| Background of the studyPrimary Dysmenorrhea is a common disease, frequently-occurring disease and clinical treatment in western medicine mainly is the use of prostaglandin synthesis inhibitors or inhibit ovulation, such as taking non-steroidal anti-inflammatory drugs (nsaids), such as birth control pills, although these drugs can relieve pain, but common side effects to the body is very big. Method of traditional Chinese medicine treatment of dysmenorrhea, except through the syndrome differentiation and treatment of oral Chinese medicine nursing of TCM characteristics such as acupuncture and massage therapy in the treatment of dysmenorrhea also has a significant effect, and the method is simple, non-toxic side effects, can relieve and prevent the recurrence for a long time. Compared with western medicine, Chinese medicine treatment of primary dysmenorrhea biggest advantage is side effect little and lasting curative effect. In numerous treatment of traditional Chinese medicine, massage simple, direct, high safety, to ease the pain with good efficacy.Professor luo winds in the second hospital of guangdong province is engaged in the massage work for many years, has the rich clinical experience in the treatment of department of gynaecology, especially in the treatment of dysmenorrhea, has its own characteristics. Professor luo grasps to inherit and carry forward the spirit of their long and short, avoidance and refinement, summed up a set of standardized dysmenorrhea massage:abdominal push the supply of the specific technique and the innovation of lumbar di ministry pushed clean technique, its standardization embodies directly impact on the technique of choosing the right abdomen and lumbar di ministry, which select the operation on adjacent tissue, select a specific channels and collaterals, and optimizing massage acupuncture points, etc. The specific technique has been well applied in the treatment of primary dysmenorrhea.ObjectiveThis topic proposed by comparing the roche massage treatment group and conventional drugs of traditional Chinese medicine treatment of primary dysmenorrhea (notoginseng dysmenorrhea capsules) control group, the VAS scale score, pain symptoms integral, and the pain of TCM symptom score before and after the treatment curative effect evaluation, and the clinical curative effect, to explore the advantage of roche massage treatment for primary dysmenorrhea. And further analysis the methods of treatment of primary dysmenorrhea effect mechanism;Provide new treatment of primary dysmenorrhea and at the same time, also provide the massage treatment of primary dysmenorrhea with more effective and more scientific theory basis.MethodsThis topic to choose the second hospital of guangdong province massage clinics, outpatient service of department of gynaecology and guangzhou university of Chinese medicine in female college students met inclusion criteria and exclusion criteria,60cases of primary dysmenorrhea patients as the research object. Randomly divided into two groups, treatment group30cases and control group30cases. The treatment group to adopt the roche massage treatment, control group using conventional drugs (notoginseng dysmenorrhea capsules) for treatment of traditional Chinese medicine. The week before starting treatment, treatment of three menstrual cycles in a row. The VAS scale score, pain symptom integral and TCM symptom scores before and after the treatment of pain, curative effect evaluation were observed before treatment and after each course of treatment4VAS pain rating scale and the change of symptom integral, and three treatment before and after the treatment of2times of TCM symptoms curative effect index scale calculation.Results1.VAS scale score:two groups after treatment of VAS values are falling, and one course of treatment group and control group in the second period of treatment was statistically difference (P<0.05), in the third period of treatment had significant difference (P<0.01). Treatment group4VAS values were significantly different (P<0.01), the control group before treatment with the first course of VAS values have statistical difference (P<0.05), the first course of treatment and the second course of VAS values no statistical difference (P>0.05), the second and the third course of VAS values have significant difference (P<0.01).2. Pain symptoms integral curative effect evaluation:in the first two period of treatment curative effect of the two groups have no statistical difference (P>0.05), the third treatment curative effect after treatment was statistically difference (P<0.05).3. Symptom scores of traditional Chinese medicine efficacy evaluation: Clinical cure rate in treatment group was23.3%, the efficiency was36.7%, effective rate was36.7%, total effective rate was96.7%;Control group clinical cure rate was10.0%, the efficiency was13.3%, effective rate was66.7%, total effective rate was90.0%. Through statistical analysis, P<0.05, the curative effect is similar between the two groups have statistical significance, shows that treatment group total effectiveness, clinical cure rate were superior to control group, visible roche massage treatment of primary dysmenorrhea efficacy is superior to the cropland7capsule in the treatment of dysmenorrhea.Conclusion1. The roche massage and panax notoginseng were used respectively to dysmenorrhea capsules to treat primary dysmenorrhea, results show two groups of treatment can obviously relieve the pain.2. VAS scale score results suggest:roche massage treatment of primary dysmenorrhea curative effect is superior to the use of panax notoginseng dysmenorrhea capsules, and take effect quickly, panax notoginseng dysmenorrhea capsules treatment effect is a bit slow, but as the accumulation of the extension of treatment efficacy function, efficacy gradually better.3. Pain symptoms integral result shows:with the extension of treatment cycle, roche massage treatment group curative effect is better.4. The TCM symptom scores showed that roche massage effect is good to the improvement of the TCM symptoms in panax notoginseng dysmenorrhea capsules.To sum up, roche massage in the treatment of primary dysmenorrhea has absolute advantage, and the operation is simple, convenient, easy to accept patients with, clinical curative effect is distinct, worthy of clinical popularization and application. |
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