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1、广州中医药大学硕士学位论文穴位敷贴治疗原发性痛经的临床疗效观察姓名：杨蕙如申请学位级别：硕士专业：针灸推拿学指导教师：龚东方20060501目前西医对原发性痛经的治疗主要用前列腺素合成酶抑制剂、口服避孕药、13肾上腺素受体阻滞剂、外科手术等。在本篇研究中，西药对照组对大多数原发性痛经能起到实时止痛的效果，但长期疗效不满意，病人每月都需服药，且上痛药的副作用不可忽视。而药物敷贴疗法作为祖国传统疗法，具有多样优势，其拥有不错的近期疗效，且其长期疗效更加优于止痛药组，是值得推广及普及的一种治疗手段。关键词：原发性痛经
2、；外治法；穴位敷贴jntreatingprimrydyrmenorrheaSpeciality.Acupuncturc&MoxibustionAuthor：YangIIuiZUTutor：prof.GangDongfangAbstractPrimarydysmenorrhea,asoneofthecommondiseasesinadolescenee,oweinterfereswithmanyadolescents,life,studyandexercises・Dysmenorrheareferstopain,
3、distendingandbearing—downsensatioen,limploinandsomeotherdiscomfortwhichdisturbsworkandre,afterorduringmenstruation・Itcanbcdividcdintoprimaryan6secon6arydysmenorrhea.Primarydysmenorrhea,whichaistendingandbearing—downsensationin1owerabdomendnoorganicchangeinge
4、nitalorgansandthusiseal1edfuntshatnear1a.ReporshowedthesexmaturewomenhaingmevethehistoryorheThepies,iSmu1ti一originaerineted.Theeimarydysmenorrhea,showedbymedica1studauseofitmaybetheover—contractionofutmuscles,ischemiaofuterus,influencesofnervesandneurotransm
5、itteraswe11asthesecretionofprostaglandin.andthesepathologicalchangescouldbedUet0mechan•1Ca1,end0Cr•ne,genet•1c,menta1,nerveandneur0transm•1tterfact0rsandmany0therS■ManycVidencesshoWthattheincreasedsynlhesisandsecretion0fPr0stag1and■1nareimPortantcauseS0fpr■1
6、marydysmenorrheaandthosewhosuffercdfromthediseascd0haveamarkcd1yh■1gher1eVe10fPr0stag1and•1n•1nendometr•1umthanaVeragew0man.AnotherimP0rtantcausePr0Vedbymanystud•1es•1sangiotensin.Wh(?ncornbinedw•1thitsc0rresp0ndingrecCpt-□rsinutcrus9itcancausccontr21ctiono
7、futcrinidmusc1esandthOSOsma11bin.ItiSsantratiofangiens1t1loodvesselSinbetween,thusresu1tingin1oca1ischemiaandpaidpatientswithdysmenorrheawouldhaveonetimehigherconceonotensinintheirbodieSthanhea1thypeop1e,andtheyaremoresvethatoxyt,butstimu1efus'Scocinnotonlyd
8、irectlyeffectonuterinemusclestocontraceendometrialcelIstoreleasePGs——againcausingutn.Patientswithdysmenorrheagenera1lyhavehigheroxytnon——pregnantwomen,whicha1sosupportsoxytocincanInTraditusedbye
