目的:观察比较经期应用吲哚美辛巴布膏于腰骶部及腹部耻骨联合上方治疗痛经的效果.方法:采用调查问卷,收集31例痛经女性的月经基本信息.第一次月经来临时,将吲哚美辛巴布膏敷贴在腰骶部;在第二次月经来临时,敷贴在腹部耻骨联合上方,均每天白天贴用12h,晚上取下,共3d.观察两次月经痛经缓解时间、痛经缓解程度、痛经持续天数,并进行前后对比,分析吲哚美辛巴布膏对缓解痛经的作用,以及敷贴位置的不同对缓解痛经的差异.结果:患者痛经NRS评分两次用药后均有减轻,差异有统计学意义(P =0.041及P=0.003).第一次用药后痛经天数减少(2 vs.1.71d),差异无统计学意义(P=0.241);第二次月经用药后痛经天数减少(2 vs.1.65d),差异有统计学意义(P =0.000).两次用药后痛经均有缓解,痛经缓解时间差异无统计学意义(12.74 vs.7.61h,P=0.231).31例患者中26人(83.9％)需要服用止痛药物,第一次用药后只有17人(54.8％)需要口服止痛药物,前后相比,差异有统计学意义(P=0.014).结论:吲哚美辛巴布膏对于治疗痛经有良好的疗效,敷贴于腹部耻骨联合上方比贴在腰骶部对于痛经治疗的效果可能更好.%Objectives:To compare the effects of applying Indometacin Cataplasms in the lumbosacral area and symphysis pubis area for the treatment of dysmenorrhea during menstruation.Methods:A questionnaire survey was conducted to collect the basic menstruation information of 31 women with dysmenorrhea.Indometacin Cataplasms was used in the lumbosacral area in the first period and used in the symphysis pubis area in the second period,all for 12 hours every day and removed at night for a total of three days.The relieve time and degree and duration of dysmenorrheal were compared between the two groups,to analyze the effect of Indometacin Cataplasms in alleviating dysmenorrhea and the efficacy of different application location.Results:The dysmenorrhea relieve scores (DRS) were reduced in the two periods,with statistically significant difference (P =0.041 and P =0.003).The duration of dysmenorrhea shortened by (2 vs1.71 days) in the first period,without statistically significant difference (P=0.241),but the duration shortened by (2 vs1.65 days) in the second period,with statistically significant difference (P =0.000).Difference in the relieve time of dysmenorrhea was not statistically significant between the two periods (12.74 vs 7.61h,P =0.231).26 (83.9％) women among the 31 women needed painkiller,but only 17 (54.8％) women required painkiller in the first period,with statistically significant difference (P =0.014).Conclusion:Indometacin Cataplasms is effective in treating dysmenorrhea,with better effects when applying in the symphysis pubis area than in the lumbosacral area.
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