活血化瘀法治疗青春期痛经临床观察

作者	单位
吴青青	Wu Qingqing, Chen Youkui, Niu Jianmei, et al Beijing Hui Nationality Hospital, Beijing (100054
陈友葵	Wu Qingqing, Chen Youkui, Niu Jianmei, et al Beijing Hui Nationality Hospital, Beijing (100054
牛建梅	Wu Qingqing, Chen Youkui, Niu Jianmei, et al Beijing Hui Nationality Hospital, Beijing (100054
韩晓春	Wu Qingqing, Chen Youkui, Niu Jianmei, et al Beijing Hui Nationality Hospital, Beijing (100054

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中文摘要:

目的 :观察活血化瘀药物———痛经冲剂对痛经的疗效 ,探讨痛经的病理生理改变。方法 :用积分法观察痛经疗效 ,并用彩色多普勒超声诊断仪测量子宫动脉血流参数 ,用锥板式粘度计测量血液流变学指标并与健康者比较。结果 :痛经患者子宫动脉血流参数搏动指数 (PI)、阻力指数 (RI)、收缩期峰值 /舒张期峰值 (A/B)值均显著高于健康人组 ,经痛经冲剂治疗后上述参数值明显下降。患者血液流变学指标中除血沉值低于健康人组外 ,其余指标均显著高于健康人组 ,治疗后血液流变学指标恢复正常。结论 :青春期痛经患者血液处于浓、粘状态 ,子宫动脉呈高阻低速血流特征。痛经冲剂可以改善患者的血循环状态 ,达到缓解疼痛的目的。

英文摘要:

Objective: To observe the therapeutic effect of Tongjing powder (TP) and understand the change in pathophysiology of dysmenorrhea, the blood flow parameters of uterine arteries and hemorheological data before and after the TP administration. Methods: The blood of both uterine arteries of patients was examined by color doppler flow imaging. The hemorheological data was examined by conical viscosimeter. The two groups were compared with each other. Results: Pulsation index (PI), resistance index (RI), systolic peak value/diastolic peak value (A/B value) of dysmenorrhea patients and hemorheological data except erythrocyte sedimentation rate of dysmenorrhea patients were significantly higher than the normal control group. After treating with TP, no difference existed between two groups. Conclusions: The blood of dysmenorrhea patients appear to be viscous and adhesive, TP can improve the state of blood circulation and treat the dysmenorrhea effectively.

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