“心身按摩”法治疗气滞血瘀型原发性痛经的临床观察

Clinical observation on “body massage combined with psychological massage” in treating primary dysmenorrhea with Qi stagnation and blood stasis

关键词:  松振腹法  心理疏导  心身按摩  原发性痛经  临床观察

Key words:  vibrating abdomen  psychological counseling  body massage combined with psychological massage  primary dysmenorrhea  clinical observation

摘要:

[目的] 探讨松振腹法联合心理疏导这种“心身按摩”法治疗气滞血瘀型原发性痛经（PD）的有效性及其相关治疗机制。[方法] 将164 例气滞血瘀型PD 患者随机分为治疗组79 例、单纯手法组45 例和药物组40 例，治疗3个月后进行疗效评价，并观察治疗前后前列腺素（PGF_2a）指标的变化。[结果] 总有效率组间无差异，治疗组的治愈率较两对照组差异有统计学意义（P<0.05），且远期疗效亦优于两对照组。3 组治疗后PGF_2a水平均有明显下降，治疗后组间差异更具有统计学意义（P<0.01）。[结论] “心身按摩”法治疗气滞血瘀型PD 疗效肯定，复发率低，能降低患者血浆PGF_2a水平，改善子宫微循环，达到治疗目的。

Abstract:

[Objective] To investigate the effect and its therapeutic mechanism of vibrating abdomen combined with psychotherapy on primary dysmenorrhea (PD) with Qi stagnation and blood stasis. [Methods] One hundred and sixth-four cases with above type of PD were chosen and divided into three groups randomly. The treatment group with 79 cases were treated by combined treatment, while control group with 45 cases were treated by the pine vibration abdomen, the others with 40 cases were given Yuanhu Zhitong Pian for oral administration. We observed the clinical symptoms and the serum PGF_2α in all the patients before and after treatment. [Results] Not only the cure and total effective rate but also the long-term effect of the treatment group were significantly higher than that of control. The difference was statistically significant (P<0.05). The indexes of serum PGF_2α before and after treatment in all groups were deceased obviously, but the difference of the treatment group was more statistically significantly (P<0.01). [Conclusion] The vibrating abdomen with psychotherapy treatment has indeed a good therapeutic effect on this disease. The improvement of clinical symptoms is obvious. The effect may be achieved through decreasing the content of PGF_2α in the serum.