铜砭刮痧治疗寒凝血瘀型原发性痛经临床效果

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Abstract Objective To explore the clinical effect of copper-bian scraping therapy in the treatment of primary dysmenorrhea with syndrome of cold congelation and blood stasis. Methods A total of 80 primary dysmenorrhea patients with syndrome of cold congelation and blood stasis who met the inclusion and exclusion criteria and were admitted to Department of Gynecology in the Second Affiliated Hospital of Heilongjiang University of Chinese Medicine from August 2019 to August 2020 were selected as the study subjects. According to the random number table method, they were divided into the treatment group (40 cases) and the control group (40 cases). The control group was treated with Ibuprofen Tablets from the first day of menstruation until the pain was relieved; the treatment group was treated with copper-bian scraping therapy on the first day of menstruation on the basis of the control group, and the next treatment was carried out after the scraping. Both groups were treated for three menstrual cycles. The score of pain visual analogue scale (VAS), dysmenorrhea degree score and traditional Chinese medicine symptoms (hypogastrium psychroalgia, less menstrual volume, atropurpureus menstruation with blood stasis, fear of cold and cold limbs, greenish and pale complexion) score of the two groups were observed before and after treatment, and the clinical efficacy of the two groups was evaluated. Results VAS scores: there were all statistically significant differences between the two groups in comparison, time point comparison and interaction (P < 0.05). Intra-group comparison: after the first, second and third menstrual cycles of treatment, the VAS scores were all lower than those before treatment, and the differences were all statistically significant (P < 0.05). Comparison between groups: after the first menstrual cycle of treatment, the difference of VAS scores between the two groups was not statistically significant (P > 0.05). After the second and third menstrual cycles of treatment, the VAS scores in the treatment group were lower than those in the control group, the differences were all statistically significant (P < 0.05). After treatment, dysmenorrhea degree score and traditional Chinese medicine symptom score of the two groups were lower than those before treatment, the differences were all statistically significant (P < 0.05); and dysmenorrhea degree score and traditional Chinese medicine symptom score of the treatment group were significantly lower than those of the control group, the differences were all statistically significant (P < 0.05). The total effective rate in the treatment group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion Copper-bian scraping method can significantly relieve the pain degree and traditional Chinese medicine symptoms of primary dysmenorrhea patients with syndrome of cold congelation and blood stasis, and improve the quality of life of patients, which is worthy of clinical promotion and application.

Key words： Copper-bian scraping Syndrome of cold congelation and blood stasis Primary dysmenorrhea

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	WANG Shurong1 DUAN Zhiyu2 DIAO Wangping2 WU Dan2 ZHANG Tianchan2 WANG Yufei2 ZOU Xiangni3

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WANG Shurong1 DUAN Zhiyu2 DIAO Wangping2 WU Dan2 ZHANG Tianchan2 WANG Yufei2 ZOU Xiangni3. Clinical effect of copper-bian scraping therapy in the treatment of primary dysmenorrhea with syndrome of cold congelation and blood stasis[J]. 中国医药导报, 2021, 18(26): 147-151.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/147

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