活血化瘀法治疗原发性痛经临床疗效及血液流变学相关性分析
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第四军医大学唐都医院,陕西西安710038

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R27111+3

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Traditional Chinese Medicine Treatment of Primary Dysmenorrhea and Observe Clinical Correlation of Hemorheology
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Tangdu Hospital, Fourth Military Medical University,Xian Shanxi,710038,China

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    摘要:

    目的:探讨中药活血化瘀法对原发性痛经患者血液流变学的影响。 方法:35例原发性痛经患者,年龄在18~24岁之间,大多数为在校大、中学生,嘱其于月经前2d口服活血化瘀类中药颗粒剂,每日一剂,连服4d。连续服用3个月经周期,观察临床疗效,并检测治疗前后血液流变学指标。结果:35例原发性痛经患者临床总有效率943%;血液流变学指标显示:血浆粘度、不同切变率下的全血黏度、红细胞压积及红细胞最大聚集指数明显降低;红细胞最大变形能力增强(P<001);纤维蛋白原虽有不同程度的改变,但无统计学意义。结论:原发性痛经的主要病机与血液的高“浓、粘、凝、集”状态有关,活血化瘀类中药具有改善血液流变性,降低血液黏度,改善子宫微循环的作用。

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    purpose:To investigate the stasis of Chinese medicine in patients with primary dysmenorrhea hemorheology.Methods:35 patients with primary dysmenorrhea patients aged between 18-24 years old,mostly school and high school students,Well its two days before menstruation Traditional Chinese Herbal oral granules daily one, even the service 4 days.Take three consecutive menstrual cycles.The clinical efficacy,and test patients before and after the blood rheology.Results:35 cases of primary dysmenorrhea clinical total effective rate was 943%;blood rheology showed:plasma viscosity, different shear rate whole blood viscosity,hematocrit and erythrocyte aggregation index was significantly lower maximum;maximum deformation of red blood cells capacity increased(P<001);fibrinogen,although there are different degrees of change,but not statistically significant.Conclusion:The main pathogenesis of primary dysmenorrhea and blood high “concentration,viscosity,coagulation and set”state related to Traditional Chinese Traditional Medicine has improved blood viscosity,reduced blood viscosity,improve microcirculation in the uterus,so that pain ease.

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