全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

气滞血瘀型痛经的中西医治疗研究进展
Research Progress of Traditional Chinese and Western Medicine for Dysmenorrhea with Qi Stagnation and Blood Stasis

DOI: 10.12677/jcpm.2025.42251, PP. 843-850

Keywords: 气滞血瘀,痛经,临床治疗
Qi Stagnation and Blood Stasis
, Dysmenorrhea, Clinical Treatment

Full-Text   Cite this paper   Add to My Lib

Abstract:

痛经是一种常见的妇科疾病,以伴随月经周期规律性下腹部疼痛为主要临床表现,严重影响患者的工作及生活。现代医学常以抗炎镇痛治疗居多,但存在一定的不良反应及停药后易反复的问题。传统医学常采用中药汤剂、针刺、艾灸、穴位贴敷等治疗方法,具有副作用少、价格低廉的优势。中西医联合疗法既能即时止痛,又能减少药物的不良反应,实现“标本兼顾”的临床效果。本文对气滞血瘀型痛经的中西医治疗现状进行分析,为临床的诊治提供指导和参考。
Dysmenorrhea is a common gynecological disease, characterized by regular lower abdominal pain accompanying the menstrual cycle, which seriously affects the patient’s work and life. Modern medicine often focuses on anti-inflammatory and analgesic treatment, but there are certain adverse reactions and the problem of recurrence after discontinuation. Traditional medicine often uses traditional Chinese medicine decoctions, acupuncture, moxibustion, acupoint application and other treatment methods, which have the advantages of fewer side effects and lower prices. The combination therapy of traditional Chinese and western medicine can not only provide immediate pain relief, but also reduce adverse reactions of drugs, achieving the clinical effect of “balancing symptoms”. This article analyzes the current status of traditional Chinese and western medicine treatment for dysmenorrhea of qi stagnation and blood stasis type, providing guidance and reference for clinical diagnosis and treatment.

