. Methods：February 2011 to September 2012, 81 patients with primary dysmenorrhea were collected, aged 16 to 25 years. Duration of 2 months to 3 years. Clinical manifestations of lower abdominal pain before and after menstruation was shown, some patients come with headache, nausea, vomiting or diarrhea. Gynecological examination found no positive signs;in some patients mild lower abdominal tenderness was found. Mild dysmenorrhea was given the Xuefu Zhuyu decoction orally, moderate dysmenorrhea given the Siwu decoction orally, severe dysmenorrhea was given the Taohong Siwu decoction orally for three months. Results：81 patients were followed up for 4 to 9 months. Accordance with the“TCM Syndrome Diagnostic efficacy standards”dysmenorrhea evaluated the efficacy evaluation criteria, 73 cases were cured, improved in 8 cases. Conclusion：TCM treatment of primary dysmenorrhea installments, effective and reliable, easily accepted by patients, worthy of clinical application.