原发性痛经的发病机制及治疗研究进展

Huijie Ma, Linyan Li, Boya Zhang, Jun Chen, Shu Yuan, Guizhi Wang, Yingui Sun
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引用次数: 2

摘要

原发性痛经是育龄妇女常见的妇科疾病之一,严重者可影响患者的工作、学习和生活。从西医的角度来看,原发性痛经是由前列腺素分泌过多和子宫平滑肌收缩引起的,因此西医的治疗重点是口服非甾体类抗炎药或避孕药,但其副作用不容忽视。从中医的角度来看,原发性痛经是气血郁结引起的,所以中医的重点是辨证论治,可以通过针灸、汤剂、艾灸等方法改善气血郁结,副作用少,临床意义长远。本文旨在分析近年来有关原发性痛经发病机制及治疗的相关文献,了解西医与中医对原发性痛经的研究进展,为临床治疗原发性痛经提供参考。
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Research Progress on Pathogenesis and Treatment of Primary Dysmenorrhea
Primary dysmenorrhea is one of the common gynecological diseases of women of childbearing age, which can affect the work, study, and life of patients in severe cases. From the perspective of Western medicine, primary dysmenorrhea is caused by excessive secretion of prostaglandin and contraction of uterine smooth muscle, so the treatment focus of Western medicine is oral non-steroidal anti-inflammatory drugs or contraceptives, but its side effects cannot be ignored. From the perspective of Chinese medicine, primary dysmenorrhea is caused by qi-blood stagnation, so the focus of Chinese medication is dialectical treatment, which can improve qi-blood stagnation by acupuncture, decoction, moxibustion, etc., with fewer side effects and long-term clinical significance. The purpose of this paper is to analyze the relevant literature about the pathogenesis and treatment of primary dysmenorrhea in recent years, and to understand the research progress of primary dysmenorrhea in Western medicine and traditional Chinese medicine, so as to provide a reference for clinical treatment of primary dysmenorrhea.
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