References

[1]  冯晓玲, 张婷婷. 中医妇科学[M]. 北京: 中国中医药出版社, 2021.
[2]  谢幸, 苟文丽. 中医妇产科学[M]. 北京: 人民卫生出版社, 2023.
[3]  Seidman, L., Temme, C.R., Zeltzer, L.K., Rapkin, A.J., Naliboff, B.D. and Payne, L.A. (2020) Ecological Momentary Assessment of Non-Menstrual Pelvic Pain: Potential Pathways of Central Sensitization in Adolescents and Young Adults with and without Primary Dysmenorrhea. Journal of Pain Research, 13, 3447-3456.
https://doi.org/10.2147/jpr.s283363
[4]  Tsonis, O., Gkrozou, F., Barmpalia, Z., Makopoulou, A. and Siafaka, V. (2021) Integrating Lifestyle Focused Approaches into the Management of Primary Dysmenorrhea: Impact on Quality of Life. International Journal of Womens Health, 13, 327-336.
https://doi.org/10.2147/ijwh.s264023
[5]  罗颂平, 刘雁峰. 中医妇科学临床研究[M]. 第2版. 北京: 人民卫生出版社, 2021: 89-90.
[6]  Osuga, Y., Hayashi, K. and Kanda, S. (2020) Long-Term Use of Dienogest for the Treatment of Primary and Secondary Dysmenorrhea. Journal of Obstetrics and Gynaecology Research, 46, 606-617.
https://doi.org/10.1111/jog.14209
[7]  张海燕. 膈下逐瘀汤及拆方对微循环障碍大鼠的影响和机制研究[D]: [硕士学位论文]. 济南: 山东中医药大学, 2016.
[8]  征征, 易莎, 刘艳霞. 膈下逐瘀汤治疗气滞血瘀型原发性痛经有效性和安全性的Meta分析[J]. 世界中西医结合杂志, 2021, 16(6): 995-1001.
[9]  王志平, 崔轶凡, 甘涛. 膈下逐瘀汤对EMT气滞血瘀型大鼠NF-κB信号通路及其下游因子的影响[J]. 中国实验方剂学杂志, 2022, 28(22): 23-32.
[10]  马婧, 任越, 赵博文. 基于活血功效靶标的血府逐瘀汤有效成分群辨识研究[J]. 中国中药杂志, 2021, 46(23): 6243-6250.
[11]  苏瑞, 曾诚, 曾蕾. 血府逐瘀汤治疗子宫内膜异位症的网络药理学研究[J]. 中药新药与临床药理, 2020, 31(3): 330-335.
[12]  陈海庚. 血府逐瘀汤加减治疗原发性痛经气滞血瘀型的临床观察[J]. 中国现代药物应用, 2021, 15(14): 195-197.
[13]  李云飞. 血府逐瘀汤加减治疗气滞血瘀型原发性痛经效果观察[J]. 临床合理用药, 2020, 13(4): 89-90.
[14]  常丽华. 活血化瘀行气汤治疗原发性痛经气滞血瘀型临床观察[J]. 实用中医药杂志, 2020, 36(1): 26-27.
[15]  唐英. 丹莪妇康煎膏治疗气滞血瘀型痛经的临床观察[J]. 医学信息(中旬刊), 2011, 24(9): 4241-4242.
[16]  Wang, X., Shi, Y., Xu, L., Wang, Z., Wang, Y., Shi, W., et al. (2021) Traditional Chinese Medicine Prescription Guizhi Fuling Pills in the Treatment of Endometriosis. International Journal of Medical Sciences, 18, 2401-2408.
https://doi.org/10.7150/ijms.55789
[17]  姜珊珊. 桂枝茯苓丸加减治疗气滞血瘀型子宫内膜异位症所致痛经的临床观察[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2019.
[18]  汪文迪, 黄宏丽, 夏艳秋, 等. 加味没竭片治疗气滞血瘀型原发性痛经的临床研究[J]. 上海中医药杂志, 2022, 56(8): 63-66.
[19]  郭尊莉. 深刺八髎穴治疗气滞血瘀型痛经的临床研究[D]: [博士学位论文]. 南京: 南京中医药大学, 2021.
[20]  曹雪. 针刺治疗原发性痛经(气滞血瘀型)的临床研究[D]: [硕士学位论文]. 长春: 长春中医药大学, 2017.
[21]  林玲. 经前期结合经后期针刺治疗气滞血瘀型原发性痛经的临床观察[D]: [硕士学位论文]. 福州: 福建中医药大学, 2021.
[22]  董甜甜, 曹敏, 冯园园, 等. 针刺、艾灸及耳穴压豆治疗45例气滞血瘀型痛经疗效比较研究[J]. 中国民族民间医药, 2014, 23(17): 30, 33.
[23]  刘世奇. 通脉温阳灸治疗气滞血瘀型原发性痛经的临床疗效观察[D]: [硕士学位论文]. 合肥: 安徽中医药大学, 2021.
[24]  张娜. 穴位埋线治疗原发性痛经气滞血瘀型的疗效观察[D]: [硕士学位论文]. 晋中: 山西中医药大学, 2019.
[25]  白俊嫄. 穴位埋线周期序贯疗法治疗气滞血瘀型原发性痛经的临床研究[D]: [硕士学位论文]. 兰州: 甘肃中医药大学, 2018.
[26]  Osayande, A.S. and Mehulic, S. (2014) Diagnosis and Initial Management of Dymenorrhea. American Family Physician, 89, 341-346.
