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综合疗法治疗子宫内膜异位症痛经的临床疗效观察

Treatment of Dysmenorrhea Caused by Endometriosis with Combined Modality Therapy: A Clinical Observation

【作者】 朱晴

【导师】 卢苏;

【作者基本信息】 南京中医药大学 , 中医妇科学, 2010, 硕士

【摘要】 目的:观察内服中药联合局部超声电导仪治疗子宫内膜异位症痛经的疗效,总结综合疗法治疗子宫内膜异位症所致痛经的临床经验。方法:40例子宫内膜异位症痛经患者,辨证属肾虚血瘀型,随机分为治疗组和对照组,治疗组20例,对照组20例。对照组采用口服中药内异缓痛汤的治疗方法,治疗组采用口服中药内异缓痛汤加局部超声电导仪的治疗方法。两组均采用慢性疼痛(痛经)分级问卷、痛经程度评分标准及临床疗效评定法进行评估。观察治疗前、后两组患者的痛经改善程度,评价本方法的干预作用。观察数据用SPSS13.0统计分析软件处理。结果:治疗组和对照组在治疗子宫内膜异位症痛经总疗效的比较,总有效率分别为85.00%和80.00%,两组比较有统计学意义(P<0.01),治疗组在治疗子宫内膜异位症痛经的总疗效优于对照组。对两组进行自身前后比较,慢性疼痛(痛经)分级问卷积分、痛经程度评分与治疗前相比,均有统计学意义(P<0.01)。结论:综合疗法能有效地改善子宫内膜异位症所致痛经的情况,有很好的止痛效果。

【Abstract】 Objective:To observe the clinical evaluation of combined modality therapy treating dysmenorrhea caused by EMs.Methods:40 patients complained with dysmenorrhea were randomly divided into treatment group(20 patients) and control group(20 patients). Control group used the therapy for oral decoction, treatment group used oral decoction and ultrasound conductimeter treatment. All patients were assessed with chronic pain(dysmenorrhea) grade questionnaire, dysmenorrhea scoring criteria and clinic curative effect assessment.Results:The comparation of overall efficacy of endometriosis between treatment group and control group,the total effective rate were 85% and 80% respectively,there was statistically difference (P<0.01).In overall efficacy of endometriosis, treatment group is more effective than control group. Comparation with the two groups own respectively,their chronic pain (dysmenorrhea) classification questionnaire points,dysmenorrhea severity score compared with those before treatment,were statistically significant.Conclusion:combined modality therapy has significant therapeutic effects on patients with dysmenorrhea caused by EMs,it is valuable for widely used in clinic.

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