| 中文摘要 |
痛經是臨床常見婦科疾病，曾有報告指出發生在51% 至85% 的女性身上，並影響到上學及生活。本研究為評估使用中藥穴位外敷治療痛經的臨床療效，共收案28 位MultidimensionalScoring System 評分為中度疼痛等級之痛經婦女；使用測量工具為疼痛視覺類比量表（Visualanalogue pain scale, VAS）、經期生理不適量表（Menstrual Distress Questionnaire; MDQ）問卷，以評估患者因痛經而造成生理不適症狀。外敷藥餅是將香附、延胡索、當歸、川芎、蒲黃、五靈脂、乾薑、吳茱萸等藥物製作成藥餅，敷貼於關元穴（RN4）及神闕穴（RN8）穴位之下方。於每次月經經前五天開始敷貼至經行第三天停止，每晚貼敷8 小時，每天一次，共敷貼治療三個月經週期。治療前後由病人自己填寫VAS 及MDQ 問卷以評估療效。統計方法使用重覆測量變異數分析。結果發現，痛經婦女經中藥穴位敷貼療法治療後，月經經期腹部最疼痛程度減輕、經期生理不適之下腹脹、下腹痙攣痛、容易疲倦症狀程度減輕（P<0.01），其作用機制值得進一步研究。Dysmenorrhea is a common clinical gynecological disease, had been reported from 51% to 85% of women, and also a frequent cause of absenteeism from school or restriction of daily activity. The aim of this study was to evaluate the clinical effect on dysmenorrhea with the use of Traditional Chinese Medicinal herbal paste onto acupoints. The Traditional Chinese Medicinal herbal paste were made with Radix Angelicae Sinensis, Rhizoma Ligustici Chuanxiong, Cyperi rhizome, Corydalis tuber, Typhae Pollen, Trogopterori Faeces, Zingiberis Cutis, Evodia rutaecarpa. The selected acupoints were Shenque (RN8) and Guanyuan (RN4) . The paste was placed on 2 acupoints for 8 hours once a day, beginning from 5 day before the start of menstruation until 3 day after the start of menstruation. The total course of treatment was three consecutive menstrual cycles. The present study used the Visual Analog Pain Scale (VAS) and Menstrual Distress Questionnaire (MDQ) to measure the functional outcome, which were assessed by the patients before and after treatments. This study subjects included 28 patients who received completed treatment at Chang Gung Memorial Hospital, Taiwan. The results indicated dysmenorrhea can be managed effectively by the use of Traditional Chinese Medicinal herbal paste onto selected acupoints. The intensity of menstrual discomfort, fatigue, fullness and cramps in the lower abdomen was significantly decreased. (P<0.01) The mechanism of its efficacy needs further study. |
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