[27]  Marjoribanks, J., Proctor, M., Farquhar, C. and Derks, R.S. (2010) Nonsteroidal Anti-Inflammatory Drugs for Dysmenorrhea. Cochrane Database of Systematic Reviews, No. 1, CD001751.
[28]  Durain, D. (2004) Primary Dysmenorrhea: Assessment and Management Update. Journal of Midwifery & Womens Health, 49, 520-528.
https://doi.org/10.1016/j.jmwh.2004.08.013
[29]  贾亮, 刘燕妮, 潘艳艳. 屈螺酮炔雌醇片(II)与屈螺酮炔雌醇片治疗原发性痛经的疗效分析[J]. 安大学学报(医学科学版), 2020, 18(4): 39-42.
[30]  Harada, T. and Momoeda, M. (2016) Evaluation of an Ultra-Low-Dose Oral Contraceptive for Dysmenorrhea: A Placebo-Controlled, Double-Blind, Randomized Trial. Fertility and Sterility, 106, 1807-1814.
https://doi.org/10.1016/j.fertnstert.2016.08.051
[31]  李蓉. 复方口服避孕药优思悦用药安全性与有效性的临床观察[D]: [硕士学位论文]. 昆明: 昆明医科大学2018.
[32]  Klipping, C., Duijkers, I., Fortier, M.P., Marr, J., Trummer, D. and Elliesen, J. (2012) Long-Term Tolerability of Ethinylestradiol 20 μg/Drospirenone 3 mg in a Flexible Extended Regimen: Results from a Randomised, Controlled, Multicentre Study. Journal of Family Planning and Reproductive Health Care, 38, 84-93.
https://doi.org/10.1136/jfprhc-2011-100214
[33]  程凡玲. 维生素E治疗原发性痛经的临床观察[J]. 临床医学, 2017, 2(6): 96-97.
[34]  罗小敏, 韦励, 罗国英, 等. 原发性痛经患者血清维生素E水平与痛经时视觉模拟评分及月经量评分的相关性研究[J]. 生殖医学杂志, 2021, 30(5): 679-682.
[35]  褚华清, 郑晖. 经皮神经电刺激在疼痛诊疗中的应用及研究进展[J]. 中国疼痛医学杂志, 2021, 27(9): 693-697.
[36]  王春平, 秦成路, 罗光楠. 腹腔镜骶前神经切除术[J]. 国际医药卫生报, 2006, 12(3): 100-102.
[37]  程启林, 刘素芹, 金玮, 杨益雯. 宫腔镜曼月乐环固定术治疗子宫腺肌病临床效果分析[J]. 中国医药科, 2024, 14(3): 136-177.
[38]  任健, 李晟辉, 代荫梅, 褚春, 巫剑红. 子宫腺肌病临床特点及病灶切除术疗效分析[J]. 生殖医学杂志, 2023, 32(8): 1158-1164.
[39]  吴雷波, 安素红. 针刺联合膈下逐瘀汤治疗气滞血瘀型痛经疗效及对前列腺素E2、前列腺素F2αβ-内啡肽影响[J]. 创伤与急危重病医学, 2020, 8(4): 273-280.
[40]  李伊謦. 刺络放血配合膈下逐瘀汤治疗气滞血瘀型原发性痛经的临床研究[D]: [硕士学位论文]. 广州: 广州中医药大学, 2021.
[41]  任冬玲, 江媚, 陈聪, 等. 秦月好辨证-辨病-辨体-辨期治疗原发性痛经[J]. 环球中医药, 2020, 13(4): 726-729.
[42]  朱洁怡, 许小宴. 化瘀止痛汤联合穴位敷贴治疗气滞血瘀型原发性痛经的临床疗效[J]. 当代医学, 2022, 28(20): 1-4.
[43]  张妮, 周娟, 李俐历. 督脉隔姜灸联合行气化瘀通经方治疗气滞血瘀型原发性痛经患者的临床效果[J]. 广西医学, 2022, 44(19): 2245-2263.
[44]  王建霞, 姜静霞, 张蕾. 膈下逐瘀汤联合芬必得治疗气滞血瘀型原发性痛经的临床疗效[J]. 医药论坛杂志, 2011, 32(19): 73-76.
[45]  齐媛媛, 任建宁, 佛新艳. 腹腔镜手术分别联合孕三烯酮与GnRH-a治疗子宫内膜异位症的效果比较[J]. 临床医学研究与实践, 2022, 7(35): 98-101.
[46]  徐倩, 戴逢伟. 消止痛汤联合西药治疗气滞血瘀型子宫内膜异位症痛经临床观察[J]. 中国中医药现代远程教育, 2022, 20(13): 119-121.
[47]  马红艳, 张俊莉. 布洛芬缓释胶囊与穴位埋线联合治疗对原发性痛经患者近期疗效与痛经积分的影响[J]. 实用临床医药杂志, 2020, 24(22): 57-59, 62.
[48]  席琳琳, 刘玉, 郭东霞. 针刺联合米非司酮治疗巧克力囊肿气滞血瘀型痛经临床研究[J]. 上海针灸杂志, 2021, 40(12): 1470-1474.
[49]  李静. 走罐法治疗痛证机制及临床疗效分析[J]. 中华针灸电子杂志, 2013, 2(4): 176-178.
[50]  董建萍, 杨雯婷, 王丹丹. 针刺配合走罐治疗气滞血瘀型痛经52例疗效观察[J]. 黑龙江中医药, 2021, 50(1): 67-68.
[51]  陈颖娟, 陈旦平. 痛经膏穴位贴敷联合中医定向透药疗法治疗气滞血瘀型原发性痛经疗效观察[J]. 河北中医, 2020, 42(4): 543-546.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133