【摘要】：目的探討痛經(jīng)患者的臨床特征,為原發(fā)性痛經(jīng)與繼發(fā)性痛經(jīng)的非手術(shù)識別方式提供參考。方法對336例痛經(jīng)的臨床特征進(jìn)行分析,比較原發(fā)性痛經(jīng)與繼發(fā)性痛經(jīng)患者的疼痛特點(diǎn)。結(jié)果原發(fā)性痛經(jīng)80例,繼發(fā)性痛經(jīng)256例,初潮出現(xiàn)痛經(jīng)的比例分別為25.0%(20/80)、30.1%(77/256),無統(tǒng)計學(xué)差異(χ2=0.765,P=0.382)。繼發(fā)性痛經(jīng)組患者疼痛VAS(7.9±1.8)分,顯著高于原發(fā)性痛經(jīng)組(7.4±1.8)分(t=-2.169,P=0.031),痛經(jīng)加重的比例56.6%(145/256)顯著高于原發(fā)性痛經(jīng)組患者38.8%(31/80)(χ2=7.821,P=0.004)。繼發(fā)性痛經(jīng)組患者合并消化、泌尿系統(tǒng)伴隨癥狀的比例為69.5%(178/256),顯著高于原發(fā)性痛經(jīng)組43.8%(35/80)(χ2=17.458,P=0.000),非甾體類抗炎藥的疼痛緩解率為65.5%(78/119),顯著低于原發(fā)性痛經(jīng)組89.6%(26/29)(χ2=6.488,P=0.011)。結(jié)論原發(fā)性痛經(jīng)與繼發(fā)性痛經(jīng)均可于初潮出現(xiàn),痛經(jīng)嚴(yán)重、疼痛持續(xù)加重、有伴隨癥狀、非甾體類抗炎藥治療無效的患者,應(yīng)注意繼發(fā)性痛經(jīng)的識別。
[Abstract]:Objective to investigate the clinical features of dysmenorrhea and to provide reference for non-surgical recognition of primary dysmenorrhea and secondary dysmenorrhea. Methods the clinical features of 336 patients with dysmenorrhea were analyzed, and the pain characteristics of primary dysmenorrhea and secondary dysmenorrhea were compared. Results there were 80 cases of primary dysmenorrhea and 256 cases of secondary dysmenorrhea. The proportion of dysmenorrhea in menarche was 25.0% (20 鈮，

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