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宋卓敏,邢淑丽,罗美玉,孙淑珍,哈孝贤,朱林平.痛经宁颗粒治疗原发性痛经的临床观察[J].,2005,(7):608-611
痛经宁颗粒治疗原发性痛经的临床观察
Effect of Tongjingning Granule on Primary Dysmenorrhea
  
DOI:
中文关键词:  痛经宁颗粒  原发性痛经  卵巢激素  内皮素  降钙素基因相关肽
英文关键词:Tongjingning granule  primary dysmenorrhea  ovarian hormone  endothelin  calcitonin gene-related peptide
基金项目:国家中医药管理局科研基金资助项目(No.97Z002)
Author NameAffiliation
SONG Zhuo-min 天津中医学院中医药研究中心 
XING Shu-li 天津中医学院 
LUO Mei-yu 天津中医学院第一附属医院 
孙淑珍 天津中医学院第二附属医院 
哈孝贤 天津中医学院中医药研究中心 
朱林平 天津中医学院中医药研究中心 
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中文摘要:
      目的探讨中药痛经宁颗粒治疗原发性痛经(PD)的作用机制。方法以痛经宁颗粒治疗PD患者120例,并设西药阿司匹林治疗的40例作对照,同时对部分患者进行了治疗前后黄体中、末期血清雌激素(E2)、孕激素(P),黄体中期、经期内皮素(ET)和降钙素基因相关肽(CGRP)含量的检测。结果治疗组临床疗效优于对照组(P<0.01);对重度、中度PD患者的显愈率及主要兼症的改善率优于对照组(P<0.01)。治疗后治疗组E2水平、ET含量较治疗前明显下降(P<0.01);P、CGRP含量则明显上升(P<0.01)。结论中药痛经宁颗粒可调节雌孕激素、ET和CGRP;并具有调整精神、情绪,促进机体内环境平衡及疗效巩固的优势。
英文摘要:
      ObjectiveTo study the mechanisms of Tongjingning Granule (TJN) on primary dysmenorrhea (PD). MethodsOne hundred and twenty PD patients were treated with TJN, and 40 patients treated with aspirin as controls. The levels of serum estrogen (E2) and progestin (P) content in the luteal metaphase and anaphase (MI/AI) as well as endothelin (ET) and calcitonin gene related peptide (CGRP) in the metaphase and menstrual stage before and after treatment in partial patients were determined. ResultsThe therapeutic effect , and the curative markedly-effective rate and improvement rate of main accompanied symptoms of severe and moderate PD patients in the treated group were superior than those in the control group (P<0.01). The level of E2 and ET were significantly decreased, and the content of P and CGRP were significantly increased in the treated group after treatment respectively (P<0.01). ConclusionJTN not only can regulate ovarian hormone, ET and CGRP, but shows advantages in adjusting spirits and emotions, improving homeostasis and consolidating the therapeutic effect.
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