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活血化瘀法为主治疗痛经31例疗效观察 预览 被引量:7

Observation on Therapeutic Effect of the Method for Activationg Blood Circulation to Remove Blood Stasis in 31 Cases of Dysmenorrhea
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摘要 目的:探讨活血化瘀法为主治疗痛经的临床疗效及其与改善甲襞微循环的关系.方法:31例痛经患者以活血化瘀为基本治法,在治疗前后进行甲襞微循环观察,采用甲襞微循环加权积分法进行分析比较.结果:治疗前总积分值最高,Σ(A×B)属重度异常,说明微循环障碍严重,与健康对照组比较差异有显著性(P<0.01);治疗后总积分明显下降,Σ(A×B)属轻度异常,说明微循环有较明显改善,与治疗前比较有显著性差异(P<0.01).随着临床症状的缓解和微循环障碍改善,总积分值随之下降.结论:"不通则痛"的发病机理与微循环障碍有密切关系;对痛经的施治,除了强调辨证外,改善微循环障碍亦是一个重要方面. Objective:To observe therapeutic effect of the method for activating blood circulation to remove blood stasis on dysmenorrhea and to explore the relation between the therapeutic effect and improvement of nail fold microcir-culation.Methods:Thirty-one cases of dysmenorrhea were treated by activating blood circulation to remove blood stasis as basic therapy and the nail fold microcirculation before and after treatment was investigated.Nail fold microcirculation weighted integration was used for analysis and comparison.Results:Before treatment the total integrating score was the highest and ∑(A×B)belonged to abnormality, indicating severe disturbance of microcirculation,with a very significant difference as compared with that of the healthy control group.After treatment the total integrating score decreased significantly and ∑(A×B)belonged to mild abnormality,indicating that microcirculation more obviously improved,and the total integrating score decreased gradually with alleviation of clinical symptoms and improvement of microcirculation disturbance.Conclusion:Pathogenesis of“obstruction in channels and collaterals inducing pain”is closely retlated with microcirculation disturbance,and improvement of microcirculation is an important aspect, besides TCM syndrome differentiation,for treatment of dysmenorrhea.
作者 周丽华 钟琳 周晓爱 Zhou Lihua 1.Wuhan Municipal Third Hospital,Wuhan,Hubei Province,130060;Zhong Lin 2.Shenzhen Bao'an District People's Hospital,Guangdong Province;Zhou Xiaoai 3.Institute of TCM of Hubei Province
出处 《中医杂志》 CSCD 北大核心 2005年第3期 205-206,共2页 Journal of Traditional Chinese Medicine
关键词 治疗前 痛经 微循环障碍 甲襞微循环 主治 活血化瘀法 疗效观察 分值 结论 积分 Dysmenorrhea/TCM therapy Activating blood circulation to remove blood stasis
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