探讨山莨菪碱穴位注射治疗原发性痛经(primary dysmenorrhea)的疗效。

选取2006年12月至2009年12月，在本中心妇科门诊被确诊为原发性痛经，并满足研究条件，自愿接受山莨菪碱穴位注射法治疗的143例原发性痛经患者为研究对象。采取三阴交(双)或(和)腰奇穴注射山莨菪碱法，剂量为2 mL(10 mg)，首先由患者对治疗前及治疗后15 min，30 min和60 min时，腹部自觉疼痛强度进行标尺法(visual analogue score，VAS)评分，然后再由同一位医师根据患者描述的腹痛程度，进行疼痛评分，判定治疗镇痛效果。

143例患者中，治愈为97例(67.83%)，好转为42例(29.37%)，显效率为97.20%(139/143)。

山莨菪碱三阴交(双)或(和)腰奇穴注射治疗原发性痛经效果良好，无明显不良反应。

To observe effects of treating primary dysmenorrhea by point-injection with anisodamine.

From December 2006 to December 2009, 143 cases who were diagnosed as primary dysmenorrheal were treated by point-injection with anisodamine. Effects were observed with visual analogue score (VAS) of the intensity of abdominal pain of the patients before and after treatment of point-injection with anisodamine. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Centre for Zhengzhou Railway Disease Control and Prevention. Informed consent was obtained from all participants.

Among 143 cases, 97(67.83%) were cured and 42 (29.37%) were better. The effectiveness rate was 97.20% (139/143).

The effects of treatment primary dysmenorrhea by point-injection with anisodamine are good with no obvious adverse reactions.