国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (5): 437-440.

• 综述 • 上一篇    

非药物方法治疗原发性痛经的新进展

李涵，吕亚楠，李亦梅   

  1. 830054 乌鲁木齐，新疆医科大学第一附属医院疼痛科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-10-25 发布日期:2016-10-25
  • 通讯作者: 李亦梅

Non-pharmacological Treatment of Primary Dysmenorrhea

LI Han, LYU Ya-nan，LI Yi-mei   

  1. Department of Pain Management, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-10-25 Online:2016-10-25
  • Contact: LI Yi-mei

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摘要： 原发性痛经（primary dysmenorrhea，PD）是发病率较高的妇科疾病，尤其多见于未婚年轻女性，严重影响其日常工作及生活。其发病机制与前列腺素E2（PGE2）及PGF2α水平的异常升高，子宫平滑肌的痉挛和腹部肌肉的紧张、僵硬甚至纤维条索的形成有关；另一方面社会心理因素也是影响PD的因素之一。目前临床上主要以口服非甾体抗炎药物或口服复方避孕药为主，但其存在消化、心血管系统的不良反应，因而限制了在临床上的广泛应用。近年来，祖国医学和现代医学提出了多种非药物方法治疗PD，均具有一定的疗效。综述PD的发病机制、祖国医学与现代医学对PD治疗研究进展，以期为临床治疗PD提供理论指导。

关键词: 痛经, 前列腺素, 运动疗法, 行为疗法, 经皮神经电刺激, 冲击波针灸疗法

Abstract: Primary dysmenorrhea(PD) is one of the most common gynecologic diseases, especially among unmarried young women. It is believed that many factors are related to the PD pathomechanism, such as the abnormally elevated levels of prostaglandin E2 and F2α, the spasm of uterine smooth muscle, the tension and stiffness of abdominal muscle, the formation of fibrous cords, and even the social psychological factors. Currently, the oral non-steroidal anti-inflammatory drugs or the combined oral contraceptive pills are the main treatment for PD. However, the adverse reactions in digestion and cardiovascular system affected their clinical application. Chinese traditional medicine and modern western medicine developed many kinds of non-pharmacological methods for PD treatment. The research progress of those non-pharmacological treatment of PD, Chinese traditional medicine and modern western medicine, were introduced so as to provide a reference for the clinical practice.

Key words: Dysmenorrhea, Prostaglandins, Exercise therapy, Behavior therapy, Transcutaneous electric nerve stimulation, Acupuncture-moxibustion